Syllabi: Shades of Medicine: Race, Ethnicity, and Culture

INSTITUTION: Northeastern Ohio Universities College of Medicine

PRESENTER: Ken Durgans, Ed.D., Assistant to the President for Minority Affairs and Affirmative Action, NEOUCOM

PROGRAM DIRECTOR: Martin Kohn, Ph.D., Director of the Human Values in Medicine Program (email: mfk@neoucom.EDU)

SEMESTER: Spring 2000
April 18, 20, 25, 57, May 2, 4, 9, 11 (Tuesday/Thursday mornings 8:00 a.m. - 12 noon)

ENROLLMENT: BS/MD; selective; limit 12.

LEARNING GOALS:

1. Conduct a self-assessment using the Nichol's Model of Philosophical aspects of culture.

2. To recognize the influence of one's culture on their world view and relationships with other.

3. Review the essential elements of Cultural Competency.

4. Compare and contrast the dynamics which influence relations between people from different cultures.

METHOD OF INSTRUCTION: Group discussion, guest speakers, audio visual material, readings (relevant articles), one-page weekly typed papers, and issue-oriented forums

OUTLINE:

Week 1: "Are you who you say you are?" -- Decoding the language of race and culture

Self-Awareness Exercises
Multicultural Profile
Class Expectations
Why are you here?
Historical overview of Race and Medicine
Demographic Update
Philosophical Aspects of Culture Nichol's Model (Axiology, Epistemology)

Case Study #1

Group Work

Assign Readings (TBA)

Video: Blue Eyes

Discussion issues:
Affirmative Action
Racism
Assesement Instruments
Stereotypes

Guest Speaker: Cultural perspective on medicine

Video presentation: Cultural perspective on medicine

Readings: One-page typed paper analysis

Week 2: "Cross Cultural Medicine" -- A Different World

Discussion issues:
Relevance of culture in clinical encounters -- the concerns of specific cultures (African American,
Native American, Asian American.)
Alternative modalities of treatment
Impact of demographic and sociophysiological differences within cultural groups -- Nichol's
Model(Logic and Process)

Case Study #2

Guest Speaker: Cultural perspective on medicine

Video presentation: Cultural perspective on medicine

Readings: One-page typed paper analysis

Week 3: "Biomedical Role of Race and Culture"

Discussion Issues

Genetic Risk Factors
Cultural implications of ethnicity in Medicine: Review multicultural issues in medical curriculum
article
Access to health care issues

Develop group cases on Diversity in Medicine

Guest Speaker: Cultural perspective on medicine

Video presentation

Readings

Week 4: Experiencing Race and Culture: "Voices from the Bottom of the Well"

Video presentation: From the Bottom

Implications: Cultural Health Care

Guest Speaker: Cultural perspective on medicine

Video presentation

Readings

REQUIREMENTS: Attendance, participation in group discussions, readings, class journal, and interview project

READING LIST: Selected articles

1. Healing Wounds. July/August, Emerge Magazine, 1994, 43-45.

2. Multicultural issues in medical curriculum: Implications for Canadian physicians. Medical Teacher, Vol 15, No.1, 1993, 83-91.

3. Culture and Clinical Care: Folk Illness Beliefs and Behaviors and Their Implications for Health Care Delivery. JAMA, March 2, 1994, Vol. 271, 690-694.

4. Guidelines for Minimizing Premature Termination Among Asian American Clients in Group Counseling. The Journal for Specialists in Group Work, Volume 17, Number 4, November 1992, 218-228.

5. Bell, Derrick. (1992). Faces at the Bottom of the Well, The Premanence of Racism. BasicBooks, A Division of Harper Collins Publishers, Inc.

6. Additional readings will be included.