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Approximately, 12 million Americans have been diagnosed with COPD, but at least another 12 million Americans may be undiagnosed (1). COPD refers to a group of chronic diseases, including emphysema and chronic bronchitis, that impair the low of air in the lungs and make breathing diicult. While COPD death rates are higher among men than women, over the past 20 years, the number of COPD deaths among U.S. women has increased much faster than those among men (1–3). COPD death rates are also higher among whites than among African Americans or persons of other races (1–3), and in some states,. | Association of American Medical Colleges Cultural Competence Education for Medical Students AAMC What is Cultural Competence Many definitions of cultural competence have been put forward but probably the most widely accepted is the following Cultural and linguistic competence is a set of congruent behaviors knowledge attitudes and policies that come together in a system organization or among professionals that enables effective work in cross-cultural situations. Culture refers to integrated patterns of human behavior that include the language thoughts actions customs beliefs and institutions of racial ethnic social or religious groups. Competence implies having the capacity to function effectively as an individual or an organization within the context of the cultural beliefs practices and needs presented by patients and their communities.1 Cultural competence in health care combines the tenets of patient family-centered care with an understanding of the social and cultural influences that affect the quality of medical services and treatment. With the ever-increasing diversity of the population of the United States and strong evidence of racial and ethnic disparities in health care it is critically important that health care professionals are educated specifically to address issues of culture in an effective manner. Bodies such as the National Academies of Sciences Institute of Medicine2 and the American Medical Association have recognized this. In 2000 the Liaison Committee on Medical Education LCME introduced the following standard for cultural competence The faculty and students must demonstrate an understanding of the manner in which people of diverse cultures and belief systems perceive health and illness and respond to various symptoms diseases and treatments. Medical students should learn to recognize and appropriately address gender and cultural biases in health care delivery while considering first the health of the patient. This standard has given added .
