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Health disparities Caring for vulnerable groups Personcentredness Reflection on your self

Explore causes of health disparities and foster person-centred care for vulnerable groups. Reflect on personal biases and grow through immersive learning experiences to promote equity in healthcare.

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Health disparities Caring for vulnerable groups Personcentredness Reflection on your self

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  1. Health disparities Caring for vulnerable groups Personcentredness Reflection on your self Minor 2018 Prof. Dr. Maria van den Muijsenbergh, GP / streetdoctor

  2. Causes of health disparities • Air pollution • Unhealthywork • Poverty • Loneliness • Violence • Socialexclusion • Chronic stress • Low selfesteem Marc Chagall loniless

  3. Person centred care Example of the man with tennis elbow to illustrate the difference between protocol right care and person centred good care – need for broad bio – psycho-social approach Need for positive affirmative communication to restore the self

  4. Good doctor sees and listens: need for personal continuity of care – being a person yourself Luke Fildes 1887 The doctor

  5. Equity = everyone gets what he needs

  6. Programme • 3 monthsfull-time • 3d year medical school (ageapprox 21 years) • 15 students • Theme: health disparitiesandpersoncentred care for • Migrants • People withintellectualdisabilities • Homeless / prisoners • Addiction / violence / psychiatry / low literacy • Focus on the person and his experiences: Of thepatientand of the student

  7. Methods • practicevisits, patients in classroom, communication training, lectures, casus, • Focus on storytelling andexperiences • Each week intervision meetings on personal experiences • Start: • telling ourown life story and development • Asignment: writingan essay on howtheypersonnally view vulnerablepeopleandtheirrole as a doctor Last week : • re-writethe essay • Pitch: “what has changed in yourself”

  8. Observations • Difficult / ackward in the beginning • Used to protocols • Used to “professional distance” • Used to biomedical approach • Recognition from own life experiences • Impressive personal growth • Pitches and presentations not traditional PPT’s • Fairy tale • Movie about the life of a homeless • Refugee invited for role play consultation • Animated movie

  9. experiences students “Got insight in my own vulnerability” “Lost my fear for the homeless” “Realise now that the emphasis on autonomy can be a symptom of creating a distance when you do not want to take responsibility as a doctor and person” “I was always trying hard to change myself, now I realise I can simply be myself – imperfection is human” “I feel the distance between me and the others is smaller, yet I know better how to set my own boundaries”

  10. Lessons for next year • More lectures / textsaboutpsychology / self • First introductiontophilosophy • Training debating skills

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