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Toward Culturally Competent Care
The latest issue of the AMA "Healthcare Professions and Career Education Newsletter" [www.ama-assn.org/ama/pub/category/7990.html ] noted the development by the Center for the Health Professions at the University of California, San Francisco of a new teaching module called "Toward Culturally Competent Care". This struck me as a very relevant topic for today's prosthetist-orthotist, particularly in the United States. Having recently moved back to the greater Chicagoland area, I am reminded daily by how many different ethnic and cultural backgrounds make up the mosaic of American life.
More detailed information is available at http://futurehealth.ucsf.edu/cnetwork/resources/curricula/diversity.html. A synopsis of the curriculum from the web site is reprinted below:
Format:
The 170-page curriculum is organized into eleven sections that focus on teaching clinicians to recognize cultural differences in patient interactions and use specific communication skills to improve patient care. The materials organized can be adapted for sequential one-hour sessions or for daylong seminars.
How Will Clinicians Benefit?
This curriculum teaches the skills and knowledge to help health professionals provide culturally competent care. At the end of training, participants will be more effective in eliciting accurate clinical information and providing appropriate care to their patients, regardless of their cultural background. Clinicians also learn how to work with medical interpreters and acquire new approaches to addressing cultural differences.
Curriculum Description
As the U.S. has evolved into a more diverse society, opportunities for misunderstandings in the clinical setting between physician and patient become more likely. In the past decade evidence has linked cultural diversity to disparities among populations in the delivery of medical care and in health outcomes.
This curriculum is a toolbox of materials for teaching culturally competent skills needed for practical day-to-day encounters between clinicians and patients. The goals of the curriculum are to teach participants to recognize when cultural differences exist in patient encounters and to utilize specific communication skills to elicit their patients' cultural perspectives about health and illness. Finally, the curriculum assists clinicians in negotiating with patients to provide appropriate care that is congruent with patients' expectations and preferences.
Learning Objectives
Participants who successfully complete the curriculum will be able to:
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describe how cultural influences shape individual health behavior;
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describe cultural differences that can influence patient-physician relationships;
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discuss how explanations of disease etiology can differ among diverse patients ;
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identify and address cultural barriers that may affect communication in patient-physician relationships;
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employ culturally appropriate questions that effectively elicit patient information in the clinical encounter;
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work effectively with a medical interpreter;
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apply communication techniques to resolve conflicts in culturally sensitive ways.
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Devisnig Arm Functional Levels
I continue to be thrilled with working in the South Seas. New Zealand's socialised medical scheme offers many strong benefits for its amputees. And what's more, the weather here is nothing like what you get back in the Mid-West: Paradise.... read more
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Re: Devisnig Arm Functional Levels
Hi Jamison- Glad to hear you are enjoying KiwiLand. I'd hoped to make it to the recent world conference, but I had other obligations on this side of the globe that week. To the best of my knowledge, no one in North America is working on ... read more
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Fallecimiento del colega Roberto Calderón Márquez, O. P. 1950 - 2002
Estimado John Michael C. O. P. FAAOP:
Nos permitimos informar con mucha tristeza, a toda la comunidad de Ortésistas y Protesistas de América Latina, que el día 20 de Julio, 2002, falleció nuestro amigo y colega Roberto Calderón Márquez O. ... read more
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Re: Fallecimiento del colega Roberto Calderón Márquez, O. P. 1950 - 2002
May he rest in peace. --John Michael CPO
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Comentario Rapidfit
Apreciado Colega: Tengo la presuncion que el socket que aparece en el trabajo presentado para este componente es dercho y el pie es izquierdo. Puede explicarme la razon, o es un error ?. Atte: R. Nessi. PO.
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Re: Comentario Rapidfit
Excellent observation, Sr. Nessi! The photos are from a display model, not from an actual patient. It appears that the folks at PEL only had a left foot handy so they used it temporarily at the Ohio meeting even though the socket is for a... read more
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Re: Re: Comentario Rapidfit
Apreciado Colega, gracias por su respuesta. Atte: R. Nessi. PO.
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Leyendas en Español:
Ciudad de México 1° de Julio, 2002.
Estimado John Michael: le envío este comentario para solicitarle que las leyendas abajo de las fotografías también aparezcan en Español, en la Edición de Julio de la Esquina de John Michael. En la traduc... read more
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Re: Leyendas en Español:
Thanks for calling this to my attention, Alberto. It seems that the folks at OANDP.COM were working into the wee hours of the night when they set up this month's corner. In addition to omitting the legends in Spanish, we also wound up wit... read more
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Re: Re: Leyendas en Español:
Ciudad de Mexico 2 de Julio, 2002.
Felicitamos a los compañeros de OANDP.COM por la rápida corrección en La Esquina de John Michael del mes de Julio. !Son unos verdaderos profesionales! Asimismo, el breve video clip del paciente utilizando... read more
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Re: Re: Re: Leyendas en Español:
Glad you found the video clip valuable. I think this will be the 'Decade of Stance Control Orthoses' and that these options will gradually change the way we practice as orthotists by making KAFOs more effective treatment for a wider array ... read more
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