Page 5 - ASCO Cultural Competency Toolkit
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TABLE OF CONTENTS
PREFACE ................................................................................................................................ 1 PURPOSE ............................................................................................................................... 4 LEARNING OBJECTIVES:..........................................................................................................4
BACKGROUND: HEALTHCARE DISPARITIES; RACE, GENETICS, AND SOCIAL
DETERMINANTS OF HEALTH...................................................................................................5 Rationale 7
PEDAGOGICAL FRAMEWORK .................................................................................................8
A. Attitudes 8 B. Knowledge 9 C. Skills 11
CURRICULAR INTEGRATION AND TEACHING STRATEGIES...................................................... 12
CULTURAL COMPETENCE AND HUMILITY ............................................................................. 14
Definitions 14 Dimensions of Cultural Understanding: 16 Differing Beliefs Around Health and Medicine 18
IMPLICIT AND COGNITIVE BIAS IN HEALTHCARE ................................................................... 20
Unconscious Bias Awareness 20 Bias Mitigation Strategies 20 Reporting of Race and Ethnicity 21 Addressing Patient Bias 22
INCLUSIVE CLINIC PRACTICES ............................................................................................... 22
Language Access 25
Language Barriers, Interpreter Use, Civil Rights Act 25
Identifying and Addressing Health Literacy 29 ADA and Disability Access 30 Disability Inclusion 30 Built Environment and Universal Design 34 Communication Models and Negotiation of Care 35 Communicating Across Generations 39 “Social Context” Review of Systems 41
PRACTICE MANAGEMENT: INCLUSIVE STRATEGIES IN THE WORKPLACE................................43
Recruitment and Onboarding 44 Team Development, Learning, and Retention 46 Performance and Compensation Management, Evaluation, and Promotion 46 Succession Planning and Leadership 47
CASE EXAMPLES IN PATIENT CARE ....................................................................................... 48 EVALUATION ....................................................................................................................... 49
Revised TACCT 49
REFERENCES ........................................................................................................................ 51 APPENDIX A - ONLINE RESOURCES ....................................................................................... 59
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