T1 #meded I'm still feeling like this is new ground for me. When I hear competence I think it implies you have mastered it. Can we ever truly say that about understanding other cultures?
A1: My understanding is cultural competency is the older idea that you can learn details that will make you knowledgeable about each culture. Humility is understanding that’s not possible, every person is different, and openness to understanding #meded
T1 As I understand it, cultural humility is an inward-facing transformative learning experience. It is meant to replace cultural competency, which is the improbable task of understanding and responding appropriately to all possible cultural variables. #MedEd
T1 #meded There was a big movement for cultural competency training years ago that seemed to fall flat. Is cultural humility a replacement that is going to be more successful? If so, how?
T1: Cultural humility (as I understand it) is a willingness to recognize potential cultural barrier in an human interaction. Cultural competency is less favored because it suggests to many a simple threshold can be met that applies to all situations #MedEd
T1 As with much of the reflective learning that has to happen in #MedEd, a growth mindset is imperative. There has to be room to fail, reflect, integrate new experiences, and develop as an individual.
T1 #meded How does one overcome this barrier in the human interaction? There seems to be fear of being misunderstood or insensitive if you do. @AJKleinhex
T1 I think that cultural humility has a far greater potential for success, because it focuses on the traits of the of the learner instead of reinforcing stereotypes about patients and colleagues. #MedEd
Doing research for my new position w/ the New Brunswick #FASD Centre of Excellence : fetal vulnerability to alcohol related birth defects via @CDCgovhttps://t.co/zGRLZXOBwu#meded
T1: I like @CDCgov's definition of competence: "implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities" #meded#culturalcompetence
A1: "Competency" is outdated. Cultural Humility is ACKNOWLEDGING the fact that we can never truly learn everything about a group's culture, not only is there much variation between cultural expression and identity, but culture is ever-changing as a sociological construct. #MedEd
T1 We have to first listen — a lot. Then we have to amplify the voices of non-majority cultures. Then, lastly, we have to be willing to try, to make unintentional missteps, and to apologize sincerely when we do. #MedEd
T1: Most important point I’ve learned is from @aes_eliz@COMSEPediatrics — unless you grew up in my family and went to my high school etc., we likely have cultural differences. Not limited to ethnicity, race, etc. #meded
T1 #meded I'm still feeling like this is new ground for me. When I hear competence I think it implies you have mastered it. Can we ever truly say that about understanding other cultures?
Normal saline = not so ‘normal’.
Great post discussing the potential harms of using NS rather than balanced crystalloids. Dogma being debunked with good evidence! #MedEd#FOAMed#FOAMcc
Joining in only briefly from the west coast - good cross cultural care overlaps greatly with #patientcenteredcare - unconditional regard, keeping biases in check: https://t.co/TTLbCAw4gG - gotta go; have a great chat! #meded
T1 As with much of the reflective learning that has to happen in #MedEd, a growth mindset is imperative. There has to be room to fail, reflect, integrate new experiences, and develop as an individual.
I totally get the fear. Cultures are diverse, and their members even more so. It’s intimidating. But we can’t be allies to patients and colleagues from those cultures without trying. And imagine the greater damage done if we don’t try at all. #MedEd
Use of the word "competence" may emphasize the ideal of "effectively operating in different cultural contexts" & actively working towards it by "altering practices to reach different cultural groups" https://t.co/B9r6ywOM8h … v @CDCgov#MedEd T1
A1: "Competency" is outdated. Cultural Humility is ACKNOWLEDGING the fact that we can never truly learn everything about a group's culture, not only is there much variation between cultural expression and identity, but culture is ever-changing as a sociological construct. #MedEd
Dear @NeilPasricha,
I read #TheBookofAwesome and enjoyed it immensely! It was so genuine and I've been applying it to #MedEd@Sunnybrook. Thank you!
I have 2 questions:
1) When can we go for #coffee?
2) Are you available to speak at the @DANI_toronto Gala May 23, 2018?
T2 I’ve seen some great fac dev on Pamela Hays' ADDRESSING framework as a way to conceptualize non-dominant groups. Seeing differences is a great first step to learning about and from them. #MedEd
T2 I’ve seen some great fac dev on Pamela Hays' ADDRESSING framework as a way to conceptualize non-dominant groups. Seeing differences is a great first step to learning about and from them. #MedEd
Perhaps not? But we can always work towards improving "competence" in different areas based on outcomes-focused milestones/metrics. Perhaps hard to define for cultural competence? T1 #MedEd
T1: Saddened that this is the first I have heard of cultural humility. I attended #medschool 2005-09 & it was all about cultural competence. Apparently it’s been around for a while, this paper from 1998. #mededhttps://t.co/P0XiMu7IUx
T2 #meded How well are you doing with IPE? I know it's not as well received at my institution. Still feels like cultural competency training of the 90s. :(
T3 Provide low-risk spaces that ensure psychological safety where students and faculty can learn and grow together. Simulation does that exceedingly well. #MedEd
T3 #meded I'm teaching my #LGBTQ elective this month. I tell the #medstudents our seminar room is Las Vegas so we can openly and honestly confront misconceptions & stereotypes. It's quite refreshing.
T3 It’s important to note that cultural humility will be important to students if it’s perceived to be important to the institution and its faculty and staff. Make sure we’re leading where we want them to follow. #MedEd
T3: Small groups and ground rules to ensure respect and confidentiality are key components to giving students a safe space to explore & addressing biases. Similar to what’s described here. #mededhttps://t.co/Rpl9f7WI9A
#t3 by example, recruit + retain and reward #meded educators which show high cultural humility, create humility the unspoken high value norm @ the institution
T3 provide “real world”
experiences/exposure to varying cultures...recruit a diverse SP pool, have med students out the community, use reflective writing to help students understand their experiences. #Meded
I wonder if this is key - does the culture of #MedEd regardless of location reinforce teaching humility/awareness/competence for different cultures? Perhaps it doesn't work for some (and should it)? T3
I think it can be! But it requires careful planning and an abundance of caution (e.g., don’t have non-members of a culture role play members). You have to stay on the right side of the line between authentic experience and reinforcing stereotypes. #MedEd
In reply to
@IanJPereira, @Alliance4ClinEd, @COMSEPediatrics
I think it’s more important to find ways to promote and foster cultural humility in environments that don’t offer a large amount of diversity. But it’s also obviously a lot more work. #MedEd
T3: What a great topic, I learned so much! Just like how I try to integrate small bits of untraditional #meded like coding & finances with my clinic students, I will try to include a few pearls/questions about cultural humility in our conversations as well.
Competency was stressed in (my) classical #meded, humility is next level... not just tolerating with respect x y z but rearranging your internal framework to manage any future interactions without needing a frame of reference
