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