week 1: cultural humility + LGBTQ2S+ care

a social, cultural, and historical construct that artificially divides people into groups based factors such as phenotype, ancestry, national origin, etc., to facilitate and justify exploitation

how would you describe your race or racial identity?

How about that of your family?

What have been your experiences within the health care system? Have you had

any experiences that have caused you to lose trust in the health care system or your doctor?

a process-based concept, a statement about an individual's relationship to other

individuals in their genealogic history; thus it is a very personal understanding of one's genomic heritage

- You mentioned you identify as an Irish-American. Tell me more about your family's history.

“the aspect of humanity that refers to the way individuals seek and

express meaning and purpose and the way they experience their connectedness to the moment, to self, to others, to nature, and to the significant and sacred.”

“an organized system of beliefs, rituals, and practices with which an individual identifies and associates and includes a relationship with a divine being.”

FICA tool

F: faith and belief -- "Do you consider yourself spiritual or religious?"

I: importance – “Has your spirituality influenced how you take care of yourself, your health?”

C: community – “Are you part of a spiritual community? Is this of support to you and how?”

A: address in care -- "How would you like me, your health care provider, to address these issues in your health care?"

o Sex assigned at birth is generally determined by the appearance of a person's external genitalia at birth.

o Gender identity is one's internal sense of gendero Gender expression is how an individual chooses to express gender.

▪  Establish pt’s preferred name and pronouns

▪  Use of inclusive terminology like “partner” as opposed to “husband/wife” until pt’s preferred terminology is established

▪  Practice lifelong learning

▪  Be comfortable not knowing

▪  Recognize dynamics of power and privilege

▪  Exercise self reflection and critique

▪ can use “I ask all my patients this” to preface a question that a person might take personally

▪  “two spirit” (2S)

●  A term developed by indigenous ppl

●  Describes experiences and connects with indigenous traditions relating to being

queer or trans

●  A person who identifies as having both a masculine and feminine spirit

▪  Use inclusive and empowering language

●  Use ppl’s preferred name and pronouns

●  If make a mistake, apologize and move on

▪  Description: objective report with no social significance or attributions attached

▪  Interpretation: what we think about when we observe

▪  Evaluation: judgement of the behavior

▪  Stigma: a set of negative and often unfair beliefs that a society or group of ppl have about something

▪  Halo effect: the reverse of stigma, where a single trait that is viewd positively causes the person possessing the trait to be seen as possessing other desirable traits

when regarding others, we stop looking for alternative explanations for behavior and go with what we see or assume of the individual

● For ex, blaming a teenager’s age for being late

when we regard ourselves, we tend to see ourselves in the best light and blame outside forces as needed to protect our self-esteem

● For ex: blaming traffic when late

culture saftey

culture humility

culture competence

culture sensitivity

cultural awareness