18 / PRNewswire / -- Manhattan Cross Cultural Group , founded by Drs. Joseph Betancourt , Alex Green and J. Emilio Carrillo - three physician thought-leaders in the field of cross-cultural care - have created an on-line CME-accredited cultural competency training course called Quality Interactions ( R ) that meets the requirements set forth by NJ Bill SB144 . This bill requires all physicians in the state of New Jersey to complete six hours of cultural competency training as a condition for licensure to practice medicine .