Hello. Thank you to everyone who replied with helpful information on
physician diversity training. I would like to share 2 resources that were
kindly suggested to me:


*       Primary care resident, faculty and patient views of barriers to
cultural competence, and the skills needed to overcome them. Authors are
Shapiro, Hollingshead and Morrison in Medical Education , 2002, vol. 36
pp.749-759.

*       A critique of the book The Spirit Catches You and You Fall Down
entitled   The Story Catches You and you Fall Down: Tragedy, Ethnography and
"Cultural Competence"  by Janelle S. Taylor,  Medical Anthropology Quarterly
Vol. 17 No. 2, June 2003

Thanks. Marylin


Marylin Kanee
Diversity and Human Rights Advisor
Room 1536, Mount Sinai Hospital
(416)586-4722



-----Original Message-----
From: Kyle Kinner [mailto:[log in to unmask]]
Sent: June 21, 2004 9:47 AM
To: [log in to unmask]
Subject: Re: [SDOH] Kanne Marilyn Re:



Another excellent book, both from the perspective of medical anthropology as
well as the issue of medicine as a tool of social justice:



Mountains Beyond Mountains: Healing the World: The Quest of Dr. Paul Farmer
by Tracy
<http://www.amazon.com/exec/obidos/search-handle-url/index=books&field-autho
r=Kidder%2C%20Tracy/103-1073224-4339053> Kidder



amzn_reviewsEditorial Reviews

BM_03755061607299From Publishers Weekly
In this excellent work, Pulitzer Prize-winner Kidder (The Soul of a New
Machine) immerses himself in and beautifully explores the rich drama that
exists in the life of Dr. Paul Farmer. A Massachusetts native who has been
working in Haiti since 1982, Farmer founded Zanmi Lasante (Creole for
Partners in Health), a nongovernmental organization that is the only
health-care provider for hundreds of thousands of peasant farmers in the
Plateau Central. He did this while juggling work in Haiti and study at the
Harvard Medical School. (Farmer received his M.D. and a Ph.D. in
anthropology simultaneously in 1990.) During his work in Haiti, Farmer
pioneered a community-based treatment method for patients with tuberculosis
that, Kidder explains, has had better clinical outcomes than those in U.S.
inner cities. For this work, Farmer was recognized in 1993 with a MacArthur
Foundation "genius grant," all of which he donated to Zanmi Lasante. Using
interviews with family members and various friends and associates, Kidder
provides a sympathetic account of Farmer's early life, from his
idiosyncratic family to his early days in Haiti. Kidder also recounts his
time with Farmer as he travels to Moscow; Lima, Peru; Boston; and other
cities where Farmer relentlessly seeks funding and educates people about the
hard conditions in Haiti. Throughout, Kidder captures the almost saintly
effect Farmer has on those whom he treats.
Copyright 2003 Reed Business Information, Inc.




  _____


From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Dockter, Nancy E
Sent: Monday, June 21, 2004 9:35 AM
To: [log in to unmask]
Subject: Re: [SDOH] Kanne Marilyn Re: [SDOH] help with physician training



Ditto re: Fadiman's booK, The Spirit Catches You and You Fall Down - just
finished reading it - can't say enough good things about it. Her balanced,
compassionate, well-researched work about the collision of two cultures -
that of the Hmong and that of Western medicine - is an outstanding,
enlightening book.

She references the work of Arthur Kleiman's work.

Nancy Dockter




  _____


From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Carlos Vassaux
Sent: Saturday, June 19, 2004 4:43 PM
To: [log in to unmask]
Subject: [SDOH] Kanne Marilyn Re: [SDOH] help with physician training



Anne Fadiman's book:



"The spirit catches you and you fall down - A MONG CHILD, HER AMERICAN
DOCTORS AND THE COLLISION OF TWO CULTURES"

Farrae, Straus and Giroux, NY. 1997  ISBN 0-374-52564-1



is a most  to understand the importance of social culture and beliefs in
health isues.



Carlos Vassaux, M.D. Guatemala

----- Original Message -----

From: Kanee,  <mailto:[log in to unmask]> Marylin

To: [log in to unmask] <mailto:[log in to unmask]>

Sent: Friday, June 18, 2004 10:37 AM

Subject: [SDOH] help with physician training



Hi. Does anyone know of evidence that individual lack of competence in
diversity & cultural competency in health care professionals (particularly
physicians) leads to poor health outcomes for groups?



Is anyone familiar with  successful models of physician training on cultural
competency and diversity?



We would be happy to share the findings on both of these topics. Thanks.
Marylin



Marylin Kanee
Diversity and Human Rights Advisor
Mount Sinai Hospital
600 University Ave.
Toronto, On.
M5G 1X5
416 586-4722