Thom DH, Tirado MD, Woon TL, McBride MR. BMC Med Educ. 2006 Jul 26; 6:38. This study involved 53 primary care physicians at 4 diverse practice sites (academic, medical center-based family practice; community-based primary care practice; rural family medicine residency program; and inner-city family medicine residency program). All four sites received feedback on cultural competency and 2 randomly selected sites received training intervention. From these sites 429 patients with diabetes and/or hypertension were enrolled. Disease specific outcomes such as weight loss and control of blood pressure and glucose levels were assessed. Patients who were identified as Hispanic or Asian were asked to participate using mailed questionnaires. The primary outcome measure used was the Patient Reported P