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ACT Do Now

ACT Do Now. Grab the passage Do what you do best…figure out what’s going on in the experiment and how to answer the questions. 25 min . Standard. Agenda: 1. Do Now: Use 6 reading strategies to attack Fig. 1, filling in column on left or numbering steps next to psg . (4)

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ACT Do Now

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  1. ACT Do Now • Grab the passage • Do what you do best…figure out what’s going on in the experiment and how to answer the questions. 25 min

  2. Standard Agenda: 1. Do Now: Use 6 reading strategies to attack Fig. 1, filling in column on left or numbering steps next to psg. (4) 2. Class discussion of steps 1-4. (4) 3. Model steps 5 & 6 (Trends & conclusion) for Fig. 1 (4) -Focus on: IV/DV, axes, key (mult. data sets/2nd IV), how to read trends “as IV…, DV …. for…”, Big 2 4. Practice with Fig 2 (5) 5. Review Trends & Conclusions (5-6) for Fig 2 together (4)

  3. Honors Do Now: Follow Steps 1,2,5,6 for the Facebook Breakups graph (5) Share out the questions you asked (#2a) (2) Review Purpose & Conclusion (2) Practice w/ 2nd passage (5) Hot Seat student modeling (1 student or 4 diff. students) (4)

  4. Share with a Neighbor • Share what you wrote in your table. Your neighbor should write the notes on his/her table. • Together decide, what BOTH patient & physician should do? • Notebooks: How does this relate to health disparities? Why do you think that these responsibilities are even more important for U.S. Minority groups? • 4. Why might some of the patient • responsibilities be challenging for U.S. Minority groups? 5 min

  5. Copy into your notebooks 7 min

  6. Do Now (4 min) 1-Should doctors, nurses, health care professionals, etc be expected to memorize information about every race, religion, culture, etc? Why or why not? 2-What would happen if health professionals paid no attention to culture?

  7. Objectives • Apply cultural competency to a variety of situations. • Define cultural competency • Differentiate between the 5 main issues present in cultural competency

  8. How do you think this comic relates to medical competence?

  9. What does it mean to be competent?

  10. So what exactly is culture? What is culture? Integrated patterns of human behavior including: 1. Language and communication style 2. Health beliefs 3. Family relationships 4. Gender roles 5. Spirituality and religion 6. Social issues

  11. What is cultural competency? The knowledge, skills, and attitudes physicians must be equipped with regarding his/her patient’s culture (language, health beliefs, gender, family relationships, spirituality, and social issues.)

  12. Expectations • Reminder! Keep in mind that we will be discussing cultures and topics that could hit very close to home for some people in this room. With that in mind, make sure you are discussing all topics with the utmost respect.

  13. 5 Main Issues in Cultural Competency • Understanding the family’s health and illness beliefs Explanatory model questions to address issue: • What do you think has caused your problem? • What do you call it? • Why do you think it started when it did? • How does it affect your life? • How severe is it? What worries you the most? • What kind of treatment do you think would work? Example John doesn’t trust doctors but his wife made him see one because he keeps wheezing. He also believes that any surgery will taint him in his next life. (He has a serious heart condition.) You be the doctor! Why is this a challenge?

  14. 5 Main Issues in Cultural Competency 2. Family decision-making and authority figures • In many cultures the family makes decisions in a more unified way • Certain cultures may have a hierarchy of gender, age, birth order, etc. • Family meetings Example In John’s family, his grandfather must be present for any type of family-related decision. In Juanita’s family, only the mother needs to be present for family-related decisions. You be the doctor! Why is this a challenge?

  15. 5 Main Issues in Cultural Competency 3. Traditional/alternative medical practices • Patients may avoid using potentially more effective medical treatment due to their use of alternative practices. • Some may have beneficial effects for patients, whether proven or subjective. • Trust can be built by being open to patients’ ideas. • Some alternative therapies may be dangerous. • Being judgmental about alternative therapies contributes to patients not revealing their use. Example When Dr. Jones first met with John, John agreed that chemotherapy sounded like the right way to go. Dr. Jones sounded very skeptical about the use of herbal medicine when he met Juanita, so she never revealed that she was using them and never came back to the clinic for chemotherapy. You be the doctor! Which of the bullet points relate to John? Which relate to Juanita? What should Dr. Jones have done when meeting Juanita?

  16. 5 Main Issues in Cultural Competency 4. Cross-cultural Negotiation Involves: • understanding the patient/ family’s perspective • explaining your perspective • being flexible • coming up with creative ways to meet their needs while aiming for the best possible outcomes. Example Juanita visited a new doctor. Dr. Torres asked Juanita lots of questions, stayed open-minded, and eventually got Juanita to open up about herbal medicine. After a long discussion, they decided that Juanita could use BOTH herbal medicines and chemotherapy. You be the doctor! How was this an example of cross-cultural negotiation?

  17. 5 Main Issues in Cultural Competency 5. Barriers to effective communication • Title VI of the Civil Rights Act prohibits discrimination against any person on the basis of race, color, or national origin in any program receiving federal assistance. • The U.S. Department of Health and Human Services Office for Civil Rights, in a clarification of title VI in 2000, views inadequate interpretation in the health care setting as a form of discrimination. Example At the first hospital visited by Juanita, there was no on-staff interpreter. Juanita’s husband, who only knew English a little better than Juanita, had to interpret. You be the doctor! What problems could arise? How does this violate the Title VI Civil Rights Act?

  18. Example 1 http://www.youtube.com/watch?v=K5d_iPaUrWw&p=6D96BA15FBACC6BA Which issue(s) do you see in this scenario? In what ways could the doctor have been more culturally competent?

  19. Example 2 http://www.youtube.com/watch?v=p8u0fx7sa-Q&p=6D96BA15FBACC6BA&index=3&playnext=1 Which issue(s) do you see in this scenario? In what ways could doctors be more culturally competent in these situations? What should doctors know about the African American population who needs transplants?

  20. Example 3 http://www.youtube.com/watch?v=-MkOiWJdoTI&p=6D96BA15FBACC6BA&index=4&playnext=2 Which issue(s) do you see in this scenario? In what ways could the doctor have been more culturally competent?

  21. Example 4 http://www.youtube.com/watch?v=JlXd2ictsmY&p=6D96BA15FBACC6BA&index=5&playnext=3 Do you see any of the 5 issues in this example? If you were the doctor, what other questions would you ask the patient?

  22. Your Turn Begin answering the questions in your group. What you don’t finish will be your homework.

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