1. Bellwork
An athletic trainer is treating a soccer player for a significant ankle injury. When asked how the injury occurred, the athlete does not respond. The AT becomes uncomfortable with the silence and repeats the question. After a very long pause, the athlete finally answers that he hurt his ankle while getting off of a bus.
Why do you think the athlete took so long to respond to the question? What could the AT do to ensure that the athlete feels comfortable in responding to future questions?

2. 6/1/2018
Sports Medicine
Cultural Competence

3. Purpose of Today’s Lesson
6/1/2018
Purpose of Today’s Lesson
Athletic trainers shall respect the rights, welfare and dignity of all individuals.
In order to respect others, it is important to communicate with them. Miscommunication, whether verbal or non-verbal, can lead to inappropriate diagnosis and/or treatment of an athletic injury.

4. Objectives Define cultural competence.
6/1/2018
Objectives
Define cultural competence.
Identify methods of verbal communication.
Identify methods of non-verbal communication.
Identify other differences which exist between cultures.

5. Cultural competence Terminology
6/1/2018
Terminology
Cultural competence
an awareness of belief and values between cultures

6. PROPERTY OF PIMA COUNTY JTED, 2010
How could we help a new student feel comfortable when he/she comes into the class for the first time halfway through the school year?
2. Whiteboards/Slates
student writes answer or solution to a question posed by the teacher
teacher solicits all students to show at the same time
teacher gives feedback to the students
PROPERTY OF PIMA COUNTY JTED, 2010

7. PROPERTY OF PIMA COUNTY JTED, 2010
Think-Pair-Share
Think of an experience when you heard a foreign language and could not understand what was being said. Share with your partner.
3. Think-pair-share
teacher presents a question
teacher gives wait time for student to form answer
teacher instructs students to share their answer with a partner
teacher calls on non-volunteers to share with the class
PROPERTY OF PIMA COUNTY JTED, 2010

8. Call them by name & pronounce his/her name correctly
6/1/2018
Verbal Communication
Greet the person
Call them by name & pronounce his/her name correctly
Determine the person’s language and level of English proficiency (speaking, reading and writing)

9. Bellwork Recap
6/1/2018
An athletic trainer is treating a soccer player for a significant ankle injury. When asked how the injury occurred, the athlete does not respond. The AT becomes uncomfortable with the silence and repeats the question. After a very long pause, the athlete finally answers that he hurt his ankle while getting off of a bus.
Why do you think the athlete took so long to respond to the question? What could the AT do to ensure that the athlete feels comfortable in responding to future questions?

10. 6/1/2018
Bellwork Answers
The injured soccer athlete in the bellwork slide was a native Spanish-speaker. In order to understand the athletic trainer’s question, he had to translate it from English to Spanish, think of his response in Spanish, translate it back to English and then answer the question.
ANYONE HAD THIS HAPPEN??

11. PROPERTY OF PIMA COUNTY JTED, 2010
Think-Pair-Share
Think of an experience when you heard a foreign language and how you felt at not being able to understand what was being said. How did you feel? What did you do?
3. Think-pair-share
teacher presents a question
teacher gives wait time for student to form answer
teacher instructs students to share their answer with a partner
teacher calls on non-volunteers to share with the class
PROPERTY OF PIMA COUNTY JTED, 2010

12. PROPERTY OF PIMA COUNTY JTED, 2010
Write in your notes
Write down as many methods of non-verbal communication as you can think of & what each method means.
2. Whiteboards/Slates
student writes answer or solution to a question posed by the teacher
teacher solicits all students to show at the same time
teacher gives feedback to the students
PROPERTY OF PIMA COUNTY JTED, 2010

13. 6/1/2018
NON VERBAL
Examples of non verbal and your reactions

14. Non-Verbal Communication
6/1/2018
Non-Verbal Communication
Personal space
*Close or distant personal space
*Tactile person vs. non-contact person
(Always follow the person’s lead!)
Gestures – not universal!
*Pointing at a person - used to call someone or may be considered impolite
*Smiling & nodding may indicate politeness, not understanding or agreement
*Direct eye contact – considered disrespectful in some cultures

15. Non-Verbal Communication
6/1/2018
Non-Verbal Communication
Silence – what does it mean?
*Thinking of an answer?
*Doesn’t understand / confused?
*Angry
Expressions of pain
*Stoic (afraid to show pain / sign of weakness)
*Emotive (open expression / likes to share)

16. PROPERTY OF PIMA COUNTY JTED, 2010
With your Partner
Think of examples of as many types of cultural considerations and share examples.
2. Whiteboards/Slates
student writes answer or solution to a question posed by the teacher
teacher solicits all students to show at the same time
teacher gives feedback to the students
PROPERTY OF PIMA COUNTY JTED, 2010

17. Cultural Considerations
6/1/2018
Cultural Considerations
Language used in social vs. personal conversation
Social organization of the family (head = father or mother? Who makes important decisions?)
Traditional or cultural practices (beliefs concerning injuries, healing, use of medicine, etc.)
Spiritual or religious practices (ie, fasting during Ramadan)

18. Cultural Considerations (cont.)
6/1/2018
Cultural Considerations (cont.)
Observance of Ethnic & Religious holidays
Views of appropriate touch
Cultural meaning / significance
Religious considerations (body covered?)
Always ask for permission!
Health issues or disparities
Diet restrictions
Sickle cell & asthma more prevalent in African Americans

19. Cultural Considerations (cont.)
6/1/2018
Cultural Considerations (cont.)
Narrative or storytelling
Chronological (sequential)
Episodic history (highlights major events)
Orientation to time
Future time – value being early/on time
Present time – here & now, not worried about the future

20. Write on a separate piece of paper
Property of CTE Joint Venture
6/1/2018
Write on a separate piece of paper
Why do you think it is so important for Athletic Trainers to understand differences between cultures?

21. 6/1/2018
CONCLUSION
Since athletic trainers treat athletes from a wide range of cultural backgrounds, it is important to understand cultural differences in order to show respect while caring for each athlete.