1) increase the focus on cultural formulation and integration,

2) increase academic rigor by bringing in non-medical professionals,

3) increase depth, i.e.,  small group discussions of cases,

4) use multiple formats for learning sessions,

5) do not focus on acquiring knowledge about specific cultural groups,

6) it is important to of explore self-identity in a safe setting,

7) do not add more work for residents,

8) consolidate, and present a variety of perspectives.