1. CULTURAL INTERACTIONS INSTITUTE - 101 Christina Eaton, MPH Ryan White All Grantees Meeting November 28 th 2012

2. Disclosures  This continuing education activity is managed and accredited by Professional Education Service Group. The information presented in this activity represents the opinion of the author(s) or faculty. Neither PESG, nor any accrediting organization endorses any commercial products displayed or mentioned in conjunction with this activity.  Commercial support was not received for this activity  I did not write the Cultural Interactions series but have used it to provide cultural sensitivity training to individuals serving HIV+ patients.

3. Disclosures  Christina Eaton, MPH  Has no financial interest or relationships to disclose  CME Staff Disclosures  Professional Education Services Group staff have no financial interest or relationships to disclose

4. Objectives At the conclusion of this activity, the participant will be able to: 1. Recognize that concepts such as self-awareness and empathy which are thought to be personality traits can be developed through active learning 2. Create or adapt an interactive workshop using the training units from the Cultural Interactions series for various organizational settings 3. Apply the workshops by assisting those organizations trained in making necessary structural changes to achieve cultural awareness

5. CULTURAL INTERACTIONS TRAINING OF TRAINERS Organization Name/Title

6. Cultural Interactions Unit 1  Goal  To gain an understanding of culture and the impact it has on quality of care for the patient and the organization environment

7. Cultural Interactions Unit 1  Objectives  Define Culture  Define Cultural Awareness vs. Cultural Competence  Identify personal cultural composition  Identify 2 +/- beliefs participant has about Cultural Awareness  Identify 2 assumptions about participants’ patient/client that affect their interactions in a positive way affect their interactions in a negative way  Define culture of participants’ organization  Create a plan to reinforce the defined culture

8. Why do we work in Healthcare?  I want you to write down why you decided to enter this line of work.

9. Consensus? 6 principles for implementing Cultural Awareness 1.Community representation and feedback at all stages of implementation 2.Cultural competency integrated into all systems of the health care organization particularly quality improvement efforts 3.Ensuring that changes made are manageable, measurable, and sustainable 4.Making the business case for implementation of cultural competency polices 5.Commitment from leadership 6.Staff training on an ongoing basis 7.Creating a workgroup TAKING CULTURAL COMPETENCY FROM THEORY TO ACTION Ellen Wu and Martin Martinez California Pan-Ethnic Health Network October 2006

10. Cornerstones of Cultural Awareness  Self Awareness  Reducing Stigma  Empathy  Ask Questions  Communications Skills

11. Cultural Awareness  Refers to an ability to interact effectively with people of different cultures.  Being open to the idea of changing cultural attitudes. Cultural Competence

12. Culture is learned behaviors, beliefs and attitudes

13. Why is the title of this presentation cultural interactions? What are some examples of different cultures that you encounter in your daily life?

14. What cultural identities do you have?  Pie Chart

15. My first day on the job 1. I knew exactly where and what I should be doing 2. I felt unsure of exactly where I should be and what I should be doing but was confident I would learn what was expected 3. I felt terrified and knew I would never get it

17. Patients without Health Insurance 1. Prioritize their health but do not have the means to pay for healthcare 2. Do not prioritize their health by choosing to spend their money on other things

18. Charades  I want you to use your face and your body for each emotion

19. How did you know who to ask for assistance in your first few weeks on the job?

20. How do we become self-aware?  List 2 positive and 2 negative assumptions you have about Cultural Awareness  List 2 assumptions about your patients/clients that affect your interactions in a positive and negative way

21. Why is it important to know this?  If we don’t know what we believe or what prejudices we have we cannot manage our response

22. What is our organization culture?

23. Create a Plan Putting it into Practice Questions to guide you: 1. What is our organization’s culture? 2. What do we want for our organization? 3. Do we want to be seen as going the extra mile to help our patients? 4. Why are we here? 5. What is the result of providing better services? 6. How are we going to actively change our culture?

24. If you would like to receive continuing education credit for this activity, please visit: http://www.pesgce.com/RyanWhite2012 Obtaining CME/CE Credit