Field Epidemiology
 

Advancing Cultural Competence in the Public Health and Healthcare Workforce

Advancing Cultural Competence is advancing the field of cultural competency by offering the first structural competency certificate program in the country. In a nutshell, structural competency introduces the social determinants of health and reflection about the culture of medicine and related issues into cultural competency discussions. 
Each webinar covers these four “beats,” or themes:

  1. Historical frames of oppression
  2. Present day sociopolitical barriers and challenges to health
  3. Engagement with activist and advocates within the community around health
  4. Clinical cases and practical tools for advancing cultural competence

This page is for enrolling in the webinars archived in the NYS Department of Health’s Learning Management System (LMS) and for obtaining a certificate after you have completed all of the requirements. 

The courses for the American Indian and Latino/a series have been archived in the LMS. The two pre-requisite courses and the webinars presented in February and March of 2016 are available directly on our website under the Course Descriptions tab.

Enrollment

  • To obtain a certificate or to just take one of the archived courses in the American Indian and Latino/a series, you must register through the NYS Department of Health Learning Management System (LMS). 

  • For step-by-step enrollment instructions, including a link to the LMS, open and read the Quick-Start Guidebook.

  • If you have seen some of the courses live and want to enroll in the certificate program, you will receive credit for those courses once you are registered in the LMS.

Certificate Request

  • You must be registered in the LMS before you apply for your certificate.
  • After you have completed all of the required courses, you must fill out a program evaluation, which serves as your request for a certificate.
  • Page 12 of the Quick-Start Guidebook provides the links to the evaluation and certificate request.

Frequently Asked Questions (FAQs)

If you have questions about the program that are not answered on the FAQ link above, or have any difficulty registering, please contact us at: advancingcc@albany.edu.

 

The Advancing Cultural Competence Program begins with two pre-requisite courses. For a description of the courses, click on the individual titles.


Pre-Requisite Course

Format

Credits

Bridging Gaps: The Vital Role of Cultural Competence in Healthcare

Webcast

1.0 CNE, CME, CHES

From Cultural Competency to Structural Competency: A Narrative Humility Approach

Webinar

1.0 CNE, CME, CHES


After you have taken both pre-requisites above, you may begin the courses within a certificate series. For a description of the webinars, click on the individual titles.


Certificate Series

Course Titles

Credits

Asian American

Community Health Workers Advancing Population Health Equity & Promoting Structural Competence

1.5 CNE, CME, CHES, CPH

Asian American

Violence Against South Asian Women: Understanding Cultural "Competency" of Structures that Heal

1.0 CNE, CME, CHES, CPH

Asian American

Trauma and the Refugee Patient: Barriers and Strategies for Care

1.5 CNE, CME, CHES, CPH

Asian American

Structural Competency and Health Equity: Asian American Experience in New York City

1.0 CNE, CME, CHES, CPH

African American/Black

Structural Competency: Engaging Stigma and Inequality in Medicine and Medical Training

1.5 CNE, CME, CHES, CPH

African American/Black

Structural Competency: A New Medicine for the Inequalities That Are Making Us Sick

1.5 CNE, CME, CHES, CPH

African American/Black

Mass Incarceration and Its Impact on Community Health

1.0 CNE, CME, CHES, CPH

African American/Black

African American History for Healthcare Providers

1.0 CNE, CME, CHES, CPH

American Indian

Multigenerational Trauma: Effects of the Indian Boarding School Era

1.0 CNE, CME, CHES, CPH

American Indian

Women As First Environment – Bodies Telling Her/stories

1.0 CNE, CME, CHES, CPH

 American Indian

Resilience from Our Roots

1.0 CNE, CME, CHES, CPH

 American Indian

Urban Indian Issues in New York City and Buffalo

1.5 CNE, CME, CHES, CPH

Latino/a

Latino/a Health Disparities: Beyond the CulturaAnswer

1.0 CNE, CME, CHES, CPH

 Latino/a

Addressing Suburban Structures: Health and Latino Communities on Long Island

1.0 CNE, CME, CHES, CPH

 Latino/a

Being Structurally Vulnerable: “Deservedness,” Latino Migrant Laborers and Health

1.5 CNE, CME, CHES, CPH

 Latino/a

Structural Competency and Latino Health in Upstate NY

1.5 CNE, CME, CHES, CPH

Leading Article on Structural Competence

Hansen, H., & Metzl, M. J. (2014). Structural competency:  theorizing a new medical engagement with stigma and inequalitySocial Science & Medicine, 103, 126–133.

Additional Readings on Structural Competence
The May 2016 issue of the Journal of Bioethical Inquiry 3(2), is a Symposium Edition on Structural Competency.

Alisha, A., & Sichel, C. (2014). Structural Competency as a Framework for Training in Counseling Psychology.  The Counseling Psychologist, 42(7), 901-918.
Behforouz, H., Drain, P., & Rhatigan, J. (2014). Rethinking the Social HistoryThe New England Journal of Medicine, 371(14), 1277-1279.
Gottlieb, L. M., Tirozzi, K.J., Manchanda, R., Burns, A.R., Sandel, M.T., (2015). Moving electronic medical records upstream: incorporating social determinants of health. American Journal of Preventative Medicine, 48(2), 215-8.
Hardcastle, L.E., K.L. Record, P.D. Jacobson, and L.O. Gostin. 2011. Improving the population’s health: The Affordable Care Act and the importance of integrationThe Journal of Law, Medicine & Ethics 39(3): 317–327.CrossRef
Manchanda, R. (2013). The Upstream Doctors: Medical Innovators Track Sickness to Its Source. TED Conferences, 38.
Metzl, M. J. (2014).  The Case for Structural Competency.  Nashville Post, June 30.
Metzl, M. J., & Roberts, D. (2014). Structural competency meets structural racism: race, politics, and the structure of medical knowledge. AMA Journal of Ethics, 16, 674-90.
Metzl, M. J. (2012).  Structural Competency.  American Quarterly, 64 (2), 213-18.
Metzl, J.M. (2010). The Protest Psychosis. Boston: Beacon Press.
Tsevat, R.K., A.A. Sinha, K.J. Gutierrez, and S. DasGupta. 2015. Bringing home the health humanities: Narrative humility, structural competency, and engaged pedagogyAcademic Medicine 90(11): 1462–1465. Woolf, S.H., and P. Braveman. (2011). Where health disparities begin: The role of social and economic determinants—and why current policies may make matters worseHealth Affairs 30(10): 1852–1859.

Links to Resources on Structural Competency

Structuralcompetency.org  (website by Dr. Helena Hansen)
Structural Competencies in Migration Health (webinar by the Migrant Clinicians Network)
HealthBegins (nonprofit)
HealthLeads (nonprofit)
What Makes Us Get Sick? Look Upstream (TED Talk by Dr. Rishi Mashada) 
National Center for Medical Legal Partnership 

You Tube Videos on Structural Competency

Medicine Health and Society (Vanderbilt University) Director Jonathan Metzl and NYU Professor Helena Hansen on Structural Competence

Structural Competency: New Medicine for the Inequalities that are Making us Sick Dr. Helena Hansen, NYU.

A Room of One’s Own: Moving Towards Structural Competency. Jennifer Tsai, Medical Student, Brown University MEDTalk
BIF 6: Sayantani DasGupta – Stories are Good Medicine.


Clinical Tools Discussed in the Advancing Cultural Competence Certificate Series

From the American Indian Series:
Adverse Childhood Experiences ACE tool, from the ACES Too High website. 
Adverse Childhood Experiences study description, and additional resources from the CDC website. (Tool from the webinar: “Resilience from Our Roots.”)

From the Latino/a Series:
Structural Vulnerability Domains and Potential Sample Questions by Dr. James Quesada, SFSU  (Tool from the webinar “Being Structurally Vulnerable: “Deservedness,” Latino Migrant Laborers and Health.”)

Selected Readings on:

Cultural Competence and CLAS Standards
Structural Vulnerability and Structural Violence
Social Determinants of Health and Health Equity
American Indian Health
Latino/a Health
African American/Black Health
Asian American Health
Lesbian, Gay, Bisexual, & Transgender Health

Links to Additional Web-based Resources

Cultural Competence and CLAS
Health Disparities and Health Equity
American Indian
Latino/a
African American and Black
Asian American
Refugees and Human Trafficking
LGBT
Films and Videos