Cultural Competence In Healthcare
“Helping Doctors See Patients”
One of the areas that faces the greatest and most immediate challenges from our vast cultural changes is the healthcare system. The social, cultural and religious changes that we will all have to face eventually are showing up in doctor’s offices and hospitals right now!
Many medical schools are finding themselves behind the curve on getting young doctors up to speed when it comes to cultural competency. In 2004, The American Association Of Medical Colleges implemented new policies for cultural competence that can impact schools’ accreditation status. By 2011 several schools were given assessments that meant they were below the standards of compliance. A few were even in accreditation jeopardy. The standards are not set of markers that you can check off a list.
A Prescription for Success is designed to be interactive, educational and entertaining training model to give medical professionals a hands on look at some of the differences that they need to keep in mind in a changing medical landscape.
A Prescription For Success: Cultural Competence in Healthcare is a series of interactive presentations that is designed to have application value on many levels. First, it is a basic (traditional) presentation, which points out an issue (cultural competency or the lack therein in medical training). Within the presentation, we give facts and figures of the current state of the issue and then explore its impact in the real world. Second, what we do is to illustrate through live interactive role-playing, brief scenarios of the types of situations that we are speaking on. The scenes are played out to a pivotal moment and frozen, then the audience is encouraged to enter the scenes and try their hand at solving the problems presented. We then have time for talkback based on the audience engagement and the problem presented. The scenes are designed to be non-threatening so as to not put participants on the defensive. The actors are well trained in audience facilitation and work hand-in-hand with the medical professionals to create a seamless integration of theory and practical application.
We have designed the program to work in a customized fashion. We will consult with you to build scenes that can speak to whatever you know are the cultural competencies that are the most pertinent to your population. Some of the scenarios that we already have dealt with are:
- Cultural Fear and Suspicion that Live Within Underserved Communities (and how they contribute to health disparities)
- Religious Etiquette and Tradition within Orthodox Judaism, Islam, Mormon and Christian Scientist groups
- Cultural Differences within the Arab, and Latino Communities
- Sexual Etiquette Outside the traditional (mainstream) Culture (and how this applies to many of the above categories)
- Med/ Treatment Compliance (Within all the above mentioned groups) and how the “Patient Teach Back” method can be utilized
- Cultural Issues that may be Complicated by Regional/Situational Trauma (people from war ravaged parts of the world, etc.)
The role-plays are used to accentuate the sometimes sophisticated nature of identifying and dealing with these non-traditional, but ever increasing cultural markers.
“Would you rather do this in a pretend situation where no one’s going to get hurt, or do you want to wait until you’re in the middle of a life and death situation and you don’t know what to do.”
~Dr. Gary LeRoy
We then discuss where the American Association Of Medical Collages (AAMC) and the Accreditation Council on Graduate Medical Education (ACGME) currently stand on the idea of cultural competency and how schools can get up to speed.
Our hope is that we can work with you to build a powerful, engaging, and informative interactive workshop that will also be a bit fun. We all (at least most of us) know the importance of this. We also want our participants to know that a lecture is not a short-term prison sentence. We know that people retain information better when their brains are engaged on multiple levels – we believe one of those levels is activated by having a bit of fun.
Gary LeRoy, MD
Associate Dean, Student Affairs and Admissions,
Wright State University, Boonshoft School of Medicine
Linda M. Cunningham
University of Nebraska Medical Center
Actor/Producer of Dialogues On Diversity
Larry Jay Tish
Actor/Producer of Dialogues On Diversity
For more information please email Ron Jones at: email@example.com or call him at 617-828-7491.