CoChat
Sign Up
Cited by 5Indigenous Health, Education, and RightsGlobal Health Workforce IssuesHealth and Medical Education

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Public health and health professional education at a tribal college: a collaborative immersion program in rural North Dakota

Open access
Austin, Charlotte, Berg, Elizabeth, Heuer, Loretta, Cushman, Linda, Lindquist, Cynthia, Ripp, Jonathan·2019·Rural and Remote Health
DOI 10.22605/rrh5020
Open this paper in CoChat — free accountOpen PDF

Abstract

INTRODUCTION: Native Americans have some of the worst health outcomes of any minority group in the USA, and are severely under-represented in the health professional workforce. From 2009 to 2015, partners from a tribal college in rural North Dakota and academic institutions in New York collaborated to create a program wherein non-Native health professionals traveled to the reservation to teach a summer course to Native students. This study assessed the impact of the program on both the Native students who took the course and the non-Native health professionals who taught the course. METHODS: Focus groups composed of former students in the program were held in Spirit Lake, North Dakota. Non-Native student teachers were surveyed using an online survey tool. Focus group data were analyzed using grounded theory methodology. Survey data were analyzed using descriptive statistics. RESULTS: Fifteen former students participated in the focus groups. Participants stated that their experiences in the course increased interest in health professions and knowledge of public health issues. Participants also described barriers to entering health professionals for Native students and the benefits of close interaction with non-Native individuals. Eighty-six percent (24/28) of former course teachers responded to the survey. Survey respondents stated their experiences in North Dakota increased their understanding of underserved populations and their interest in working in rural areas. CONCLUSION: This study assessed the successes and limitations of a collaborative, interprofessional immersion program in rural North Dakota. Similar programs may increase the number of Native Americans in health professions and increase non-Native health professional interest in and engagement with rural communities.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.22605/rrh5020

Cites

2 of 2 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Only 1 study (Austin et al., 2019) described a multi-site pathway program co-occurring in North Dakota and New York, with in-person components at both sites.

    “Of note, only 1 study (Austin et al., 2019) described a multi-site pathway program co-occurring in North Dakota and New York, with in-person components at both sites.”

    From Pathway to Medicine and Health Programs Revisited: Outcomes and Institutional Adaptations in Greater Philadelphia and Beyond (2026) · cites this paper as Austin et al., 2019

    The Background describes a collaboration between institutions in New York and North Dakota. The Intervention curriculum describes New York student-teachers traveling to North Dakota to teach the summer course, but does not describe an in-person program component in New York. This source also cannot establish that it was the only study of its kind. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 23

  1. Mendoza FS, Walker LR, Stoll BJ, Fuentes-Afflick E, St Geme JW 3rd, Gonzalez del Rey JA, et al. Diversity and inclusion training in pediatric departments. Pediatrics 2015; 135(4): 707-713. https://doi.org/10.1542/peds.2014-1653 PMid:25755235 · DOI
  2. Burgos JL, Yee D, Csordas T, Vargas-Ojeda AC, Segovia L, Strathdee SA, et al. Supporting the minority physician pipeline: providing global health experiences to undergraduate students in the United States-Mexico border region. Medical Education Online 2015; 20(1): 27260. https://doi.org/10.3402/meo.v20.27260 PMid:26088189 · DOI
  3. Smedley BD, Stith AY, Nelson AR (Eds). Institute of Medicine Committee on Understanding and Eliminating Racial and Ethnic Disparities in Healthcare. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press, 2003.
  4. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient- physician racial concordance and the perceived quality and use of health care. Archives of Internal Medicine 1999; 159(9): 997-1004. https://doi.org/10.1001/archinte.159.9.997 PMid:10326942 · DOI
  5. Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Annals of Internal Medicine 2003; 139(11): 907-915. https://doi.org/10.7326 /0003-4819-139-11-200312020-00009 PMid:14644893 · DOI
  6. Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient-physician communication during medical visits. American Journal of Public Health 2004; 94(12): 2084-2090. https://doi.org/10.2105/AJPH.94.12.2084 PMid:15569958 · DOI
  7. Johnson Thornton RL, Powe NR, Roter D, Cooper LA. Patient- physician social concordance, medical visit communication and patients' perceptions of health care quality. Patient Education and Counseling 2011; 85(3): e201-e208. https://doi.org/10.1016 /j.pec.2011.07.015 PMid:21840150 · DOI
  8. Kurek K, Teevan BE, Zlateva I, Anderson DR. Patient-provider social concordance and health outcomes in patients with type 2 diabetes: a retrospective study from a large federally qualified health center in Connecticut. Journal of Racial and Ethnic Health Disparities 2016; 3(2): 217-224. https://doi.org/10.1007 /s40615-015-0130-y PMid:27271061 · DOI
  9. Hoffman KM, Trawalter S, Axt JR, Oliver MN. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proceedings of the National Academy of Sciences 2016; 113(16): 4296-4301. https://doi.org/10.1073/pnas.1516047113 PMid:27044069 · DOI
  10. Green CR, Anderson KO, Baker TA, Campbell LC, Decker S, Fillingim RB, et al. The unequal burden of pain: confronting racial and ethnic disparities in pain. Pain Medicine 2003; 4(3): 277-294. https://doi.org/10.1046/j.1526-4637.2003.03034.x PMid:12974827 · DOI
  11. Marrast LM, Zallman L, Woolhandler S, Bor DH, McCormick D. Minority physicians' role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities. JAMA Internal Medicine 2014; 174(2): 289-291. https://doi.org/10.1001/jamainternmed.2013.12756 PMid:24378807 · DOI
  12. Rayburn WF, Xierali IM, Castillo-Page L, Nivet MA. Racial and ethnic differences between obstetrician-gynecologists and other adult medical specialists. Obstetrics and Gynecology 2016; 127(1): 148-152. https://doi.org/10.1097/AOG.0000000000001184 PMid:26646119 · DOI
  13. Beach MC, Price EG, Gary TL, Robinson KA, Gozu A, Palacio A, et al. Cultural competence: A systematic review of health care provider educational interventions. Medical Care 2005; 43(4): 356-373. https://doi.org/10.1097/01.mlr.0000156861.58905.96 PMid:15778639 · DOI
  14. Cushman LF, Delva M, Franks CL, et al. Cultural competency training for public health students: integrating self, social, and global awareness into a master of public health curriculum. American Journal of Public Health 2015; 105: S132-S140. https://doi.org/10.2105/AJPH.2014.302506 PMid:25706008 · DOI
  15. Hansen H, Metzl JM. New medicine for the U.S. health care system: training physicians for structural interventions. Academic Medicine 2017; 92(3): 279-281. https://doi.org/10.1097 /ACM.0000000000001542 PMid:28079725 · DOI
  16. Loue S, Wilson-Delfosse A, Limbach K. Identifying gaps in the cultural competence/sensitivity components of an undergraduate medical school curriculum: a needs assessment. Journal of Immigrant and Minority Health 2015; 17(5): 1412-1419. https://doi.org/10.1007/s10903-014-0102-z PMid:25225077 · DOI
  17. Weintraub J, Walker J, Heuer L, et al. Developing capacity for the American Indian health professional workforce: an academic- community partnership in Spirit Lake, North Dakota. Annals of Global Health 2015; 81(2): 283-289. https://doi.org/10.1016 /j.aogh.2015.03.009 PMid:26088097 · DOI
  18. Katz JR, Barbosa-Leiker C, Benavides-Vaello S. Measuring the success of a pipeline program to increase nursing workforce diversity. Journal of Professional Nursing 2016; 32(1): 6-14. https://doi.org/10.1016/j.profnurs.2015.05.003 PMid:26802586 · DOI
  19. Sequist TD. Health careers for Native American students: challenges and opportunities for enrichment program design. Journal of Interprofessional Care 2007; 21(Suppl 2): 20-30. https://doi.org/10.1080/13561820601086841 PMid:17896243 · DOI
  20. Bolea PS. Cross-cultural service learning with native Americans: pedagogy for building cultural competence. Journal of Teaching in Social Work 2012; 32(3): 284-299. https://doi.org/10.1080 /08841233.2012.687684 · DOI
  21. Sisson DC, Westra RE. Impact of a rural interprofessional experience in rural communities on medical and pharmacy students. Family Medicine 2011; 43(9): 653-658.
  22. Williams DR, Jackson PB. Social sources of racial disparities in health. Health Affairs 2005; 24(2): 325-334. https://doi.org/10.1377 /hlthaff.24.2.325 PMid:15757915 · DOI
  23. This PDF has been produced for your convenience. Always refer to the live site https://www.rrh.org.au/journal/article/5020 for the Version of Record.

Cited by

Sorted by citations

Metadata

Authors
Austin, C., Berg, E., Heuer, L., Cushman, L., Lindquist, C., & Ripp, J.
Affiliations
Monmouth Medical Center (US)
Corresponding author
Austin, Charlotte
ORCID
Venue
Rural and Remote Health
Publisher
Rural and Remote Health
Published
2019-09-14
Volume
19
Issue
3
Pages
5020-5020
ISSN
1445-6354 (ISSN-L)
DOI
10.22605/rrh5020
OpenAlex
W2973146496
Cited by
5
References
2
Citations by year
2023: 1 · 2021: 1 · 2020: 2 · 2019: 1
FWCI
0.88
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Rural and Remote Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Education
Keywords
tribal colleges, Native American health, public health education, interprofessional education, immersion programs, rural health workforce, underserved populations, Native American students, North Dakota
MeSH terms
Adult, Education, Professional, Health Personnel, Humans, Interprofessional Relations, Male, Medically Underserved Area, North Dakota, Public Health, Rural Population, Program Evaluation, Rural Health Services

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review