Main description:

No other hospital department cares for patients as diverse as those who come to the Emergency Department (ED). These patients encompass all stages and positions of life and health. Many belong to distinct minority cultures defined by the patient's sexual orientation and gender identity, disability, spirituality, language, race, and ethnicity. It has been well documented that minorities experience inadequate emergency treatment and face poorer healthcare outcomes. Furthermore, research has established that the elderly, ethnic minorities, the poor, and persons with Medicaid coverage are more likely than other people to utilize the emergency department rather than primary care services. With the passage of the Affordable Care Act, particularly the Medicaid expansion, EDs across the United States are poised to care for an unprecedented number of underserved minorities. The need to equip emergency healthcare professionals to practice medicine that is culturally competent in the broadest possible sense has never been greater. Diversity and Inclusion in Quality Patient Care aims to fill this need.

The editors and contributing authors have extensive backgrounds in emergency medicine, both in clinical and academic settings. The editors have held leadership positions related to emergency medicine and diversity in the healthcare setting. A curriculum on diversity and inclusion in quality patient care cannot be a “one size fits all” for every medical school, nursing school, res

idency, PA or NP program. Therefore, health care educators can utilize this book as a resource to extract educational material specific for their programmatic and teaching needs.

Feature:

First textbook dedicated to the ideas of cultural competency and diversity in emergency medicine with a focus on quality of patient care
Case studies illustrate cross-cultural tools and language consistent with the ACGME Next Accreditation System milestones
Discusses the sensitive treatment of diverse cultures of sexual orientation and identity, language barriers, disability, race, and ethnicity 
Addresses the physical and psychosocial components of quality care for disabled persons

Back cover:

No other hospital department cares for patients as diverse as those who come to the Emergency Department (ED). These patients encompass all stages and positions of life and health. Many belong to distinct minority cultures defined by the patient's sexual orientation and gender identity, disability, spirituality, language, race, and ethnicity. It has been well documented that minorities experience inadequate emergency treatment and face poorer healthcare outcomes. Furthermore, research has established that the elderly, ethnic minorities, the poor, and persons with Medicaid coverage are more likely than other people to utilize the emergency department rather than primary care services. With the passage of the Affordable Care Act, particularly the Medicaid expansion, EDs across the United States are poised to care for an unprecedented number of underserved minorities. The need to equip emergency healthcare professionals to practice medicine that is culturally competent in the broadest possible sense has never been greater. Diversity and Inclusion in Quality Patient Care aims to fill this need.

One of the intrinsic beauties that drew many of us to Emergency Medicine was the privilege of being able to take care of anyone who came through our doors. As the fabric of our society has become more diverse the challenge of delivering on that promise has become more complex. This textbook helps us to continue to deliver on the promise to ou

r patients that they will not only receive the best medical care possible but in a culturally sensitive and informed manner. This is a must read for Emergency Medicine practitioners of all ages and should be required reading for every medical student.

Wallace A. Carter, MD
Program Director, Emergency Medicine Residency
New York Presbyterian

Contents:

Chapter 1

Defining Diversity in Quality Care

Marc A. Nivet, EdD, MBA and Malika Fair, MD, MPH

 

Chapter 2

Racial/Ethnic Healthcare Disparities and Inequities: Historical Perspectives

Savoy Brummer MD, FACEP, Iris Reyes, MD, Marcus L. Martin, MD, Leslie Uldine Walker, BA, and Sheryl L. Heron, MD MPH

 

Chapter 3

Educating Medical Professionals to Deliver Quality Health Care to Diverse Patient Populations

Marcus L. Martin, MD, Sheryl L. Heron, MD, MPH, Lisa Moreno-Walton, MD, MS, MSCR, Leslie Uldine Walker, BA, Anna Walker Jones, BA

 

Chapter 4

Culturally Competent Faculty

Georges Ramalanjaona, MD, DSc, MBA and Marcus L. Martin, MD

 

Chapter 5
Culturally Sensitive Care: A Review of Models & Educational Methods

Antoine Leflore, MD, Susan Sawning, MSSW, Cherri Hobgood, BA, MD

 

Chapter 6

Interpreter Services

Yu-Feng Yvonne Chan, MD, Kumar Alagappan, MD, FACEP, FAAEM, FIFEM, Saadiyah Bilal, MD, Jan Hargrave, BS, MS, Suzanne Bentley, MD, MPH, and Marcus L. Martin, MD

 

Chapter 7

The Patient-Physician Clinical Encounter

Thea James, MD

 

Chapter 8

Spiritual Care Services in Emergency Medicine

Mildred M. Best, MDiv, MSS, BCC, Swami Sarvaananda PhD, BCC, Jamela M. Martin, MS, BSN, PhD, Pamela Gayle White and Marcus L. Martin, M

D

 

Chapter 9

Lesbian, Gay, or Bisexual (LGB): Caring with Quality and Compassion

Joel Moll, MD and Paul Krieger, MD

 

Chapter 10

Culturally Competent Care of the Transgender Patient

Brandy Panunti, MD

 

Chapter 11

Looking Past Labels: Effective Care of the Psychiatric Patient

Leslie S. Zun, MD, MBA and John S. Rozel, MD, MSL

 

Chapter 12

Disability and

Access

Anne Beth Smith, MBChB, FCEM(SA), Mmed

 

Chapter 13

Racial and Ethnic Disparities in the Emergency Department: A Public Health Perspective
Edward Stettner, MD, Leon L. Haley Jr., MD, MHSA, CPE, and Sheryl L. Heron, MD, MPH

 

Chapter 14

Vulnerable Populations: The Homeless and Incarcerated

Ava Pierce, MD

 

Chapter 15

Vulnerable Populations: The Elderly

Anne Beth Smith, MBChB, FCEM(SA), Mmed

 

Chapter 16

Vulnerable Populations: Children

Kevin L. Ferguson, MD, FACEP, John S. Misdary, MD, FACEP, Alex R. Diaz, BS, OMS-4, and Darcy Mainville, BS, MS-4

 

Chapter 17

Religio-cultural Consideration When Providing Healthcare to American Muslims

Ugo A. Ezenkwele, MD, MPH, Gholamreza Sadeghipour Roodsari, MD, MPH, and Aasim I. Padela, MD, MSc

 

Chapter 18

Disparities an

d Diver

sity in Biomedical Research

Lynne Holden, MD and Lynne D. Richardson, MD

 

Section II: Case Studies

 

Chapter 19

Cultural Competency Case Studies: Transitional Introduction

Marcus L. Martin, MD

Chapter 20

Case 1: African-American Infant and Family

Sheryl L. Heron, MD, MPH, Lynne D. Richardson, MD

 

Chapter 21

Case 2: Cambodian Refugee

Erika Phindile Chowa, BA, MD and Christian Arbelaez, MD, MPH

 

Chapter 22

Case 3: Sickle Cell Crisis

Bernard L. Lopez, MD, MS, Heather Hollowell Davis, MD, Traci R. Trice, MD, Leigh-Ann Jones Webb, MD and Marcus L. Martin, MD

 

Chapter 23

Case 4: Mongolian Spots

Heather Hollowell Davis, MD, Leigh-Ann Jones Webb, MD and Marcus L. Martin, MD

 

Chapter 24

Case 5: Death Disclosure

Tammie E. Quest, MD

 

Chapter 25

Case 6: Coin Rubbing

Matthew M. Leonard, MD, Bryant Cameron Webb, MD, JD, Adetolu Olufunmilayo Oyewo, MD, and Marcus L. Martin, MD

 

Chapter 26

Case 7: Toxic Ingestion

Claire U. Plautz, MD and Marcus L. Martin, MD

 

Chapter 27

Case 8: Adolescent Indian Male Sikh

Sybil Zachariah, MD and Swaminatha V. Mahadevan, MD

 

Chapter 28

Case 9: Intimate Partner Violence in the Gay Community <

Simiao L

i, MD, MS, Jason Liebzeit, MD and Michael A. Gisondi, MD

 

Chapter 29

Case 10: West Indian/Caribbean

Heather M. Prendergast, MD, MS, MPH

 

Chapter 30

Case 11: American Indian

Diane Rimple, MD

 

Chapter 31

Case 12: Spiritualism in the Latino Community

Lisa Moreno-Walton MD, MS, MSCR, Marcus L. Martin MD, Leslie Uldine Walker, BA, Ruth E. Wong-Perez, MD, and Janene Hecker Klein, MD

Chapter 32

Case 13: Islamic Patient

Tareq A. Al-Salamah, MBBS, MPH and Lisa Moreno-Walton, MD, MS, MSCR

 

Chapter 33

Case 14: Pediatric Pain

Kevin L. Ferguson, MD, FACEP and Alex R. Diaz, BS, OMS-4