#cultural competence

[reasonsforhope]

"Growing up, Mackenzee Thompson always wanted a deeper connection with her tribe and culture.

The 26-year-old member of the Choctaw Nation said she grew up outside of her tribe’s reservation and wasn’t sure what her place within the Indigenous community would be.

Through a first-of-its-kind program, Thompson said she’s now figured out how she can best serve her people — as a doctor.

Thompson is graduating as part of the inaugural class from Oklahoma State University’s College of Osteopathic Medicine at the Cherokee Nation. It’s the first physician training program on a Native American reservation and in affiliation with a tribal government, according to school and tribal officials.

“I couldn’t even have dreamed this up,” she said. “To be able to serve my people and learn more about my culture is so exciting. I have learned so much already.”

Thompson is one of nine Native graduates, who make up more than 20 percent of the class of 46 students, said Dr. Natasha Bray, the school’s dean. There are an additional 15 Native students graduating from the school’s Tulsa campus.

The OSU-COM graduates include students from 14 different tribes, including Cherokee, Choctaw, Muscogee, Seminole, Chickasaw, Alaska Native, Caddo, and Osage.

Bray said OSU partnered with the Cherokee Nation to open the school in 2020 to help erase the shortage of Indigenous doctors nationwide. There are about 841,000 active physicians practicing in the United States. Of those, nearly 2,500 — or 0.3 percent — are Native American, according to the Association of American Medical Colleges.

When American Indian and Alaska Native people visit Indian Health Service clinics, there aren’t enough doctors or nurses to provide ���quality and timely health care,” according to a 2018 report from the Government Accountability Office. On average, a quarter of IHS provider positions — from physicians to nurses and other care positions –are vacant.

“These students here are going to make a generational impact,” Cherokee Nation Principal Chief Chuck Hoskin Jr. told the students days before graduation. “There is such a need in this state and in this region for physicians and this school was created out of a concern about the pipeline of doctors into our health system.”

The Cherokee Nation spent $40 million to build the college in its capital of Tahlequah. The walls of the campus feature artifacts of Cherokee culture as well as paintings to remember important figures from Cherokee history. An oath of commitment on the wall is written in both English and Cherokee.

The physician training program was launched in the first year of the pandemic.

Bray said OSU and Cherokee leadership felt it was important to have the school in the heart of the Cherokee Nation, home to more than 141,000 people, because students would be able to get experience treating Indigenous patients. In Tahlequah, students live and study in a small town about an hour east of Tulsa with a population of less than 24,000 people.

“While many students learn about the problems facing these rural communities,” Bray said. “Our students are getting to see them firsthand and learn from those experiences.”

While students from the college are free to choose where to complete their residency after graduation, an emphasis is placed on serving rural and Indigenous areas of the country.

There’s also a severe lack of physicians in rural America, a shortage that existed before the COVID-19 pandemic. The Association of American Medical Colleges has projected that rural counties could see a shortage between 37,800 and 124,000 physicians by 2034. An additional 180,000 doctors would be needed in rural counties and other underserved populations to make up the difference.

Bray said OSU saw an opportunity to not only help correct the underrepresentation of Native physicians but also fill a workforce need to help serve and improve health care outcomes in rural populations.

“We knew we’d need to identify students who had a desire to serve these communities and also stay in these communities,” she said.

Osteopathic doctors, or DOs, have the same qualifications and training as allopathic doctors, or MDs, but the two types of doctors attend different schools. While MDs learn from traditional programs, DOs take on additional training at osteopathic schools that focus on holistic medicine, like how to reduce patient discomfort by physically manipulating muscles and bones. DOs are more likely to work in primary care and rural areas to help combat the health care shortages in those areas.

As part of the curriculum, the school invited Native elders and healers to help teach students about Indigenous science and practices...

Thompson said she was able to bring those experiences into her appointments. Instead of asking only standard doctor questions, she’s been getting curious and asking about her patient’s diets, and if they are taking any natural remedies.

“It’s our mission to be as culturally competent as we can,” she said. “Learning this is making me not only a better doctor but helping patients trust me more.”

-via PBS NewsHour, May 23, 2024

[cheers-mdears]

Dear gentiles (non-Jews)~ Please please please do research and think long and hard before developing any kind of Lilith character.

She causes miscarriages, attacks/steals/kills living children and/or she's a literal sexual predator. She's a girlboss the same way Margaret Thatcher was, which is to say her go-to is to cause human misery. She's a Jewish demon, and Judaism is a closed religion. It's important to respect that by keeping her in context rather than treating her like a fictional character you can interpret, change, and portray however you want.

I'm not saying you can't be inspired by her. I'm not even saying you can't portray her in fiction. I'm saying please tread carefully, research from Jewish sources, and that if you want to depict her in a way that's significantly different from Jewish lore, it would probably be best to just make it a new character.

[phoenixsavant]

Top Skills Thursday: Cultural Competence

Did you know that learning cultural competence can also be accomplished through therapy? Cultural competence is the ability to understand cultures you weren’t raised in. It allows you to interact with people from varying cultures with empathy, understanding, and acceptance. Sound like a skill you don’t really need if you live somewhere that everyone has the same experiences you have? Well, don’t…

[servetolive]

This literally happened to me when I switched over from doing front line clinical care to brass as a trainer. All it truly takes for a bully to stop fucking with you is for you to REFUSE to play the game, so long as you know the rules.

Story time:

First off, I'm a black trans person and have hit every social barrier ever. So I work in mental health, serving the underprivileged and marginalized. I was recruited by our education department because I specialize in DEI/cultural competency/equity and all that and I have loads of lived experience and am an experienced trainer. I'm the second oldest besides the boss (trauma, SA, trafficking, late start in life all that fun stuff). I've been around.

Our DEI head is this black woman with a PhD. She makes 6 figs teaching one class a month on racism to new hires and she fucking sucks at it. As a student I noticed that she's nasty and passive aggressive to non-black students who have questions.

This is Texas. Not all of our employees come from a progressive lifestyle, which is WHY WE'RE DOING THESE CLASSES. She has zero patience for people who aren't on the same level and she focuses only on the black (I.e, her own) experience. She has told light skinned Mexicans that they're white and don't know anything about racism IN FRONT OF CLASS/OTHERS. She doesn't respect time, is often late and keeps us after the end because she talks too much about herself instead of her lecture. She calls out ppl on their phones and makes them stay after class like they're children. She holds court and sops up attention from all the older crying black women who are grateful to see a black female PhD.

She treats my department like her secretaries. Me and the other new girl there (also black) were given tasks by her without any direction whatsoever and when we showed her our work she berated us and said it wasn't what she wanted but also can't tell us what she wants. This happened twice, worse the second time. Mind you, SHE IS NOT IN OUR CHAIN OF COMMAND.

Everyone is terrified of her except for me. I've met her a thousand times in other workplaces, the army, etc. I actually vocally push back against her which she of course doesn't like. Anytime she says something nasty to me in front of the students, no matter how fucking much I want to snatch that shitty looking rat's nest Wendy Williams looking ass orange wig off her head, all I do is smirk at her and sit back with the "act a fool, girl" look on my face. She has NO CLUE HOW TO RESPOND TO THAT. So instead, she goes after my coworker, who is shy and quiet.

I told my boss that she does not come to this job in good faith, she's teaching the OPPOSITE of what our department teaches (She told a bunch of new hires that her PhD gives her zero privilege, I fucking cannot believe this) and that she's screwing with the agency's image and the new hires' understanding of our mission. People that aren't black come away from her classes feeling berated and confused about what they've just learned. She is only talking to people that look like her. Everyone else, she looks at with disdain and ignores.

Sure enough, I shadow one of her stupid classes and one of the new hires has an ABSOLUTE FUCKING meltdown bc white fragility and she feels attacked. I saw it coming from miles away and wanted to pull the girl aside to help before it was too late but it wasn't my class. Anyway the girl leaves to cry.

This woman yells at her down the hallway of the clinic and drags (not literally) her ass back into the classroom to sit while she's sobbing and upset and everyone is staring at her, pissed because she's ignorant. A round table ass whooping on this girl by the enraged POC students ensues and this woman ALLOWS it. She does nothing to return order to the class and this girl is screaming and pointing fingers and becoming a white girl teary eyed mess. I run off to get my boss.

When I teach equity/cultural competency/about racism, my understanding is that there are SOME people who have never sat in one of these classes before; as an instructor my job is to GET THEM THERE. That means not being a cunt because you actually don't know how to teach this topic and being patient with people who come from racist backgrounds but are trying to learn to be better.

Class ends with people extremely upset and retraumatized. I see my boss and say "We need to debrief immediately." This lady follows us into our office and demands to speak with my boss about my coworker (not me?? Even though I talk to her like she's an idiot?) and lied on her, saying she fell asleep twice in the class, reducing her to tears. We're not even students in the class; we're colleagues shadowing. It was a bizarre and transparent way to deflect from the fact that she fucked up BAD.

By now I'm pissed. Nobody should be fucking crying at work because of a colleague and I'm shocked at how my department just watched this and put their heads down, saying "I'm not getting involved." I'm supposed to go debrief with my boss next and this lady walks in and jumps in front of me to say "ACTUALLY I NEED TO TALK TO YOU FIRST (BOSS)"

So then this stupid bitch drags my coworker out to gaslight her into admitting that she was being disrespectful. Then she comes for me, while my friend is sobbing one cube over crying that "she's trying to get me fired." Again, we had been there for 2 weeks.

Boss: *to me* She would like to talk to you next.

Me: Absolutely not. After her conduct in that class and how my coworker just returned from meeting her, the answer is no. I am activated and disturbed by what just happened in her class and need to go home to do self care. I will speak to her at a later date. I want to talk to my boss. I want to talk to YOU.

Boss:...... I will let her know. 😳

What I understand is that she knew I was going to get her in trouble, which is why she panicked and followed us to our closed offices. She's intimidated by me which is pathetic. Aren't you the one with the PhD, ho? She should be mentoring us, but she's threatened by two other black women (I'm a dude but, you know) that are younger and might know more about her shit than she does.

An incident report was filed. I met with HR about her. She's high brass but the evidence (nobody knew I was collecting it as I went) was just BAD, especially for optics. Haven't heard a word from her since. I haven't even seen her schedule a class. All it took was for someone to REFUSE to engage with a workplace bully and she crumbled.

We are no longer in high school. We're grown, work, and pay bills. Absolutely nobody should be talking to you stupid, and if they hold some position of power over you, the best answer is to refuse to play their game. Do the work only and if they want to see you in private, SAY FUCKING NO. You're an adult! If you can't say no, take someone else with you. Record meetings if legal, take notes, date and time them. Don't say shit to them besides hello and goodbye.

really wish i'd figured this out sooner but refusing to capitulate to someone who you know from repeat experience is determined not to respect you whether they understand you or not really is one of the greatest experiences in the world because there is Nothing they can do about it that matters if you refuse to play along and trying to comprehend that is physically painful for them. you get to watch the light go out of their eyes in real time as the cracks begin to form in the tinted glass through which they see the world. power word kill your ego.

[projectchampionz]

STRATEGIES FOR EFFECTIVE PHYSICIAN ENGAGEMENT AND COLLABORATION IN HEALTHCARE ORGANIZATIONS

STRATEGIES FOR EFFECTIVE PHYSICIAN ENGAGEMENT AND COLLABORATION IN HEALTHCARE ORGANIZATIONS 1.1 Introduction Physician engagement and collaboration are critical to the success of healthcare organizations, as they are directly linked to improved patient outcomes, organizational efficiency, and overall healthcare quality. In a rapidly evolving healthcare environment, effective physician engagement…

[earlystepsbilingual]

In today’s globalized world, bilingual education is becoming increasingly vital. It provides students with the ability to communicate in multiple languages and enhances cognitive development, cultural awareness, and academic performance. Research shows that students in bilingual programs often outperform their monolingual peers academically.

[etiennebritz]

Five Ways to Influence People in Business

Respect cultural differences

Specifically, respect the fact that you are sometimes different from people due to culture. Do not use your qualities as a standard for measuring people who are culturally different from yourself. It is not a good idea to make jokes that reference a stereotype, even if the stereotype is positive. For example, if you imply to an Asian person that he or she is good at mathematics due to being Asian, the person will think that you are neglecting individual abilities in favour of a generalisation.

Communicate clearly

Whether you are a leader or a follower, communicating clearly is a significant step towards influencing people. Reading lots of books is a good way to improve your vocabulary and ability to express ideas. It will help you sound, and truly become, more intelligent so that people will appreciate your insight.

Cater to people’s needs

There may be a perceptual breakdown between you and a listener if you do not take their needs into account. The person will struggle to understand your viewpoint if he or she does not perceive the situation in the same way as you due to conflicting needs. Empathise with them and consider how you can develop a solution that is beneficial for both parties. People are more likely to do something if there is a reward. Keep in mind that money is not always the best incentive.

Use non-verbal language

Your facial expression is the easiest form of non-verbal language that you can use to influence people. Smiling is the standard facial expression used in portrait photos because it makes you more attractive to observers and can draw people to you. Smiling is not always appropriate, but when it is, it is a very effective tool to make people interested in what you are saying.

Listen to people carefully

For many people, active listening is a skill that needs to be developed over time. Be attentive when people speak to you, and try to process their words mentally. Think about the information you have been given so that you can revise it quickly. After you have listened actively, you will have an opportunity to respond in a thoughtful manner that will create a good impression of you.

[areyesrodriguez05]

It Looks Like a Place for Collaboration!

Cultural competence is the ability to understand, appreciate, and interact effectively with people from different cultural backgrounds and history. This means working past differences, and working together towards a common good.

In DCAMM, there are many departments with a plethora of people from many different backgrounds. This creates a diverse pool of individuals who all have to work together and adapt to each other’s work ethic to make sure deadlines and deliverables are met and are well executed.

[assuredqualitycareservicesll]

Bilingual speech therapy offers unique advantages, especially for children and adults navigating two languages. For families in the Houston area, the medicaid waiver program in Houston, Texas, ensures that bilingual speech therapy is accessible and affordable. This program helps bridge the gap for families in need, providing essential speech therapy services that cater to bilingual individuals.

[tough-convos]

Active Ally: Why the Allyship Journal? #1 Tough Convos

Tough conversations push you to grow and find more of yourself and others to love. Let the Allyship Journal be your comprehensive, thought provoking guide on your personal journey this year.

Clarify your intentions, identify new found abilities, and outline future goals. Reflect and plan so you know what actions to take nex

The Allyship Journal is the perfect companion to take you on a journey of tough conversations with yourself.

Visit Now!

[sunnygattan]

Sunny Gattan The Role of Nurse Practitioners in Patient Education and Advocacy

In the ever-evolving landscape of healthcare, Nurse Practitioners (NPs) play a pivotal role in not just diagnosing and treating illnesses, but also in empowering patients through education and advocacy. Among these dedicated professionals is Sunny Gattan, whose passion for patient-centered care has led to remarkable strides in improving health outcomes through education and advocacy initiatives.

Understanding the Nurse Practitioner Role

Nurse Practitioners are advanced practice registered nurses (APRNs) who have undergone extensive education and training, often at the master's or doctoral level. Sunny Gattan exemplifies this role, blending clinical expertise with a deep commitment to patient education and advocacy.

The Importance of Patient Education

A key component of providing healthcare effectively is patient education. NPs like her recognize that informed patients are better equipped to make decisions about their health and engage in self-care practices. Whether explaining a new diagnosis, medication regimen, or preventive measures, patient education fosters empowerment and autonomy.

Advocating for Patient Rights and Access to Care

Beyond the confines of clinical settings, Nurse Practitioners like Sunny Gattan are champions for patient rights and equitable access to healthcare. They advocate for policies that prioritize patient well-being, address social determinants of health, and eliminate barriers to care, ensuring that all individuals receive the support they need to lead healthy lives.

Tailoring Education to Diverse Populations

Effective patient education requires sensitivity to the diverse needs and backgrounds of individuals. Sunny and other NPs recognize the importance of culturally competent care, adapting their educational approach to accommodate varying languages, beliefs, and health literacy levels. By fostering trust and understanding, NPs can bridge communication gaps and facilitate meaningful patient engagement.

Collaborating for Comprehensive Care

Nurse Practitioners understand that optimal patient outcomes are achieved through collaborative efforts. Sunny Gattan collaborates with interdisciplinary healthcare teams, including physicians, nurses, social workers, and community organizations, to coordinate care and address the holistic needs of patients. By working together, healthcare professionals can provide comprehensive support that extends beyond medical treatment.

[piedmonthealthcareinstitute]

Excelling in healthcare training builds the blocks to a successful and fulfilling career in healthcare. Beyond acquiring essential skills, excelling in training lays the foundation for providing quality patient care, fostering trust, and making a positive impact on individuals’ lives.

[tjeromebaker]

Triumph In The Trenches: Navigating Success for Black Professionals

Charting the Future of Work and Aging with Equity and Inclusion Triumph in the Trenches This anthology, featuring a pivotal chapter by Marvell Adams Jr. on “Creating Equity in Aging,” navigates the complex terrain of modern workplaces and aging services. With a forward-looking approach, Adams addresses the imperative for inclusive and culturally competent support systems for an increasingly…

[tomorrowlandacademy]

The ability to communicate seamlessly across cultures is a valuable skill that goes beyond linguistic proficiency. Dual language learning has emerged as a powerful contributor to a child’s overall success, offering many cognitive, academic, and socio-cultural advantages.

[vitalphysicianhousecallstx]

Healthcare disparities are a significant issue, with many people encountering barriers to needed medical services. Innovative house-call physician programs, such as Vital Physician House Calls, are making considerable progress in closing these gaps. Let us look at the function of house-call physician programs in addressing healthcare inequities and why selecting such a provider can make a significant difference.

[thisisgraeme]

A Closer Look at Ako Aotearoa’s Tapatoru Programme: Bringing Cultural Values to the Classroom

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Hey there, folks! Today, we’re diving into something really special – the Tapatoru Programme and Award by Ako Aotearoa. This isn’t just another educational initiative; it’s a game-changer in how we approach tertiary teaching in Aotearoa New Zealand. Let’s unpack what makes Tapatoru so unique and why it’s making waves in tertiary education. Background: A Journey Through Time Did you know that…