Cultural Linguistic Competency & Implicit Bias in CME

All CME activities certified in California must include training in Cultural and Linguistic Competency (CLC) and Implicit Bias (IB), with limited exceptions.

Cultural and Linguistic Competency (CLC)

The ability and readiness of health care providers and organizations to humbly and respectfully demonstrate, effectively communicate, and tailor delivery of care to patients with diverse values, beliefs, identities and behaviors, in order to meet social, cultural and linguistic needs as they relate to patient health.

California Assembly Bill 1195 codified CLC into CME activities. The text of the bill can be found here: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=200520060AB1195 

Implicit Bias

The attitudes, stereotypes and feelings, either positive or negative, that affect our understanding, actions and decisions without conscious knowledge or control. Implicit bias is a universal phenomenon. When negative, implicit bias often contributes to unequal treatment and disparities in diagnosis, treatment decisions, levels of care and health care outcomes of people based on race, ethnicity, gender identity, sexual orientation, age, disability and other characteristics.

California Assembly Bill 241 codified IB into CME activities. The text of the bill can be found here: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB241

Diversity

Having many different forms, types or ideas; showing variety. Demographic diversity can mean a group composed of people of different genders, races/ethnicities, cultures, religions, physical abilities, sexual orientations or preferences, ages, etc.

CMA Resources

• Adverse Childhood Experiences: Tips to help you support inclusivity and equity (Health Net)
• Patient Care Through Better Cultural Awareness (Health Net)
• Health Equity Modules (American Medical Association)
• Health Equity Training Courses (Diversity Science)
• Achieve Health Equity Through Culturally Competent Care for BIPOC Patients (Health Net)
• Cultural and Linguistic Competency Wheel (Johns-Hopkins)
• Implicit Associations Test (Harvard)
• Case Studies on Gender Bias (Proceedings of the National Academy of Sciences) and Racial Bias (American Journal of Public Health)
• Unconscious Bias Training That Works (Harvard Business Review)
• Initiatives to Reduce Maternal Mortality and Severe Maternal Morbidity in the United States (Annals of Internal Medicine)
• Childhood Immunizations: Cultural approaches to support parents who are vaccine hesitant (Health Net)

TPMG Resources

Regionally developed strategies for integrating implicit bias into clinical programs:
The following resources were developed by PED consultants, to provide strategies, suggestions, and content for the integration of implicit bias topics into clinical education programming.

• Instructional Design Strategies for IB
• IB and Clinical Bias Short Presentation .pptx

Resources extracted from the TPMG Culturally Responsive Care and Inclusion SharePoint site:

• Racial Equity
• Bias and Stigma
• Health Equity
• Belong at KP- Part 1 Disrupt Bias, Part 2 Dismantle Racism 
• Inclusion Activities
• KP Community Health Needs Assessment

Additional Resources

• Ask the librarian
• Addressing Race, Culture, and Structural Inequality in Medical Education Innovation Report
• Race and Culture Guide for Editors of Teaching Cases