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The Role of Structural Competency in the Treatment and Prevention of Diabetes in a Vulnerable Agricultural Worker Population

Resource Topic: Clinical Issues, Workforce, Social Determinants of Health (SDOH), Special and Vulnerable Populations

Resource Subtopic: Diabetes, Development and Training, Health Equity.

Year Developed: 2018

Resource Type: Archived Webinar

Primary Audience: Clinicians
Secondary Audience: Administrative Staff

Language: English

Developed by: Migrant Clinicians Network (See other resources developed by this organization).

Resource Summary: Over the last 30 years, considerable attention has been paid in the clinical setting to cultural competency- the ability to mitigate against the effects of the sociocultural differences between clinicians and patients and to take into account how culture affects the symptoms presented or the patients’ attitude about health care. More recently, scholars and clinicians have encouraged those in practice or health professions training to focus not only on the behaviors and beliefs of cultural groups but more importantly to consider the structural determinants, prejudices, injustices and blind spots, the “pathologies of social systems” that affect health outcomes and the stigma experienced by patients. The session will introduce participants to the broad framework of structural competency and the five core structural competencies. Particular attention will be paid to the impact of structural issues on the treatment and management of diabetes for vulnerable populations.

Resource Details: Learning Objectives: 1. Identify the structures that shape clinical interactions; 2. Discuss the means of developing an extra-clinical language of structure; 3. Rearticulate “cultural” formulations in structural terms; 4. Explain the process of observing and imagining structural interventions; and 5. Discuss the impact of structural issues on diabetes care for vulnerable populations.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,375,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit