IDEAS home Printed from https://ideas.repec.org/a/lum/rev1rl/v10y2018i2p45-57.html
   My bibliography  Save this article

Using Sociodrama to Foster Cultural Humility among Faculty and Students in the Academic Medical Center

Author

Listed:
  • Sana LOUE

    (Professor, Bioethics, Psychiatry, Epidemiology and Biostatistics, Global Health and Vice Dean for Faculty Development and Diversity, Case Western Reserve University School of medicine, Cleveland, Ohio USA)

Abstract

Cultural humility and cultural safety offer the potential to go beyond what is possible with cultural competence to reduce unconscious bias and discrimination in medicine and to foster diversity and inclusion. Cultural humility moves the focus from one on content and the provider as the repository of knowledge to an emphasis on the process of learning and communication between the provider and the patient, thereby modifying the power dynamic within the provider-patient relationship and creating an openness for patient expression and sharing. By creating a space of cultural safety, the provider engages with the patient from a value-neutral perspective such that the patient is neither blamed nor discounted. Cultural humility can be fostered in the academic medical center by using sociodramatic techniques to explore scenarios that are relevant to faculty, students, and staff. Successful use of this technique can help to clarify conflicts in intergroup conflicts, foster critical questioning, build an awareness of how individuals may feel alienated and dislocated, help to develop empathy, and provide an opportunity for individuals to explore possible responses to a variety of situations.

Suggested Citation

  • Sana LOUE, 2018. "Using Sociodrama to Foster Cultural Humility among Faculty and Students in the Academic Medical Center," Revista romaneasca pentru educatie multidimensionala - Journal for Multidimensional Education, Editura Lumen, Department of Economics, vol. 10(2), pages 45-57, June.
    • Handle: RePEc:lum:rev1rl:v:10:y:2018:i:2:p:45-57
    DOI: https://doi.org/10.18662/rrem/45
    as

    Download full text from publisher

    File URL: http://lumenpublishing.com/journals/index.php/rrem/article/view/680/pdf
    Download Restriction: no
    File URL: https://libkey.io/https://doi.org/10.18662/rrem/45?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Street Jr., Richard L. & Gordon, Howard & Haidet, Paul, 2007. "Physicians' communication and perceptions of patients: Is it how they look, how they talk, or is it just the doctor?," Social Science & Medicine, Elsevier, vol. 65(3), pages 586-598, August.
    2. Susanne Milcher, 2006. "Poverty and the Determinants of Welfare for Roma and Other Vulnerable Groups in Southeastern Europe," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 48(1), pages 20-35, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Óscar Brito Fernandes & Petra Baji & Dionne Kringos & Niek Klazinga & László Gulácsi & Armin Lucevic & Imre Boncz & Márta Péntek, 2019. "Patient experiences with outpatient care in Hungary: results of an online population survey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 79-90, June.
    2. Cousin, Gaëtan & Schmid Mast, Marianne & Jaunin-Stalder, Nicole, 2013. "Finding the right interactional temperature: Do colder patients need more warmth in physician communication style?," Social Science & Medicine, Elsevier, vol. 98(C), pages 18-23.
    3. Lee, Yin-Yang & Lin, Julia L., 2010. "Do patient autonomy preferences matter? Linking patient-centered care to patient-physician relationships and health outcomes," Social Science & Medicine, Elsevier, vol. 71(10), pages 1811-1818, November.
    4. Fenton, Anny T. & Elliott, Marc N. & Schwebel, David C. & Berkowitz, Zahava & Liddon, Nicole C. & Tortolero, Susan R. & Cuccaro, Paula M. & Davies, Suzy L. & Schuster, Mark A., 2018. "Unequal interactions: Examining the role of patient-centered care in reducing inequitable diffusion of a medical innovation, the human papillomavirus (HPV) vaccine," Social Science & Medicine, Elsevier, vol. 200(C), pages 238-248.
    5. Gábor Kertesi & Gábor Kézdi, 2011. "Roma employment in Hungary after the post‐communist transition," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 19(3), pages 563-610, July.
    6. Greenfield, Geva & Pliskin, Joseph S. & Feder-Bubis, Paula & Wientroub, Shlomo & Davidovitch, Nadav, 2012. "Patient–physician relationships in second opinion encounters – The physicians’ perspective," Social Science & Medicine, Elsevier, vol. 75(7), pages 1202-1212.
    7. Teal, Cayla R. & Street, Richard L., 2009. "Critical elements of culturally competent communication in the medical encounter: A review and model," Social Science & Medicine, Elsevier, vol. 68(3), pages 533-543, February.
    8. Charles Crabtree & John B. Holbein & J. Quin Monson, 2022. "Patient traits shape health-care stakeholders’ choices on how to best allocate life-saving care," Nature Human Behaviour, Nature, vol. 6(2), pages 244-257, February.
    9. Attanasio, Laura B. & Hardeman, Rachel R., 2019. "Declined care and discrimination during the childbirth hospitalization," Social Science & Medicine, Elsevier, vol. 232(C), pages 270-277.
    10. Kelly-Irving, Michelle & Delpierre, Cyrille & Schieber, Anne-Cécile & Lepage, Benoit & Rolland, Christine & Afrité, Anissa & Pascal, Jean & Cases, Chantal & Lombrail, Pierre & Lang, Thierry, 2011. "Do general practitioners overestimate the health of their patients with lower education?," Social Science & Medicine, Elsevier, vol. 73(9), pages 1416-1421.
    11. Kahanec, Martin & Yuksel, Mutlu, 2010. "Intergenerational Transfer of Human Capital under Post-War Distress: The Displaced and the Roma in the Former Yugoslavia," IZA Discussion Papers 5108, Institute of Labor Economics (IZA).
    12. Katarzyna Krot & Iga Rudawska, 2021. "How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links," IJERPH, MDPI, vol. 18(8), pages 1-15, April.
    13. Lucia Mýtna Kureková, 2015. "Policy Puzzles with Roma Employment in Slovakia," Discussion Papers 34, Central European Labour Studies Institute (CELSI).
    14. Martin Kahanec, 2014. "Roma integration in European labor markets," IZA World of Labor, Institute of Labor Economics (IZA), pages 1-39, May.
    15. Manning, Mark & Albrecht, Terrance L. & Yilmaz-Saab, Zeynep & Shultz, Julie & Purrington, Kristen, 2016. "Influences of race and breast density on related cognitive and emotion outcomes before mandated breast density notification," Social Science & Medicine, Elsevier, vol. 169(C), pages 171-179.
    16. Xesfingi, Sofia & Karamanis, Dimitrios, 2015. "In- and Out-patient satisfaction assessment: the case of a greek General Hospital," MPRA Paper 66672, University Library of Munich, Germany.
    17. Park, Yujong, 2013. "Negotiating last-minute concerns in closing Korean medical encounters: The use of gaze, body and talk," Social Science & Medicine, Elsevier, vol. 97(C), pages 176-191.
    18. Yiannakoulias, Nikolaos & Hill, Michael D. & Svenson, Lawrence W., 2009. "Geographic hierarchies of diagnostic practice style in cerebrovascular disease," Social Science & Medicine, Elsevier, vol. 68(11), pages 1985-1992, June.
    19. Senft, Nicole & Hamel, Lauren M. & Penner, Louis A. & Harper, Felicity W.K. & Albrecht, Terrance L. & Foster, Tanina & Eggly, Susan, 2018. "The influence of affective behavior on impression formation in interactions between black cancer patients and their oncologists," Social Science & Medicine, Elsevier, vol. 211(C), pages 243-250.
    20. Kalman Mizsei, 2006. "Development Opportunities for the Roma in Central and Southeast Europe – Impediments and Challenges," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 48(1), pages 1-5, March.

    More about this item

    Keywords

    Cultural humility; cultural competence; cultural safety; cultural sensitivity; diversity; medical education; sociodrama;
    All these keywords.

    JEL classification:

    • A23 - General Economics and Teaching - - Economic Education and Teaching of Economics - - - Graduate

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:lum:rev1rl:v:10:y:2018:i:2:p:45-57. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Antonio Sandu (email available below). General contact details of provider: https://lumenpublishing.com/journals/index.php/rrem/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.