Workshop A-10 Cultural competence training in a global context

Clinical Competence in a Globally Mobile World
Tuesday, March 12, 2013: 10:45 AM - 12:15 PM, OAK, OCC 210/11
The issue of medical disparities that result from globally mobile populations has been largely overlooked in discussions of racial and ethnic disparities in the U.S. Today, approximately one billion people traverse international borders each year. That number is expected to double in ten years. American medicine must adapt to the growing numbers of foreign immigrants, refugees, students, businesspeople and vacation travelers in the U.S. Modern air transportation enables persons from any virtually any point on the globe to reach your home town in less than 48 hours. In a global world, disease is no longer local.

Given this increasingly global context, providers must broaden their cultural competence as well as their medical skills and knowledge. In particular, providers must be able to recognize, diagnose and treat infections and diseases not often encountered in the U.S. over the past several decades. Further, clinicians must recognize that even common diseases may present or respond to therapy differently in persons with variable background. Clinical competency in a globally mobile world requires providers to constantly consider who their patients are (country of origin) and their past and recent travel history. It also requires that providers master a whole new set of clinical and cultural competencies.

Following a discussion of the trends/issues noted above by physicians who are experts in global medicine, we will demonstrate how to put these new clinical competencies into practice through a series of cross-cultural patient case studies. This demonstration will showcase a new e-learning program called Viewpoints: Clinical Competence in a Globally Mobile World. Viewpoints, whose development was sponsored by Wellpoint and developed by Critical Measures, is the first e-learning program in the U.S. (or the world for that matter) to simultaneously address issues of racial and ethnic disparities in healthcare, language access issues and medical disparities that result from globally mobile populations.

Viewpoints’ offers six interactive cross-cultural patient case studies. Although each patient has similar presenting symptoms (fever, flu-like condition) the correct differential diagnosis is radically different in each case. Further, each case requires providers to confront their own unconscious biases in interesting and challenging ways. All of the cases provide the very latest in interdisciplinary scholarship since each case offers medical/clinical, legal and cross-cultural advice from experts in each field. (That’s why the product is called Viewpoints…) Finally, given the growing emphasis on effective communication between patient and provider (from the CLAS standards, the Joint Commission and the NCQA), all six cases contain unique communication challenges that could negatively impact patient trust and the medical outcome of the case.

Our panel discussion will conclude with a representative from Wellpoint who will discuss how one of the nation’s leading healthplans intends to use the Viewpoints e-learning program to educate its network providers and address medical disparities that result from globally mobile populations.

Presentation Information:

Program: Main Conference Oral Presentations (concurrent workshops and peer-to-peers)
Primary Category: Culturally Competent Care
Subtopics: Clinical interactions, Continuing education/on-the-job learning, Patient safety

Region Addressed by Presentation: International
Organization: Other


David Hunt, JD , Critical Measures, LLC., Minneapolis, MN
    President and CEO
    Critical Measures, LLC.
    4627 Nicollet Avenue South
    Minneapolis MN, USA 55419

    Phone: 612-746-1375
    Email Address: dbhunt@criticalmeasures.net

    Biographical Sketch:
    David B. Hunt, J.D., is the President and CEO of Critical Measures, LLC, a nationally known management training and consulting firm specializing in cross-cultural healthcare. Mr. Hunt is a sought-after national speaker on issues of racial and ethnic disparities in health care and the legal aspects of providing culturally and linguistically appropriate care. In 2012, he was the lead presenter for the American Bar Association webinar on The Law of Language Access in Healthcare and the American Hospital Association's webinar on The New Science of Unconscious Bias. Critical Measures has created two new e-learning programs for medical professionals: Language Access and the Law in Healthcare and Viewpoints: Clinical Competence in a Globally Mobile World.

Grace Ting, MHA , Office of Health Equity, Cultural and Linguistics Program, Wellpoint, Thousand Oaks, CA
    Director, Health Services
    Wellpoint
    Office of Health Equity, Cultural and Linguistics Program
    Mailstop T101-E007
    Thousand Oaks CA, USA
    Phone: 805-557-4075
    Email Address: Grace.Ting@wellpoint.com

    Biographical Sketch:
    Grace H. Ting, MHA, is the Director, Health Services in the Office of Health Equity, Cultural and Linguistics Program for Wellpoint. Wellpoint is one the nation's largest health benefits companies with nearly 34 million members in its affiliated health plans and more than 62 million individuals served through its subsidiaries. Ms. Ting currently serves on the Steering Committee for the National Quality Forum's National Voluntary Consensus Standards for Healthcare Disparities and Cultural Competency and America's Health Insurance Plans' National Health Plan Collaborative to End Health Disparities. She is the Vice-Chair of the Health Disparities Workgroup Executive Committee at the Blue Cross Blue Shield Association.

Patricia Walker, M.D. , Department of Medicine, Division of Infectious Disease & International Health, University of Minnesota Medical School, Minneapolis, MN
    Assistant Professor
    University of Minnesota Medical School
    Department of Medicine, Division of Infectious Disease & International Health
    Minneapolis MN, USA
    Phone: 763-913-2164
    Email Address: pfwalker007@yahoo.com

    Biographical Sketch:
    Patricia F. Walker, M.D. is the founder and former Medical Director of HealthPartners Center for International Health. She is also a Doctor of Internal Medicine and Tropical and Travel Medicine for the HealthPartners Medical Group. Dr. Walker is an Assistant Professor in the Department of Medicine, Division of Infectious Disease and International Health at the University of Minnesota and one of the founders of the University's Global Health Pathways Program. Dr. Walker is the Co-Editor of Immigrant Medicine (Elsevier, 2007) the first international medical textbook on immigrant and refugee medicine.

William Stauffer, M.D. , Department of Medicin, Division of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, MN
    Associate Professor
    University of Minnesota Medical School
    Department of Medicin, Division of Infectious Diseases and International Medicine
    Minneapolis MN, USA
    Phone: 612-616-8707
    Email Address: stauf005@umn.edu

    Biographical Sketch:
    Dr. William M. Stauffer, M.D., is an Associate Professor at the University of Minnesota Medical School's Department of Medicine, Division of Infectious Diseases and International Health. He is one of the founders of the University's Global Health Pathways Program. Dr. Stauffer serves as a medical/technical expert for the Division of Global Migration and Quarantine at the Center for Disease Control and Prevention, National Center for Infectious Diseases in Atlanta, Georgia. As a technical advisor with CDC, Dr. Stauffer prepares and writes the international and domestic medical guidelines for refugee resettlement. The guidelines cover all major infectious disease issues (i.e., parasitic, HIV, STI's, TB, vaccine issues), environmental exposures (i.e., lead), nutritional and mental health issues.