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Cultural competence isn't a destination; it's a journey that never stops.

The physical therapy profession's transformative power is magnified through a commitment to promoting and practicing a high level of cultural competence and cultural humility in all areas of practice, research, and education. It's the key to our future as relevant health care providers.

Far from being a limited set of prescribed skills, cultural competence is more holistic — "a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables work in cross-cultural situations," according to the Centers for Disease Control and Prevention. Those cross-cultural situations aren't limited to race or ethnicity — they also can include language, religion, age, gender identification, and much more.

The CDC defines cultural humility as an active engagement in an ongoing process of self-reflection that informs deeper understanding and respect of cultural differences. It is a continuous process that involves recognizing personal biases and power imbalances, especially when interacting across cultures. Unlike cultural competence, which focuses on understanding specific cultural knowledge, cultural humility emphasizes self-awareness, openness, and learning from each unique individual. This approach promotes respectful, individualized care that values each person’s identity and encourages trust within communities, ultimately enhancing patient-centered care and health outcomes for underserved populations. While a major component of the cultural competence and cultural humility journey involves understanding and appreciating differences, working toward those "congruent behaviors" also requires individuals to actively engage in taking an honest look at themselves, their own biases, and how those biases may affect the care they provide patients — and the ways they see the world around them. Working toward greater cultural competence and cultural humility demands a willingness to learn and an openness to possibility.


Additional Recommended Content and Resources

 

Recommended Content

Achieving Cultural Competence

Jan 15, 2020 / Open Access

Resources for Teaching Cultural Competence in Physical Therapy Education

Feb 4, 2025 / Resource

Racial and Ethnic Health Disparities

Jun 2, 2020

Evidence shows racial and ethnic disparities exist across a range of illnesses and health care services.

Belonging and Excellence

May 19, 2020

APTA is committed to promoting a community of belonging where all members are valued, respected, and empowered to thrive.


Additional Cultural Competence in Physical Therapy Content

Diversity Climate: A Key for Successful Diversity Management in Physical Therapy

Nov 13, 2020 / Resource

This course introduces physical therapy professionals to the concept of Diversity Climate and its relationship to positive organizational outcomes.

The Role of Interpreters in Physical Therapist Practice

Mar 1, 2025 / Feature

APTA members share best practices for clinicians when working with patients with limited English proficiency.

APTA's DEI Toolkit: 5 Takeaways on the Learning Journey

Apr 5, 2023 / Perspective

APTA's DEI Toolkit can help you learn, develop, and engage around critical concepts.

Advancing Inclusion in the Classroom — and Beyond

Sep 9, 2021 / Podcast

Have you ever stopped to think about your bias? In ways big and small. Awareness, empathy, and with inclusivity are the themes we discuss in this episode.

Cultural Competence Resources: Individuals With Disabilities

Nov 24, 2020 / Article

The culturally competent practice of physical therapy includes practice with patients and clients who have mental or physical disabilities.

Five Ways To Be an LGBTQ Patient Ally

Jul 21, 2020 / Open Access

You can help LGBTQ patients feel safe and supported by taking these five simple actions.

The Look

May 29, 2020 / Perspective

"The look" comes from a poor understanding of those who are different from us.

Patient Protections

Mar 1, 2020 / Article

What are the federal expectations for providers when it comes to non-discrimination, disability access, and the rights of patients with limited English proficiency?

Matters of Respect

Dec 1, 2019 / Column

On what basis is referral acceptable?

For Myself, My Future Patients, and My Culture

Oct 21, 2019 / Perspective

I'll be able to speak the language and understand cultural norms of my patients while creating a space for trust and understanding.