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Diversity and culture An introduction. Why are we doing this? l Equality and diversity is a section of the GP curriculum l Relevant to clinical care,

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Presentation on theme: "Diversity and culture An introduction. Why are we doing this? l Equality and diversity is a section of the GP curriculum l Relevant to clinical care,"— Presentation transcript:

1 Diversity and culture An introduction

2 Why are we doing this? l Equality and diversity is a section of the GP curriculum l Relevant to clinical care, relationships with patients, working with colleagues l And to you as an individual and society as a whole l And it makes routine everyday work more interesting

3 Equality l Is about creating a fairer society in which everyone has the opportunity to fulfil their potential

4 Diversity l The recognition and valuing of difference between people l Creating a working culture and practices that recognise, respect, value and harness difference for the benefit of the organisation and individual patients.

5 Dimensions of Diversity

6 l Gender l Age/generation l Ethnicity l Nationality l Language/dialect l Skin colour l Religion l Class (wealth, family background, education) l Region(N/S, urban/rural) l Country/region of origin l Country/region of residence l Educational level l Occupation l Sexual orientation l Political orientation l Disability l Culture (beliefs, expectations, behaviours) l Subculture

7 Ethnicity l Identification with a social group on grounds of culture, common origin, and shared history

8 Genetic inheritance (Race?) Geographical origin Nationality History/ Migration Language Culture Religion Ethnicity

9 Culture l Complex social phenomenon l Shared beliefs, values and attitudes that guide behaviour of members l Dynamic concept - keeps changing l We are all multicultural, but often dont recognise it

10 My cultural identity Politics: left, green, feminist, internationalist (Guardian reading) Family member (another slide?) English Not English Middle class Middle aged 1960s generation Bradford GP Educator Shipley GP White Woman Well educated Doctor

11 Iceberg model Kreps and Kunimoto (1994) Gender Age Ethnicity Language Skin colour Socio-economic status Occupation Sexual orientation Political ideology Disability and health Cultural beliefs, expectations Sea level

12 Your cultural identity l Which cultural groups would others say you belong to (top of iceberg)? l Which other cultural groups do you feel you belong to (bottom of iceberg)?

13 l Which aspects of culture are the most important for you? What most defines you? l How has your ethnicity and class background provided strengths / challenges? l How do cultural factors affect your behaviour and communication styles at work and elsewhere? l What aspects of background, attitudes and values do you share as prospective GPs? l How do these factors affect interaction with your patients and colleagues? l Are these factors likely to cause any difficulties, and if so how might they be overcome?

14 Cultural acceptance Cultural knowledge Well meaning blunders Bigotry Cultural competence Tendency to stereotype

15 Flashcard exercise l Imagine the person on the card as a patient, or a colleague, or as someone on the street l What are your immediate ideas about them? l Discuss - and challenge your colleagues to think of other possibilities

16 Diversity in the consultation l Think of consultations in which differences between you and the patient (on any dimension) were a significant issue


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