Components of Cultural Humility
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2 Components of Cultural Humility Cultural humility incorporates a lifelong commitment to selfevaluation and self-critique, to redressing the power imbalances in the patient-physician dynamic, and to developing mutually beneficial and non-paternalistic clinical and advocacy partnerships with communities on behalf of individuals and defined populations (Tervalon, Murray-Garcia, 1998). Cultural humility involves a willingness to become the student of the patient. Be Authentic your authenticity translates universally
3 Expressions of Culture in Healthcare The Culture of Western Medicine compared to Other Cultures UCLA Cultural Diversity in Healthcare Curriculum (August 2003) Ours Make it Better Control over Nature Do Something Intervene Now Strong Measures Plan ahead Standardize-Treat Everyone the same Others Accept with Grace Balance Harmony with Nature Wait and See Cautious Deliberation Gentle Approach Take Life as it Comes Time Honored Individualize Recognize Differences
4 The LEARN Model Listen to the patient s perception of the problem Explain your perception of the problem Acknowledge and discuss differences/similarities Recommend treatment Negotiate and Discuss treatment Berlin and Fowkes (December 1983)
5 As a physician you wield more power and influence than you may realize; your capacity to connect in a culturally competent way is critical Practice Respectful listening Listen to the word choices of families Listen for feelings not just words One size does not fit all Consider your individuality and how you handle social awkwardness Good manners Humor Head on Distance Empowerment, autonomy, and advocacy are not necessarily inherent in all societies and cultures Respect is key
6 References Berlin, PhD, Elois A. and Fowkes Jr., MD, William C. The LEARN Model: A Teaching Framework for Cross Cultural Healthcare (December 1983). Betancourt, JR. Green AR, Carrillo JE, Ananeh-Firemphong O II. Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep 2013; 118; Bhaskar, Renuka, Arenas-Germosén, Belkinés, and Dick, Christopher Demographic Analysis 2010: Sensitivity Analysis of the Foreign-Born Migration Component. Population Division Working Paper No. 98 U.S. Census Bureau Croteau MD, Richard K."Poor Communication is Common Cause of Errors," Healthcare Benchmarks and Quality Improvement, (August 2002). Cultural Awareness for Healthcare Professionals. (n.d.). Promo video. Retrieved from Francalanza, J. & Gauci, B. (n.d.). The Colours of Malta. Diversity quotes. Retrieved from Galanti, Geri-Ann. Caring for Patients from Different Cultures. Univ of Pennsylvania Press. (2008).
7 References Continued Gropper, Rena C. Culture and The Clinical Encounter, An Intercultural Sensitizer for Health Professions. Intercultural Press Inc. (1996). Hall, E. T. (1976) Beyond Culture [New York: Doubleday]. The Cultural Iceberg Model. HHS LEP Video: (October 2010). Improving Patient Provider Communication video, Joint Commission standards and Federal Laws. Like, Robert C. Educating clinicians about cultural competence and disparities in health and health care. Continuing Education in the Health Professions. 2011,31(3): Office of Minority Health. (May 2013). What is Cultural Competency. Retrieved from Tervalon M, Murray-García J Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Healthcare Poor Underserved. 1998;9(2):
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