2Why are we doing this?Equality and diversity is a section of the GP curriculumRelevant to clinical care, relationships with patients, working with colleaguesAnd to you as an individual and society as a wholeAnd it makes routine everyday work more interesting
3EqualityIs about creating a fairer society in which everyone has the opportunity to fulfil their potential
4Diversity 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.
6Dimensions of Diversity GenderAge/generationEthnicityNationalityLanguage/dialectSkin colourReligionClass (wealth, family background, education)Region(N/S, urban/rural)Country/region of originCountry/region of residenceEducational levelOccupationSexual orientationPolitical orientationDisabilityCulture (beliefs, expectations, behaviours)Subculture
7EthnicityIdentification with a social group on grounds of culture, common origin, and shared history
9Culture Complex social phenomenon Shared beliefs, values and attitudes that guide behaviour of membersDynamic concept - keeps changingWe are all multicultural, but often don’t recognise it
10My cultural identity White English Not English English Woman Middle classPolitics:left, green,feminist,internationalist(Guardian reading)Familymember(anotherslide?)Welleducated1960sgenerationDoctorMiddleagedShipleyGPBradfordGPEducator
11“Iceberg model” Kreps and Kunimoto (1994) GenderAgeEthnicityLanguageSkin colourSea levelSocio-economic statusOccupationSexual orientationPolitical ideologyDisability and healthCultural beliefs, expectations
12Your 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)?
13Which aspects of culture are the most important for you 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?
14Cultural competence Well meaning blunders Cultural knowledge Tendency to stereotypeBigotryCultural acceptance
15Flashcard exerciseImagine the person on the card as a patient, or a colleague, or as someone on the streetWhat are your immediate ideas about them?Discuss - and challenge your colleagues to think of other possibilities
16Diversity in the consultation Think of consultations in which differences between you and the patient (on any dimension) were a significant issue