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Diversity and culture

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					Diversity and culture

     An introduction
       Why are we doing this?
   Equality and diversity is a section of the GP
    curriculum
   Relevant to clinical care, relationships with
    patients, working with colleagues
   And to you as an individual and society as a
    whole
   And it makes routine everyday work more
    interesting
                   Equality
   Is about creating a fairer society in which
    everyone has the opportunity to fulfil their
    potential
                   Diversity
   The recognition and valuing of difference
    between people
   Creating a working culture and practices
    that recognise, respect, value and harness
    difference for the benefit of the organisation
    and individual patients.
Dimensions of Diversity
        Dimensions of Diversity
   Gender                        Country/region of origin
   Age/generation                Country/region of
   Ethnicity                      residence
   Nationality                   Educational level
   Language/dialect              Occupation
   Skin colour                   Sexual orientation
   Religion
                                  Political orientation
   Class (wealth, family
    background, education)        Disability
   Region(N/S, urban/rural)      Culture (beliefs,
                                   expectations, behaviours)
                                  Subculture
                  Ethnicity
   Identification with a social group on
    grounds of culture, common origin, and
    shared history
                     Genetic
                     inheritance
                     (‘Race’?)


                                              Geographical
Religion                                         origin
                            Ethnicity
                                                  Nationality
           Culture                                 History/
                                                  Migration
                                   Language
                    Culture
   Complex social phenomenon
   Shared beliefs, values and attitudes that
    guide behaviour of members
   Dynamic concept - keeps changing
   We are all multicultural, but often don’t
    recognise it
      My cultural identity

           English
           White              Not
                     English English
   Woman                               Middle
              Politics:
                                Family
                                        class
   Well      left, green,
                           member
              feminist,
 educated internationalist (another 1960s
                            slide?) generation
        (Guardian reading)
Doctor                          Middle
         Shipley Bradford
                   GP            aged
           GP
                     Educator
            “Iceberg         model”
       Kreps and Kunimoto (1994)


                       Gender
                        Age
                      Ethnicity
                      Language
                     Skin colour
Sea level
               Socio-economic status
                    Occupation
                 Sexual orientation
                 Political ideology
                Disability and health
            Cultural beliefs, expectations
       Your cultural identity

   Which cultural groups would others say
    you belong to (top of iceberg)?
   Which other cultural groups do you feel
    you belong to (bottom of iceberg)?
   Which aspects of culture are the most
    important for you? What most defines you?
   How has your ethnicity and class background
    provided strengths / challenges?
   How do cultural factors affect your behaviour
    and communication styles at work and
    elsewhere?
   What aspects of background, attitudes and
    values do you share as prospective GPs?
   How do these factors affect interaction with
    your patients and colleagues?
   Are these factors likely to cause any difficulties,
    and if so how might they be overcome?
   Well meaning blunders      Cultural competence
Cultural
knowledge

                                   Tendency to stereotype
              Bigotry


                  Cultural acceptance
          Flashcard exercise
   Imagine the person on the card as a patient,
    or a colleague, or as someone on the street
   What are your immediate ideas about them?
   Discuss - and challenge your colleagues to
    think of other possibilities
    Diversity in the consultation
   Think of consultations in which differences
    between you and the patient (on any
    dimension) were a significant issue

				
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