Whitley R. Psychiatr Serv. 2007 Dec;58(12):1588-90. This open forum article discusses the relationship between cultural competence and evidence-based medicine by describing their overlap and discrepancy. While both are being stressed as important in medical practice, few studies exist that relate the two concepts. The author states evidence-based medicine is more reliant on quantitative research whereas cultural competence is more qualitative research. Also, evidence-based medicine is a top-bottom approach with those creating, testing, and interpreting results disseminate things to the rest of the people. However, cultural competence is more of a bottom-top approach with much social collaboration regarding patient care. Despite the differences, the author proposes that there are fundamenta