Rapp DE. Med Educ. 2006 Jul; 40(7): 704-10. The need for cultural competency training is well-known, but few institutions have achieved both a standardized 4-year curriculum and formal competency assessment. This paper proposes a framework for the integration of cultural competency training and assessment within the medical curriculum. The author reiterates the importance of the above through examples from his own medical training. Back to Related Articles.