This unique, interactive self-study program consists of a series of five tutorials in cultural competence, aimed at familiarizing health care providers with common issues that arise while working with people of diverse cultures. Each tutorial consists of a home page to introduce the topic and define concepts, a case story to illustrate the topic, a multimedia lecture about the topic, and a series of learning activities to engage the learner in applying the concepts to the case story. The Cross Cultural Health Care- Case Studies were developed collaboratively by the seven Pediatric Pulmonary Centers.

The Core Concepts in Cultural Competence module is a prerequisite for accessing the four pediatric cases:

• Case 1: highlights the importance for providers to be aware of social emotional and cultural factors; case study involves 12 year old African American girl with asthma;
• Case 2: addresses issues medical interpretation, caring for families with limited English proficiency; case focuses on a small community hospital dealt with the influx of a new culturally different population (Somali refugees);
• Case 3: covers concepts and issues related to normative cultural values, complementary and alternative medicine, and folk health and illness beliefs; case study involves a 4 year old Puerto Rican boy with asthma; and
• Case 4: presents concepts and issues related to cultural and religious factors as they affect medical decision-making and disease management; case study involves a 6 year old Hasidic Jewish girl with cystic fibrosis.