Table 1.

Chronological Development of Department of Native Hawaiian Health (DNHH) Cultural Competency Curriculum (C3) at JABSOM

Academic year	Initiatives
1990's	NHCOE grant begins at JABSOM Dr. Ben Young starts as NHCOE grant PI (1998) Faculty/cultural competency development conferences begin (1999)
2003–2004	DNHH established, JABSOM NHCOE became part of DNHH DNHH tasked with starting a Cultural Competency Curriculum (C3)
2004–2005	Multi-disciplinary C3 team organized
2005–2006	Focus groups begin
2006–2007	Medical Student Initiatives (1st year medical students at JABSOM) Cultural immersions Four Hour Colloquium
2007–2008	Medical Student Initiatives Cultural Immersion Four-hour Colloquium Introduction to Native Hawaiian Health Lecture Problem-based Learning (PBL) case revised Family Medicine Residency Initiatives Cultural Immersion started Seminars started Cultural Standardized patient case piloted
2008–2009	Medical Student Initiatives Cultural Immersion Four-hour colloquia Introduction to Native Hawaiian Health Lecture PBL Case Elective in Native Hawaiian Health Family Medicine Residency initiatives Cultural Immersion Seminars Cultural Standardized (new) patient case piloted
2009–2010	Medical Student Initiatives Cultural Immersion Four-hour colloquia x2 Introduction to Native Hawaiian Health Lecture PBL Case Selective in Native Hawaiian health within Community Medicine course Family Medicine Residency Initiatives Cultural Immersion Other Initiatives International collaboration on immersion program (New Zealand) Dept. of Surgery's Cross Cultural Health Care Conference collaboration
2010–2011	Medical Student Initiatives Cultural Immersion Four-hour colloquia x2 Introduction to Native Hawaiian Health Lecture PBL Case Selective in Native Hawaiian Health Cultural Standardized patient pilot Family Medicine Residency Initiatives Cultural Immersion Other Initiatives Faculty Immersion Cultural activities for faculty School of Social Work's Hawaiian Learning Program collaboration Dept. of Surgery's Cross Cultural Health Care Conference collaboration