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As workplaces, hospitals have become increasingly multicultural, and many doctors are themselves of foreign origin, including psychiatrists. The aims of this study were to explore what clinical challenges International Medical Graduates (IMGs) and native-born Norwegian doctors training in psychiatry perceived when treating patients from other cultures, and what factors might be associated with such cross-cultural challenges. We developed a six-item inventory of perceived cross-cultural clinical challenges (PCC), to assess what cross-cultural problems trainees in psychiatry found most challenging. The PCC was completed by 216 trainees who also reported on individual- and work-related background factors. Comparisons of PCC between the two groups were done by one-way analysis of variance, and associations between PCC and background factors were analyzed by linear multiple regression. The overall response rate was 93%. Native -born Norwegian doctors reported higher levels of PCC than did IMGs. Both native-born Norwegian doctors and IMGs rated \u201cassessing psychosis,\u201d \u201cassessing suicide risk,\u201d and \u201clacking tools in cross-cultural consultations\u201d as the most demanding challenges in cross-cultural consultations. Independent factors associated with higher PCC included being a native-born Norwegian doctor and experiencing high levels of work\u2013home conflict. The findings suggest that trainees in psychiatry may need more training and better tools in cross-cultural assessment of mental disorders. Possible differences in PCC between native-born doctors and IMGs should be taken into consideration when developing mentoring programs, as should the doctors\u2019 work\u2013home conflict level, which might impact the PCC.<\/jats:p>","DOI":"10.1177\/13634615241296297","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T03:17:51Z","timestamp":1735010271000},"page":"181-191","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Perceived clinical challenges when treating patients from different cultures: A study among psychiatry trainees in Norway"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5477-8457","authenticated-orcid":false,"given":"Morten","family":"Sandbu","sequence":"first","affiliation":[{"name":"University of Oslo"},{"name":"Oslo University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Cecilie","family":"Javo","sequence":"additional","affiliation":[{"name":"S\u00e1mi National Competence Center for Mental Health (SANKS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suraj Bahadur","family":"Thapa","sequence":"additional","affiliation":[{"name":"Oslo University Hospital"},{"name":"University of Oslo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin Isaksson","family":"R\u00f8","sequence":"additional","affiliation":[{"name":"Institute for Studies of the Medical Profession"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valjbona","family":"Preljevic","sequence":"additional","affiliation":[{"name":"Specialist Practice in Psychiatry in Oslo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reidar","family":"Tyssen","sequence":"additional","affiliation":[{"name":"University of Oslo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,24]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363461520940481"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-14-207"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15071425"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-018-1236-9"},{"key":"e_1_3_3_7_1","volume-title":"Research methods in health: investigating health and health services, chapters 13 and 15","author":"Bowling A.","year":"2023","unstructured":"Bowling A. 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