Background. African American women are more likely to be diagnosed at later stages of breast cancer. Methods. A total of 15 residents participated in a program to increase their self-efficacy in communication skills relevant to understanding and responding to African American cultural issues associated with mammography screening. Results. Physicians reported increasing confidence in their ability to elicit barriers to mammography; assess cultural beliefs and norms; assess perceived health benefits and emotional adjustment; engage in emotional talk; motivate; and negotiate and build partnerships with patients. Conclusions. A brief program can increase physician communication skills to meet the needs of a diverse population.