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Essay on cultural competence in healthcare
Importance of cultural competency in health care
Essay on cultural competence in healthcare
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In order to make a smooth transition from studying medicine to practicing medicine, student doctor must demonstrate three professional qualities which include communication, compassion and cultural competency in order to gain respect from the community.
Medicine is largely based on communication. It requires cooperation from both health care providers and patients. As a physician, one has to constantly exchange medical information with other specialists, who are also treating the patient. For instance if a patient comes in complaining about an abdomen pain, as a osteopathic physician, I would have to contact the patient’s other physicians depending on the conditions such as cardiologist or even an orthodontist to see what other medications and treatments are being administer before deciding on a treatment. This quality plays a vital role especially for an osteopathic student doctor adjusting to the practice of medicine. Osteopathic medicine employs the whole body concept which allows physicians to view the body and person as a preventive agent rather than zooming in on the details of specific diseases. In order to do so, an
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osteopathic physician needs to have strong sense of communication while interacting with both physicians and patients. For a practicing physician communication involves multiple facets, which includes the ability to listen, explain and empathize with patients. During office visits patients often skip on the details of the symptoms or past history, if they feel the physician is not going to take their conditions seriously or empathize with them. This could result in inaccurate diagnosis, which can delay treatment and deteriorate the patient’s health. Communication for practicing physician also includes the ability to coherently explain medications, treatment plans and options thoroughly. This enables the patient to decide on a treatment plan that best suits their personal life styles. For instance a student doctor observing a cardiac patient might suggest valve transplant from a pig based on its prior success rate, thus advocate for that particular treatment. However, professionalism in communication allows the practicing physician to build upon his/her initial foundation on communication but also consider the situation from multiple perspectives, such as cost for treatment, long term maintenance and how the treatment plan fits into the patient’s personal, religious and social beliefs. As a medical student at VCOM, I will demonstrate this quality by learning how to exchange medical information efficiently with other medical personnel as well as the patients. In addition to working in collaborate fashion with my fellow classmates and colleagues; I will try to volunteer as much time as possible with local clinics and hospitals to acuminate my ability to explain, empathize and listen Compassion is one of the most important qualities for practicing doctors.
As a doctor it is important to alleviate patient’s suffering with not just medicine but also with care. When a physician shows empathy and understanding about the patient’s condition, the patient is more willing to trust the physician. In addition, the patient will feel more comfortable about sharing their symptoms and concerns. This allows the doctor to build healthy physician-patient relationship based on communication and trust. As a medical student I will use care and compassion to understand my patients as respectful individuals rather than vessels of illnesses. I will try to provide both sympathy and empathy when speaking to patients about treatment plans and explaining their questions and concerns in a manner which is comprehensible but no
disrespectful. In order to gain community’s respect doctor needs to have culture competence when dealing with patients. United States is a very culturally, religiously and ethnically diverse country with people from all over the world. Therefore, as a practicing doctor, one needs to be aware of different cultures and customs and to be respectful about the patient’s cultural and religious beliefs. As a medical student transitioning to a practicing doctor I will ask patients if they have any religious restrictions before providing treatments. For instance, if a patient is fasting during the month of Ramadan, I would have to respect my patient’s religious obligations and administer medicines in a way that will not conflict with the patient’s beliefs. Similar situations would apply if a patient was from Hindu or Jewish backgrounds and could not consume medicine with gelatin coating. Therefore, as a medical student transitioning to practicing doctor, one must learn to provide quality of care which meets patient’s cultural, social and religious needs. As a medical student in VCOM I will demonstrate professionalism through qualities such as communication, compassion and cultural competency in order to gain respect from the community.
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
My most defining experience with osteopathic medicine was shadowing a family physician, Dr. Truong. I was impressed by his holistic, patient-centered care and his hands-on manipulative skills. Not only did he provide the medical treatment to his patients, but he cared for them mentally and spiritually. For example, he asked his patients about their life goals at their initial visit, and he reminded and encouraged them to work towards their goals during their future visits. He also promoted healthy lifestyle, such as eating low sugar, high vegetable diet and doing exercises regularly. As a result, one of his patients lost 20 pounds by following his advice. Additionally, Dr. Truong used OMT and acupuncture to help his patients relieve their pain. One of his patients had serious knee pain that could not be treated by others. He found a spot on her thigh and performed OMT, and the pain never came back again. He also taught me the four tenets of osteopathic medicine. With my knowledge of traditional Chinese medicine, which shares some similarities with osteopathic medicine, I quickly comprehended its philosophy.
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
Hojat, M., Louis, D. Z., Maxwell, K., Markham, F., Wender, R., & Gonnella, J. S. (2010). Patient perceptions of physician empathy, satisfaction with physician, interpersonal trust, and compliance. International Journal of Medical Education, 1 (4), 83-87.
Effective communication between patient and clinician is an important aspect to patient care. Proper communication has a direct positive impact on patient care and adversely poor communication has a direct negative impact on patient care. I will define the seven principles of patient-clinician communication and how I apply these communications with my patients. I will also describe the three methods currently being used to improve interdisciplinary communication and the one method that my area of practice currently uses. Then, I will explain the ethical principles that can be applied to issues in patient-clinician communication. And Lastly, the importance of ethics in communication and how patient safety is influenced by good or bad team communication.
In the United States, there are two kinds of physicians that practice medicine. The Osteopathic medicine is practiced by the Doctor of Osteopathy (D.O.) while Allopathic medicine is practiced by the Doctor of Medicine (M.D.). Due to more physicians hold the degree of MD than the DO's degree, few people recognize Osteopathic Physicians.
Professionalism initiative. (2012). Informally published manuscript, Medical Center, University of Kansas, Kansas City, KS, Retrieved from http://www.kumc.edu/school-of-medicine/fafd/professionalism-initiative.html
His unique perspective sheds light on the importance of empathy, trust, and mutual respect in this relationship. Kalanithi discusses the transformative power of truly listening to patients, of understanding
Osteopathy is another variation of alternative medicine founded in the 19th century which practises a holistic approach of healing the musculoskeletal system. Osteopathy deals with the regulation and correction of the bones, connective tissues and muscle tissues in order to allow them to work cohesively with one another. Although osteopathy takes a holistic approach to medical care, it also engages within the modern medical sector, utilizing medication, surgery, pharmacology and radi...
The big picture. Where the two schools of medicine differ is in philosophy. Doctors of osteopathy "treat people, not just symptoms," says Karen Nichols, dean of the Chicago College of Osteopathic Medicine. "The course list looks exactly the same, but the M.D.'s focus is on discrete organs. The osteopathic focus is that all of those pieces are interrelated. You can't affect one with out affecting another." That means paying more than simple lip service to the idea of the "whole" patient: It means that diagnosis and treatment rely on an examination of a person's environment and family and general situation as well as his or her body. Not surprisingly, about 65 percent of the nation's 52,000 licensed osteopaths (by comparison, the country boasts at least 900,000 M.D.'s) are primary-care physicians. The American Association of Colleges of Osteopathic Medicine has a description of osteopathic training, as well as short profiles of 20 schools, at www.aacom.org. The D.O. programs and their contact information are listed in the directory section of this book.
Professionalism is an adherence to a set of values comprising both a formally agreed-upon code of conduct and the informal expectations of colleagues, clients and society. The key values include acting in a patient's interest, responsiveness to the health needs of society, maintaining the highest standards of excellence in the practice of medicine and in the generation and dissemination of knowledge. In addition to medical knowledge and skills, medical professionals should present psychosocial and humanistic qualities such as caring, empathy, humility and compassion, as well as social responsibility and sensitivity to people's culture and beliefs. All these qualities are expected of members of highly trained professions.
An altruistic predisposition is one of the core faculties that inform ethical medical practice. Physicians are held in positions of trust, and are viewed as being socially and ethically contracted to act selflessly in service to persons under their care. Altruism in medicine therefore represents an ideal that is necessary in preserving the fabric of trust between physicians and their patients, as well as their perception of physicians as healers who place their health before any individual self-interest. This social contract is essential to the effective functioning of medicine. An erosion of this trust would represent a degradation of physicians’ ability to act as effective intermediaries between medical science and health. The origin of my
Empathy is an important concept in nursing because it enables nurses to relate to patient’s experiences and recognize their feelings (Mercer & Reynolds, 2012). Empathy and compassion encourages patients to share personal thoughts or feelings and helps them feel relaxed and secure (Doherty & Thompson, 2014). In regards to patients’ own definition of quality of care, empathy appears to be a key factor in primary care (Mercer & Reynolds, 2012). According to the Nursing Best Practice Guideline recommendations, empathy falls under a requisite capacity for establishing therapeutic relationships (RNAO, 2017). The professionals say, “empathy is the ability of the nurse to enter into the client’s relational world, to see and feel the world as the client sees and feels it, and to explore the meaning it has for the client” (RNAO, 2002, para 21). Empathy refers to understanding and expressing what the client’s health care experience entails from the client’s perspective (CNO, 2009). Critical components include validating and resonating with the meaning of that experience (CNO, 2009). The nurse-patient relationship is dynamic and interactive and it is within this dynamic interplay that empathy exists (Maruca et al., 2015). Taking part in a therapeutic relationship directly impacts patient care which leads to positive patient outcomes and accurate diagnosis (Doherty & Thompson, 2014). Empathetic relationships entail understanding the perceptions and needs of the patient, empowering the patient to learn and cope more effectively, and reducing or resolving the patient’s problems (Mercer & Reynolds, 2012). Not only does a strong therapeutic relationship improve patient care but it also contributes to the health professional’s satisfaction and sense of accomplishment (Ozcan, Oflaz & Bakir, 2012). Moreover, empathy strengthens the
There are many aspects that play a role in professionalism, and different careers may have a different take on what professionalism means. As a student in a doctor of physical therapy program, it is vital to possess these important aspects of professionalism, such as communication, respect, ???, and accountability. These features will play an important role in physical therapy school, and as a physical
It is about the personal understanding and treatment of the patient as an individual, interpreting the situation from their perspective. Gain a complete understanding grounded in professional and research-based knowledge of clinical practice; personal reflection and a consciousness of the patient’s attitudes, beliefs and behaviours. (Olckers, Gibbs & Duncan 2007: 2-3) Empathy involves gaining insight into patients’ backgrounds, core values, relationships and medical history through dialogue. Chochinov 2007: 1877 - 1877. Reflective Dimension:..