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Beyond Cultural Competence: Critical Consciousness, Social Justice, and Multicultural Education
Academic Medicine, 05/29/09

Kumagai AK et al. - The authors critically analyze the concept of cultural competency and propose that multicultural education must go beyond the traditional notions of competency (i.e., knowledge, skills, and attitudes). It must involve the fostering of a critical awareness-a critical consciousness-of the self, others, and the world and a commitment to addressing issues of societal relevance in health care. They describe critical consciousness and posit that it is different from, albeit complementary to, critical thinking, and suggest that both are essential in the training of physicians. The authors also propose that the object of knowledge involved in critical consciousness and in learning about areas of medicine with social relevance-multicultural education, professionalism, medical ethics, etc.-is fundamentally different from that acquired in the biomedical sciences. They discuss how aspects of multicultural education are addressed at the University of Michigan Medical School.

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