Medical Trainees Comfort and Confidence in Providing Care to Arab and Muslim Patients at a Large Academic Medical Center

Sarsour, Nadeen; Ballouz, Dena; Mokbel, Majd A; Hammoud, Maya M.

doi:10.1080/10401334.2021.1930544

Cited by 3 publications

(4 citation statements)

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“…A study at a large academic center in Michigan revealed that only 55% of non-Muslim clinicians felt comfortable caring for Muslim fasting patients, and only 49% felt confident examining women with hijab. 7 This suggests a need to incorporate basic knowledge of cultural and religious practices into the cultural humility training of dermatology clinicians, especially with the increased emphasis on cultural humility and diversity training in dermatology (Table 4). 37,38 Contrary to negative experiences, participants appreciated dermatologists who demonstrated effective interpersonal skills, cultural humility, and knowledge of special considerations for skin of color treatments (eg, postinflammatory hyperpigmentation) 4).…”

Section: Discussionmentioning

confidence: 99%

“…This fear may be further exacerbated by incidents when dermatologists showed poor cultural humility and bias. A study at a large academic center in Michigan revealed that only 55% of non-Muslim clinicians felt comfortable caring for Muslim fasting patients, and only 49% felt confident examining women with hijab . This suggests a need to incorporate basic knowledge of cultural and religious practices into the cultural humility training of dermatology clinicians, especially with the increased emphasis on cultural humility and diversity training in dermatology (Table 4).…”

Section: Discussionmentioning

confidence: 99%

“…Existing studies examining various aspects of identity have focused on race and sexual orientation . More recently, religion has been considered a key social determinant of health and incorporated into cultural competency training in other fields of medicine . In dermatology, several perspective articles provide recommendations for culturally competent care for Muslim patients, especially female patients who wear hijab .…”

Section: Introductionmentioning

confidence: 99%

“…5 More recently, religion has been considered a key social determinant of health and incorporated into cultural competency training in other fields of medicine. [6][7][8] In dermatology, several perspective articles provide recommendations for culturally competent care for Muslim patients, especially female patients who wear hijab. [9][10][11] These recommendations, however, are not based on quantitative or qualitative data.…”

mentioning

confidence: 99%

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Perceptions of US-Based Muslim Patients of Their Dermatology Care

El-Banna,

Rezaei,

Chang

et al. 2024

JAMA Dermatol

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ImportanceCultural humility training is of growing interest, yet the religious and cultural accommodations of Muslim patients in dermatology have not been studied.ObjectiveTo explore the perceptions of Muslim patients of their dermatology care.Design, Setting, and ParticipantsThis qualitative mixed-methods study, consisting of surveys and semistructured interviews, recruited participants from 2 clinical sites within a large academic health care system in California. Participants were adult, English-speaking, Muslim patients who were evaluated at least once by a medical or surgical dermatologist between January 2022 and January 2023.Main Outcomes and MeasuresA survey obtained the following data: demographics, religious practices pertinent to dermatology care, and experiences of bias outside and inside the dermatology clinic. Semistructured interviews covered topics related to positive and negative experiences in the dermatology clinic, accommodation of cultural and religious needs in dermatology, and future interventions.ResultsA total of 21 patients (mean [SD] age, 36.4 [11.6] years; range, 26-71 years) participated in the study: 5 male individuals (24%) and 16 female individuals (76%), including 10 female individuals who wore hijab. Eleven participants identified as Middle Eastern (52%), 8 as South Asian (38%), 1 as North African (5%), and 1 as Pacific Islander (5%). Survey results showed variations in the impact of Islamic practices on dermatology care. Interviews showed that Muslim participants did not perceive dermatology care as a priority and expressed interest in community events focused on general dermatology education. They also experienced stigmatization of their skin disease and cosmetic care. Prior experiences with Islamophobia and colorism hindered the Muslim patient–dermatologist relationship and disclosure of the need for accommodations. There were instances when participants experienced bias and poor cultural humility from dermatologists. Finally, Muslim participants had unique religious and cultural needs pertinent to their care, including clinician gender concordance, medication timing adjustment while fasting, and halal medication ingredients.Conclusions and RelevanceThis qualitative mixed-methods study explored the experiences of Muslim patients in dermatology in the US. Recommendations supported by this study include incorporating religion into cultural humility training, increasing diversity in the dermatology workforce, implementing policies for clearer medication labeling, supporting dermatology research in subpopulations of Muslim individuals in the US, and partnering with community organizations for dermatology education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%