TEACHING COMPETENCE FOR DEALING WITH PATIENTS FROM DIFFERENT ETHNIC BACKGROUNDS

1. TEACHING COMPETENCE FOR DEALING WITH PATIENTS FROM DIFFERENT ETHNIC BACKGROUNDS FAMOUS GROUP 5 AN EUROCAT WORKSHOP

2. AUTHORS • Nena Kopčavar Guček • Janos Szabo • Mirjam Zemljak • Darko Taseski • Tadeja Čerin • Igor Švab • Olivera Batić – Mujanović • Serdar Gurel • Haviva Calo

3. AIM OF THE PRESENTATION • To develop a perfectly multicultural course

4. AIM OF THE MODULE • At the end of the module, the learners will be able to deal with ethnic groups in general practice

5. Target group • Trainees in general practice

6. Learning objectives At the end of this course, the learner will know Culture • History of the patient’s culture • Habits, related to health beliefs • Educational level in culture • Sociodemographic characteristics • Tradition and religion • Structure of society and family • Expressing emotions and illness • Pathology and genetics • Family role, gender role • Nutrition • Specific surgical and diagnostic procedures

7. Learning objectives At the end of this course, the learner will know Communication • Common knowledge about communication • Specifics: • Language • Verbal expressions and sayings • Nonverbal expressions, specific for culture • Use of interpreters • Chaperones

8. Learning objectives At the end of this course, the learner will know Law, rules and ethics • Human rights • Rights of refugees • Legal requirements • Insurance and payment rights • Ethical obligations of medical profession

9. Learning objectives At the end of the course, the learner will be able to demonstrate the following communication skills Requirements • Open mindedness • Sensitivity • Patience Modification of basic communication skills • Establishing rapport • Recognition of problem • Examining and asking • Explaining • Reaching conclusion Specific skills • Interpreters • Chaperones • Home visits

10. Learning objectives At the end of the course, the learner will be able to demonstrate the following medical skills, specific for the culture • Specific surgical and diagnostic procedures • Adaptation of established surgical and diagnostic procedures (presence of spouse during examination, head cover etc.)

11. Learning objectives At the end of the course, the learner will be able to demonstrate the following management skills • Modifications of time and appointment system • Use of adequate personnel • Sensitising the team • Guidelines • Leaflets • Other health care providers • Other services (social etc.)

12. Learning objectives At the end of the module, the learner will adopt the following attitudes in practice • Modesty • Willingness to learn • To value and accept diversity in dietary habits • Tolerance • Non-prejudice

13. METHODS The module will be divided in three sessions • Introduction to the topic • Work in practice • Conclusion A total of 30 participants can attend one module. They will later be divided in smaller groups of 10 for small group work. Every trainee has his/her trainer in practice. The social programme forms an integral part of the module and should not be modified.

14. VENUE • Brussels, Belgium (exact venue to be decided, possibly in one of the EU buildings)

15. INTRODUCTION Part 1 • Keynote 1: Manfred Maier: Introduction to medical anthropology (30 minutes) • Keynote 2: Carla del Ponte: Legal and ethical aspects of working with different ethnical groups (20 minutes) • Keynote 3: Oprah Winfrey: Specific communication issues (15 minutes) • Coffee break without snakes from caffe Florian, Venice, Italy

16. INTRODUCTION Part 2 • Small group work 1: Brainstorming session: experiences from practice (problems and successes) (45 minutes) • Small group work 2: Communication skills training (roleplay) (60 minutes) • Coffee break and snakes from caffe Demel, Vienna

17. INTRODUCTION Part 3 • Small group work 3: Communication skills training (simulated patient Nelson Mandela) (60 minutes) • Plenary: tasks and conclusion of session (10 minutes) • High cholesterol lunch (McDonalds or Burger King or KFC*) *Potential sponsors

18. WORK IN PRACTICE: FIELD VISIT • Field visit to a physician working with patients from different ethnic groups (e.g. refugee camp, specific practices), followed by • Dinner from csarda Pirospaprika, Budapest

19. TASKS IN PRACTICE (3 MONTHS): • Work in practice under supervision • Home visit of a patient from another culture and case report • Video of 3-5 consultations • Analysis of complaints • Organising a team meeting • Preparing practice guidelines • Preparing leaflets for patient information

20. CONCLUSION PART 1 • Plenary (10 minutes) Steven Spielberg : Organising roleplays and videos • Group work 1: Analysis of a selected video(s). Contributions from Sharon Stone, Catherine Zeta Jones, Halle Berry, Antonio Banderas (90 minutes) • Coffee break with ethnically acceptable snakes (no pork, fish without fins or beef, cats, dogs, snails, frogs, horses etc..) and Lewinsky cigars

21. CONCLUSION PART 2 • Group work 2: exchange of leaflets and guidelines (60 minutes) • Plenary: what new problems have you identified and how you will improve your practice? Arnold Schwarzenegger (intellectual solutions), Bill Gates (practical approaches and feasibility) (60 minutes) • Assessment of the course by the participants • Photo session, hosted by Playboy, Penthouse and Men’s health • Farewell lunch from Činar restaurant/Kusadasi

22. MANAGEMENT OF THE COURSE • Course directors’ meeting (60 minutes) • Post course slow food from Morića han, Sarajevo (360 minutes) • Dance until morning

23. ACKNOWLEDGEMENTS • EUROCAT course directors • Slovenian food for maintaining blood glucose levels • Radgonska klet for champagne, which enlightened our discussions • Politicians for ideas • Beautiful women for inspiration • Handsome men for the same

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