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September 3, 2004
Neurology:
Public Health:
Neuromuscular Research:
Leadership Knipe to Lead Graduate Program in Virology
Armenise Program:
Genetic Variation Among People May Be Ten Times Higher than Previously Thought Compound Fends Off Stroke Damage Novel Drug Design Apporach Aims at Resistant Bacteria
Innovators of Tomorrow Center to Probe Immune Tolerance in Type 1 Diabetes SPORE Grant Awarded in Ovarian Cancer Research Broad Breaks Ground for New Building Named Professorships Approved In Memoriam:
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INCIDENT REPORT
Cultural Competence May Limit StereotypingThe response below was written by Nawal Nour, HMS instructor in obstetrics, gynecology and reproductive biology at Brigham and Women's and director of BWH's African Women's Health Center.Incident: Commenting on a patient with an Italian surname, a professor remarked that the patient must be a member of the Mafia. Response: Ethnic stereotyping in the media, movies, and even e-mail constantly bombards us. A recent widely circulated e-mail, for example, quoted the comedian Chris Rock as saying: "You know the world is going crazy when the best rapper is a white guy, the best golfer is a black guy, the tallest guy in the NBA is a Chinese guy, [... and] Germany doesn't want to go to war...." Following this logic, does the medical professor mean that every Italian patient belongs to the Mafia, every Arab is a terrorist, every Irishman works for the IRA, and every German is a Nazi? Ethnic stereotyping represents either a positive or negative perception reflecting traits, characteristics, or values of an ethnic group regardless of accuracy or applicability. Some stereotypes are based on historic events and, unfortunately, individuals from these groups suffer. The National Opinion Research Center recently conducted a study that found many Americans still hold strong racial and ethnic stereotypes. Nevertheless, many of us in the United States pride ourselves on the nation's diversity. In the same spirit, learning about other ethnicities is valuable not only in drawing us closer, but in applying our medical knowledge. Health care providers who are responsive to cultural and linguistic needs have the potential to improve access to care, the quality of care, and ultimately, health outcomes. Cultural competence is critical in medicine since clinical management, diagnosis, and treatment of preventable and chronic diseases can differ by the race and ethnicity of patients. Students may be unable to voice their discomfort when a professor blurts out culturally inappropriate comments. None of us are innocent of ethnic stereotyping, but when we are role models and teachers, we must be aware of our own preconceptions and find ways to understand the reasons behind them, with a sincere effort to change them. Prejudice begets prejudice, and it is simply unacceptable in our workplace. To prevent further ethnic stereotyping, we have to strive to perpetuate enlightened values every day. |
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