A comparison of provider perspectives on cultural competency training: A mixed methods study

We aimed to identify differences in training among colorectal cancer physicians and advanced practice providers with high and low cultural competency Using explanatory sequential mixed methods, we surveyed providers and dichotomized into high and low cultural competency (CC) groups, conducted qualitative interviews, and analyzed verbatim transcripts using deductive and inductive codes to compared findings across groups using a joint display. Fifty-four of 92 providers (59%) responded; 10 respondents from each group (20/36 invited) completed semi-structured interviews about previous CC trainings. Low CC providers’ training included explanations of cultural differences that, in practice, improved awareness and utilization of communication tools, but they also desired decision-making tools and cultural exposure. High CC providers’ training included action-oriented toolkits. In practice, they admitted failures, improved communication, and attributed patient behaviors to external factors. High CC providers desired performance evaluations. Behaviorally-oriented CC training offered a robust foundation for culturally competent care. •Mixed methods distinguished high and low culturally competent surgery providers.•Cultural competency training experiences differed among high and low providers.•Low cultural competency providers want decision-making tools and cultural exposure.•High cultural competency providers want more formative learning opportunities.•Cultural competency training promotes a lifelong learning mindset.