Commentary: Recognising patient preparation to improve patient‐centred care for diverse populations

Wang, Xuyi Mimi

doi:10.1111/medu.14603

Medical Education

2021

DOI: 10.1111/medu.14603

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Commentary: Recognising patient preparation to improve patient‐centred care for diverse populations

Xuyi Mimi Wang

Abstract: The author draws parallels between patient‐centred care and equity, diversity, and inclusion efforts in medicine. Recognizing the preparations patients undertake for healthcare encounters may improve patient‐centred care for diverse populations.

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Exploring the implicit meanings of ‘cultural diversity’: a critical conceptual analysis of commonly used approaches in medical education

Zanting,

Frambach,

Meershoek

et al. 2024

Adv in Health Sci Educ

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Existing approaches to cultural diversity in medical education may be implicitly based on different conceptualisations of culture. Research has demonstrated that such interpretations matter to practices and people concerned. We therefore sought to identify the different conceptualisations espoused by these approaches and investigated their implications for education. We critically reviewed 52 articles from eight top medical education journals and subjected these to a conceptual analysis. Via open coding, we looked for references to approaches, their objectives, implicit notions of culture, and to implementation practices. We iteratively developed themes from the collected findings. We identified several approaches to cultural diversity teaching that used four different ways to conceptualise cultural diversity: culture as ‘fixed patient characteristic’, as ‘multiple fixed characteristics’, as ‘dynamic outcome impacting social interactions’, and as ‘power dynamics’. We discussed the assumptions underlying these different notions, and reflected upon limitations and implications for educational practice. The notion of ‘cultural diversity’ challenges learners’ communication skills, touches upon inherent inequalities and impacts how the field constructs knowledge. This study adds insights into how inherent inequalities in biomedical knowledge construction are rooted in methodological, ontological, and epistemological principles. Although these insights carry laborious implications for educational implementation, educators can learn from first initiatives, such as: standardly include information on patients’ multiple identities and lived experiences in case descriptions, stimulate more reflection on teachers’ and students’ own values and hierarchical position, acknowledge Western epistemological hegemony, explicitly include literature from diverse sources, and monitor diversity-integrated topics in the curriculum.

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Exploring the implicit meanings of ‘cultural diversity’: a critical conceptual analysis of commonly used approaches in medical education

Zanting,

Frambach,

Meershoek

et al. 2024

Adv in Health Sci Educ

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

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Commentary: Recognising patient preparation to improve patient‐centred care for diverse populations

Abstract: The author draws parallels between patient‐centred care and equity, diversity, and inclusion efforts in medicine. Recognizing the preparations patients undertake for healthcare encounters may improve patient‐centred care for diverse populations.

Cited by 1 publication

References 29 publications

Exploring the implicit meanings of ‘cultural diversity’: a critical conceptual analysis of commonly used approaches in medical education

Exploring the implicit meanings of ‘cultural diversity’: a critical conceptual analysis of commonly used approaches in medical education

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