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Bridging the Cultural Divide Capstone Course 2013

Bridging the Cultural Divide Capstone Course 2013. Jerry B. Vannatta M.D. John Flack Burton Professor of Humanities in Medicine David Ross Boyd Professor of Medicine. Why does culture matter in the practice of medicine?. 1. Adherence to therapy 2. Patient Satisfaction

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Bridging the Cultural Divide Capstone Course 2013

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  1. Bridging the Cultural DivideCapstone Course 2013 Jerry B. Vannatta M.D. John Flack Burton Professor of Humanities in Medicine David Ross Boyd Professor of Medicine

  2. Why does culture matter in the practice of medicine? • 1. Adherence to therapy • 2. Patient Satisfaction • 3. Physician Satisfaction • 4. Improvement in Clinical Outcomes

  3. Telos of MedicineAristotle • What is the purpose of medicine?

  4. The “Chief Concern of Medicine” • Medicine is divided into Disease and Illness • Disease: How the doctor perceives the sickness • Illness: How the patient perceives the sickness • The only time these are nearly the same is if your patient is a doctor

  5. The “Chief Concern of Medicine” • Chief Complaint: gets at the doctor’s perspective • Chief Concern: gets at the patient’s perspective

  6. Case #1Mementos of Childhood • A 20 year old mother with a 3 month old baby • Resident’s presentation • What should we do?

  7. Case # 2Surgery by the Book Ben Wrote • Case history • What should we do?

  8. Case # 3“Tied me Up” • Case history • What is the disease? • What is the illness?

  9. Case #4The Spirit Catches You and You Fall Down • Story synopsis • What should we do? • How to respond?

  10. ArhurKleinman’sEight Questions • 1. What do you call the problem? • 2 What do you think caused the problem? • 3. Why do you think it started when it did? • 4. What do you think the sickness does? How does it work? • 5. How severe is the sickness • 6. What kind of Rx do you think we should use? • 7. What are the chief problems the sickness has caused? • 8. What do you fear most about this illness?

  11. Apply Kleinman’s Questions to our four cases • “Mementos from Childhood” • “Surgery by The Book Ben Wrote” • “Tied Me Up” • The Spirit Catches You and You Fall Down

  12. Conclusion one • 1. Adherence to therapy • 2. Patient Satisfaction • 3. Physician Satisfaction • 4. Improvement in Clinical Outcome

  13. Conclusion Two • Telos of Medicine • Has the purpose of what we are supposed to do been satisfied?

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