In Reply We appreciate Jindal’s comments on the importance of cultural competency in the delivery of humanitarian surgical care. Cultural competency has gained increasing recognition not only as an essential component of effective global health engagement but also as a key to improving health care disparities domestically.^1,2 Considering the number of factors that can increase the cultural distance between the deployed military surgeon and local populations and the volume of contact we demonstrated,³ focused training seems a reasonable prerequisite to deployment, although how best to integrate such training amidst mission-essential requirements will remain a challenge. For an organization that has already prioritized cultural competency in special operations forces training,⁴ this is certainly an achievable task if it is valued appropriately.

在答复中，我们赞赏金达尔关于文化能力在提供人道主义外科护理中的重要性的评论。文化能力已得到越来越多的认可，这不仅是有效开展全球卫生工作的重要组成部分，而且是改善国内卫生保健差距的关键。^{1 ，2}考虑，可以增加部署军事外科医生和当地居民，我们证明了触点容量之间的文化距离的因素的数量，³集中培训似乎是部署的合理先决条件，尽管如何在任务必需的要求之间最佳地整合此类培训仍然是一个挑战。对于已经在特种作战部队培训中优先考虑文化能力的组织而言，⁴如果对其进行适当重视，这无疑是可以实现的任务。