{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T03:14:07Z","timestamp":1788146047887,"version":"build-2803163510"},"reference-count":21,"publisher":"Korean Society of Medical Education","issue":"3","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Korea Foundation for International Healthcare"}],"content-domain":{"domain":["kjme.kr"],"crossmark-restriction":true},"short-container-title":["KJME"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>Purpose: Cultural diversity (CD) education in undergraduate medical training has gained increasing attention as patient populations become more diverse. This pilot study examined preliminary changes in first-year medical students\u2019 attitudes and perceptions toward CD following a single structured session informed by Dogra\u2019s (2005) perspective on CD education at a Korean medical school.Methods: A single-group pre\u2013post design was employed with 85 first-year medical students during the 2023\u20132024 academic year. A 14-item questionnaire, drawn from Panthi and his colleagues and reclassified by the authors into four domains (Domain 1: Q1\u2013Q3; Domain 2: Q4\u2013Q6; Domain 3: Q7\u2013Q9; Domain 4: Q10\u2013Q14), organized with reference to Dogra\u2019s (2005) distinction between cultural expertise and cultural sensibility, was administered immediately before and after a 3-hour structured session. Items were rated on a 5-point Likert scale, with Bonferroni correction applied for item-level comparisons (adjusted p&lt;0.004).Results: A total of 51 of 85 students (60.0%) completed both surveys and were included in the analysis. The total attitude score increased significantly from 51.77\u00b15.47 to 57.27\u00b16.14 (Cohen\u2019s d=0.92). Significant improvements were observed in nine items (Q1, Q3, Q4, Q5, Q10\u2013Q14). Items related to empathy and openness (Q2), bias self-awareness (Q6), and acculturative attitudes (Q7\u2013Q9) did not reach corrected significance.Conclusion: Attitudinal responsiveness varied across domains. Value-congruent and clinically oriented attitudes shifted through direct instruction, acculturative attitudes showed only surface-level trends, and bias self-awareness showed no change.<\/jats:p>","DOI":"10.3946\/kjme.2026.191","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T02:26:32Z","timestamp":1788143192000},"page":"233-238","update-policy":"https:\/\/doi.org\/10.3946\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in first year medical students\u2019 attitudes and perceptions toward cultural diversity: a pilot study in Korea"],"prefix":"10.3946","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7580-7747","authenticated-orcid":true,"given":"Hoang Minh","family":"Nguyen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1787-0884","authenticated-orcid":true,"given":"Yon Chul","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2336","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/118.4.293"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61603-2"},{"key":"ref3","volume-title":"","author":"Kleinman","year":"1988"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/s0027-9684(15)31505-4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181a42398"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3352\/jeehp.2021.18.3"},{"key":"ref7","first-page":"233","volume-title":"Cultural diversity teaching in the medical undergraduate curriculum","author":"Dogra","year":"2005"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S1557466009023365"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3946\/kjme.2018.91"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3946\/kjme.2019.128"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000072"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-057062"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1177\/135910457000100301"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1360653"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1529-0"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-017-0179-8"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302903"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-0597.1997.tb01087.x"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.60.110707.163607"},{"key":"ref20","volume-title":"","author":"Campbell","year":"1963"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/014662167900300101"}],"container-title":["Korean Journal of Medical Education"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/kjme.kr\/upload\/pdf\/kjme-2026-191.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjme.kr\/journal\/view.php?doi=10.3946\/kjme.2026.191","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/kjme.kr\/upload\/pdf\/kjme-2026-191.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T02:26:37Z","timestamp":1788143197000},"score":1,"resource":{"primary":{"URL":"http:\/\/kjme.kr\/journal\/view.php?doi=10.3946\/kjme.2026.191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.3946\/kjme.2026.191","relation":{},"ISSN":["2005-727X","2005-7288"],"issn-type":[{"value":"2005-727X","type":"print"},{"value":"2005-7288","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"2026-04-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}