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Cultural Competency

Notice of Proposed Rulemaking: Health Care Provier Incentive Program (OAR 409-036)

The Oregon Health Authority has filed notice of proposed rulemaking with the Secretary of State's office for the Health Care Provider Incentive Program. Please see the notice for further details: 409-036 Notice of Proposed Rulemaking

The Primary Care Office is in the process of updating the Administrative Rules for the Health Care Provider Incentive Program (OAR 409-036) based on feedback from community members, clinical sites, and health care providers. Changes to the rules are intended to make incentives more widely available to professionals delivering culturally responsive care throughout Oregon through:
  • Expanding qualifying criteria for loan repayment and scholarships
  • Increasing award amounts for the recipients who are selected
  • Strengthening prioritization language to clarify which applicants will be selected for awards to ensure that the funds reach providers who are reflective of the populations they serve and are delivering care to those experiencing the greatest inequities
  • Enhancing rule language to be more inclusive and reflective of OHA's goal of eliminating health inequities by 2030
OHA held Rules Advisory Committee meetings and made other efforts to engage community representatives to help in working through proposed changes. Details can be found in the Notice of Proposed Rulemaking.

Public comment may be provided through August 22 at 5 p.m. See notice for contact details.

Cultural Competency

"I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient." World Medical Association Declaration of Geneva (May 2006).

Cultural competency is a life-long process of examining values and beliefs while developing and applying an inclusive approach to health care practice in a manner that recognizes the context and complexities of provider-patient interactions and preserves the dignity of individuals, families, and communities.

The Oregon Medical Board has a Statement of Philosophy on Cultural Competency and published the Cultural Competency: A Practical Guide for MedicalProfessionals booklet in June 2017.

Hard copies of the publication are available free of charge. Please fill out the Cultural Competency Guide Order Form and return to the OMB.

Mandatory Cultural Competency Continuing Education

In 2019 (HB 2011), the Oregon Legislature mandated cultural competency continuing education for health care professionals starting July 1, 2021. Under the requirement, Oregon Medical Board licensees must complete cultural competency continuing education as a condition of licensure as required in OAR 847-008-0077

Licensees required to comply: All Oregon physicians, physician assistants, and acupuncturists whose license is at a practicing status must meet this requirement. The only exceptions are licensees in residency training and volunteer camp licensees. Licensees with a “retired" status do not have to meet the requirement because their license is not at a practicing status.

Number of hours: Licensees must complete an average of at least one hour of cultural competency education per year during an audit period. An audit period is two renewal cycles, for example every four years for most licensees. Required hours will be based on the number of years licensed during the audit period; any portion of a year licensed will require one hour of cultural competency education. For example, a licensee who has been licensed for 3.5 years during the audit period will be required to obtain four hours of cultural competency education. Hours may be obtained at any time during the audit period. For example, either one four-hour experience, or four one-hour courses taken annually, would satisfy the requirement.

Educational opportunities: The cultural competency continuing education may, but does not have to, be accredited continuing medical education (CME). The law was written to allow a wide array of courses or experiences, which may include: courses delivered in-person or electronically, experiential or service learning, cultural or linguistic immersion, volunteering in a rural clinic, completing an employer's cultural competency training, a training on implicit bias in health care, attending an event with members of an underserved community to discuss health care access issues, or courses approved by the Oregon Health Authority.

Tracking completion: Licensees may track educational hours on an OMB record keeping form. During license renewal (annually or biennially depending on the license), licensees will attest to completing the required hours by checking a box and reporting the number of hours obtained. The OMB will audit for compliance every other renewal cycle with the first audit being conducted during the Fall 2023 renewal cycle. The cultural competency audit will be included within the existing audit for CME compliance. Beginning in 2023 and every other renewal cycle thereafter, audited licensees will be asked to also produce documentation of their cultural competency educational experiences. Documentation may be a course certificate, the OMB record keeping form, or other documentation.

Fall 2023: For the first audit period during the Fall 2023 renewal cycle, licensees will be required to report 2 hours of cultural competency education. Licensees may report hours for courses or experiences completed during the calendar year starting January 1, 2021. 

Continuing Education Resources

American Medical Association Recognizes Racism as Public Health Threat

A new policy from the American Medical Association (AMA) acknowledges racism's role in perpetuating health inequities and inciting harm against historically marginalized communities and society as a whole. Specifically, the policy recognizes racism in its systemic, cultural, interpersonal, and other forms as a serious threat to public health, to the advancement of health equity, and a barrier to appropriate medical care. Read more about the AMA's policy here.

The Legacy of Dr. Unthank

DeNorval Unthank, MD,  was an African American doctor who lived life boldly facing adversity and improving the lives of Oregonians.  Dr. Unthank graduated from high school at the age of 16, attended the University of Michigan for his undergraduate studies, and went on to Howard University where he earned his medical degree in 1926.

Dr. Unthank moved his family to Portland, Oregon, in 1929 where he would be the only African American doctor for over 10 years of his medical career.  Dr. Unthank persistently served the Portland area and went from not being allowed in hospitals to eventually being on staff at four Portland area hospitals.  The Oregon State Medical Society named him Doctor of the Year in 1958.  Dr. Unthank retired from his practice in 1970 having served a richly multicultural group of patients.

Alongside an influential medical career were Dr. Unthank's numerous contributions to Civil Rights.  He cofounded the Portland Urban League in 1945 and was accepted as the first African American member of the Portland City Club.  Additionally, he was a driving force behind the Oregon Civil Rights Bill passed in 1953.  In 1977, Dr. Unthank passed away having greatly impacted medicine and Civil Rights in Oregon.