Confessions of a Culturally Challenged Physician Shirley Schlessinger, MD, FACP Associate Dean, Graduate Medical Education Medical Director Mississippi Renal Transplant Program Medical Director, Mississippi Organ Recovery Agency Chief of Staff, University Hospitals and Clinics, 2003-2004 Associate Professor, Division of Nephrology University of Mississippi Medical Center
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Confessions of a Culturally Challenged Physician Shirley Schlessinger, MD, FACP Associate Dean, Graduate Medical Education Medical Director Mississippi.
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Confessions of a
Culturally Challenged Physician
Shirley Schlessinger, MD, FACPAssociate Dean, Graduate Medical Education
Medical Director Mississippi Renal Transplant Program
Medical Director, Mississippi Organ Recovery Agency
Chief of Staff, University Hospitals and Clinics, 2003-2004
Associate Professor, Division of Nephrology
University of Mississippi Medical Center
Are YOU a “culturally competent”
physician?
•How do you know?
•How is cultural competence evident in your practice?
•What pitfalls must you avoid in the future to maintain cultural competency?
Why Does Cultural Competence Matter?
• Need to eliminate long-standing disparities in the health status of people of diverse racial, ethnic, and cultural backgrounds
• Improve the quality of services and health outcomes
• A response to current and projected demographic changes in the US
• Meet legislative, regulatory, and accreditation mandates
• Gain a competitive edge in the marketplace• Decrease likelihood of liability / malpractice claims
Ms. BP
• 53 yo BF; ESRD/HTN/ h/o Mental Illness, marginally literate from rural MS
• s/p Renal Tx 9/03
• Concrete thought processes
• Perseveration of delusions
• “My son works for the President”
What IS Cultural Competence?
The ability to function effectively in the context of
cultural differences…
“Culture”
• Beliefs• Traditions• Lifestyles• Age• Education• Profession• Religion• Sexual Orientation
• Values• Socioeconomic
status• Hobbies • Political Affiliation• Geographic origin• Race• Gender• Family position