Achieving Cultural Competency – A case–based approach to training health professionals

Horace DeLisser , MD: After receiving his medical degree from the University of Pennsylvania in 1985, he remained at the University to complete his internal medicine residency and pulmonary medicine fellowship, as well as post-doctoral research training. He is currently a pulmonary and critical care specialist and an Associate Professor of Medicine at the University of Pennsylvania, School of Medicine. Scientifically, Dr. DeLisser has a program of independently funded research that is focused on the cells that line blood vessels (endothelial cells) and their activity during inflammation and the formation of new vessels. Dr. DeLisser has been also been very active in medical education with a particular interest in cultural competency. He is a course director of the first year medical student course, "Culture and Communication" and is the Co- investigator for the NIH, NHLBI funded grant "Cultural Competence Health Disparities Training Program". He precepts and teaches in several of the medical school's courses on humanism and professional. Additionally, Dr. DeLisser helped to develop the course, Spirituality in Medicine. In recognition of his contributions to medical education, he earned the Leonard Berwick Memorial Teaching Award, a First Year Medical School, Class, Outstanding Teacher Award, a Penn Pearls Teaching Award and the 2005 Robert L. Mayock - Alfred P. Fishman Teaching Award. Lisa Hark , PhD, RD is a renowned family nutrition expert with over 20 years of experience in nutrition counseling and promoting the benefits of healthy eating in children and adults. As Director of the Nutrition Education and Prevention Program at the University of Pennsylvania School of Medicine in Philadelphia for the past 18 years, she is a leading nutrition educator of medical students and doctors. She is currently Project Director for the Cultural Competence Health Disparities Training Program", a five-year grant funded by the NIH, National Heart, Lung, and Blood Institute. Recently, she was the host for season one of the new television series "Honey, We're Killing the Kids", which airs on TLC. Dr. Hark is the editor-in-chief of numerous books including Medical Nutrition and Disease: A Case-Based Approach (Blackwell Publishing), which is now in its 3rd edition and used in many medical schools, physician assistant, nursing and dietetic programs in the US and around the world. In 2004, she edited Cardiovascular Nutrition: Disease Management and Prevention (American Dietetic Association). In 2005 and 2006 she co-authored Nutrition For Life and The Whole Grain Miracle Diet (DK Publishing). Her current book, The Complete Guide to Nutrition in Primary Care, (Blackwell Publishing), will be released in 2007 and is aimed at primary care clinicians, nurses, physician assistants, and nutritionists.

Contributors. CME Disclosure Information. Preface. Foreword. Acknowledgments. Introduction: Tools to Assess Cultural Competency Training (TACCT). Case 1 Ruth Franklin: A 40-year-old African American woman with heart failure ( Susan E. Wiegers and Horace DeLisser, MD ). Case 2 Carl Jones: A 48-year-old homeless Caucasian man with chest pain and lung cancer ( Lisa Bellini ). Case 3 Maria Morales: A 57-year-old Mexican woman with type 2 diabetes ( Desiree Lie and Charles Vega ). Case 4 Maya Mohammed: A 15-year-old Arab American teenager with leukaemia ( Amal Mohamed Osman Khidir, Alexander Chou, and Lyuba Konopasek ). Case 5 Jon Le: A 48-year-old Korean man with cerebral hemorrhage ( Scott Kasner and Horace DeLisser ). Case 6 Nadia Rosenberg: A 53-year-old Russian woman with drug-resistant tuberculosis ( Elena N. Atochina-Vasserman and Helen Abramova ). Case 7 Isabel Delgado: A 47-year-old Dominican woman with hypertension ( Debbie Salas-Lopez and Eric Gertner ). Case 8 George Dennis: A 35-year-old African American man with AIDS ( Ronald G. Collman ). Case 9 Mary Jones: A 2-year-old Caucasian girl with delayed speech development ( Dodi Meyer, Hetty Cunningham, Rica Mauricio and Alexandra Schieber ). Case 10 Priya Krishnamurthy: A 73-year-old South Asian Indian woman with a stroke ( Scott Kasner, Roy Hamilton, Steven Mess'e and Sashank Prasad ). Case 11 Carlos Cruz: A 34-year-old Mexican man with sleep apnea and metabolic syndrome ( Indira Gurubhagavatula, Lisa Hark and Sharon L. Drozdowsky ). Case 12 Denise Smith: A 41-year-old Caucasian woman with asthma ( John Paul Sa' nchez, Nelson Felix Sa'nchez and Ana Nunez, MD ). Case 13 Mae Ling Chung: A 22-year-old Chinese woman in an arranged marriage ( Elizabeth Lee-Rey and Nereida Correa ). Case 14 Earl Collins: A 73-year-old African American man with lung cancer ( Mitchell L. Margolis and Lisa Bellini ). Case 15 Irma Matos: A 66-year-old Ecuadorian woman with type 2 diabetes and hypertension ( Edgar Maldonado and Debbie Salas-Lopez ). Case 16 Eileen Clark: An 82-year-old African American woman with a stroke ( Scott Kasner and Horace DeLisser ). Case 17 Leslie O'Malley: A 66-year-old Irish American man with breast cancer ( J. Eric Russell ). Case 18 Juana Caban: A 21-year-old Puerto Rican woman who is pregnant and HIV-positive ( Lisa Rucker, Nadine T. Katz and Nicholas E.S. Sibinga ). Case 19 Alice Gregory: A 71-year-old African American woman with aortic stenosis ( Susan E. Wiegers and Horace DeLisser, MD ). Case 20 Sunil Guha: A 32-year-old South Asian Indian man with metabolic syndrome ( Fran Burke and Lisa Hark ). Case 21 Pepper Hawthorne: A 19-year-old Caucasian woman with a stroke ( Scott Kasner ). Case 22 Alika Nkuutu: A 24-year-old African woman with sickle cell disease ( J. Eric Russell ). Case 23 Miguel Cortez: A 9-year-old Mexican boy with asthma ( Noel B. Rosales ). Case 24 Naomi Fulton: A 49-year-old African American woman with metabolic syndrome ( Gail Marion and Lisa Hark ). Case 25 Bobby Napier: A 68-year-old Caucasian Appalachian man with type 2 diabetes ( Elizabeth Lee-Rey, Sonia Crandall and Thomas A. Arcury ). Appendix 1: Positioning the Interpreter. Appendix 2: Kleinman's Explanatory Model of Illness. Multiple Choice Questions. Answers. Index.