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Medical Educators Propose Fluency Model

frontiersin.org · 14 May 2026
Medical Educators Propose Fluency Model
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Why this is here: The proposed model moves beyond “cultural competence” to emphasize “cross-cultural fluency,” suggesting an ongoing ability to adapt rather than a fixed skill.

Researchers in an unspecified location propose a new framework for medical education happening across national borders. They argue current models of cultural competence fall short when programs, faculty, and students move between countries. The team developed the Transnational Cross-Cultural Fluency model with three tiers.

The first tier of the model tackles issues like different accreditation standards between countries. The second tier focuses on teaching and clinical challenges created by multiple cultural contexts. The third tier examines how students and educators form professional identities while navigating different institutions.

The researchers note digital learning tools can both help and hinder cross-cultural understanding. They emphasize the need for equitable knowledge exchange and address risks of cultural dominance in international partnerships. Implementing this model requires collaboration between institutions and policymakers to support health equity.

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