A set of behaviors and skills for working across cultures, but can promote stereotyping if treated as fixed knowledge.
2
What is the current gap in U.S. dental schools regarding cultural competency?
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No standardized cultural competency curriculum exists in U.S. dental schools, despite CODA requirements.
3
What is cultural humility?
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Cultural humility is a lifelong process that requires ongoing self-reflection and adaptation to provide compassionate, person-centered care to a diverse group of patients.
4
What are the next steps mentioned in the slide?
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The next steps include developing an introductory module on cultural humility for the first-year dental student and collaborating with committees to enhance the curriculum.
5
What is the difference between Cultural Competence and Cultural Humility?
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Cultural Competence refers to the ability to understand and effectively interact with people from different cultural backgrounds. Cultural Humility, on the other hand, is a lifelong process of self-reflection and openness to learning about one's own biases and the impact of cultural differences.
6
What does Patient-centered Care mean?
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Patient-centered Care is an approach to healthcare that focuses on meeting the needs of the patient, including their preferences, values, and preferences, and involves the patient in the decision-making process.
7
What is culture?
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A shared set of beliefs, values, customs, behaviors, and social norms.
8
How does culture influence patient interactions in dental care?
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It shapes how patients view oral health, their comfort with providers, decision-making around treatment, and communication styles.
9
What is Cultural Competence?
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A fixed set of knowledge and skills meant to help providers work with diverse populations.
10
What is Cultural Humility?
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A dynamic, lifelong process that involves ongoing self-awareness, openness, and a commitment to continual learning.
11
What is Cultural Competency?
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Definitive – assumed expertise can be achieved. Understanding cultural differences. Can lead to stereotyping. Does not consider other factors that might impact the nature of unique patient experiences.
12
What is Cultural Humility?
Show answer
Dynamic process allowing for continuous growth. Self-awareness and acknowledgement of personal biases. Open-mindedness. Recognition of power imbalances in oral healthcare. Life-long learning.
13
What is a cultural belief that could impact oral health?
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Cultural beliefs about oral hygiene practices, such as the belief that certain foods cause tooth decay or that certain rituals are necessary for dental health.
14
How might cultural beliefs affect oral health practices?
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Cultural beliefs can influence dietary habits, oral hygiene routines, and the perception of dental care, potentially leading to disparities in oral health outcomes.
15
What does patient-centered care emphasize?
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Patients play an active role in deciding their treatment.
16
How does person-centered care differ from patient-centered care?
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Person-centered care treats the patient in a more holistic manner, taking social aspects into account.
17
What is the purpose of the Break-out Question?
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To encourage students to reflect on their experiences with dental treatment and health care autonomy.
18
How might feeling a lack of say in dental treatment affect a patient's emotional state?
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It could lead to feelings of frustration, helplessness, or dissatisfaction.
19
What are Social Determinants of Health (SDOH)?
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SDOH are social, political, economic, and environmental factors that influence well-being and health outcomes.
20
List the four main categories of Social Determinants of Health (SDOH).
Show answer
Social, political, economic, and environmental factors.
21
What are the five domains of the Social Determinants of Health (SDOH)?
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Education access and quality, healthcare access and quality, neighborhood and built environment, social and community context, economic stability
22
What are the three levels of impact in the Social Determinants of Health framework?
What is the definition of Education Access and Quality?
Show answer
Opportunities for learning and skill development.
24
What are the dental implications of low health literacy?
Show answer
Poor oral hygiene and less use of dental services.
25
What is the definition of healthcare access and quality?
Show answer
The ability to access and receive timely and high-quality services.
26
What is a potential dental implication for rural patients?
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Lack of nearby dental clinics or transportation.
27
What is the definition of a neighborhood?
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Places where people are born, live, learn, work, play, and age.
28
What are the dental implications of limited access to healthy food or fluoridated water?
Show answer
Limited access to healthy food or fluoridated water.
29
What does the term 'social support networks' refer to in the context of dental health?
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Social support networks refer to the connections and relationships within a community that provide emotional, informational, and material support.
30
How can cultural beliefs impact the perceived importance of oral health?
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Cultural beliefs can significantly influence the perception of oral health importance, potentially affecting dental health practices and outcomes.
31
What is economic stability?
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Income, employment, and financial resources.
32
What are the dental implications of economic stability?
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Cost barriers to insurance and preventive care.
33
What is implicit bias in healthcare?
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Unconscious beliefs or attitudes held by healthcare professionals toward certain individuals or groups that can negatively impact their communication, divisions, or interactions with patients, leading to negative health outcomes and/or experiences.
34
How does implicit bias in healthcare manifest?
Show answer
It can negatively impact communication, divisions, or interactions with patients, leading to negative health outcomes and/or experiences.
35
What are the implications of implicit bias in dental care?
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Implicit bias can affect diagnosis, treatment decisions, and communication, potentially leading to inequitable care and poorer oral health outcomes for certain patient groups.
36
How might implicit bias impact patient communication in dental care?
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Some patients may receive simplified or limited explanations about their treatment due to assumptions that they will not understand.
37
What are the consequences of implicit bias in terms of treatment options?
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Others may not be offered certain treatment options because of biased assumptions about their ability to afford care.
38
What is Introspection?
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The process of examining one's own thoughts, feelings, and motives.
39
What is Mindfulness?
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The practice of being fully present and aware of one's thoughts, feelings, and surroundings.
40
What is Perspective-taking?
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The ability to understand and share the feelings of another person.
41
What is equality in the context of patient care?
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Treating all patients the same, regardless of their backgrounds, resources, or needs.
42
What is equity in the context of patient care?
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Recognizing that patients have different starting points and providing the specific resources, support, or accommodations they need to achieve the same outcome.
43
What is the difference between equality and equity in the context of dental care?
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Equality involves providing the same written post-operative instructions in English to all patients, while equity involves considering language barriers and literacy levels, and providing translated treatment plans and support from a professional interpreter.
44
What is a professional interpreter in the context of dental care?
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A professional interpreter is someone who can help patients with limited English proficiency fully understand their treatment options and make informed decisions.
45
What is cross-cultural communication?
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It involves understanding and navigating the cultural nuances, beliefs, values, and communication styles of individuals from diverse cultures using various models of communication.
46
What does cross-cultural communication aim to achieve?
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It aims to understand and navigate the cultural nuances, beliefs, values, and communication styles of individuals from diverse cultures.
47
What is the 7-38-55 rule in nonverbal communication?
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It states that 7% of communication is through words, 38% through tone of voice, and 55% through body language.
48
What is nonverbal communication?
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It refers to the use of gestures, facial expressions, posture, and other physical cues to convey meaning.
49
What does crossing arms and legs signal?
Show answer
Resistance
50
How does real smiles crinkle the eyes?
Show answer
Real smiles crinkle the eyes.
51
What does copying body language (mirroring) help create?
Show answer
A bond
52
What are the three communication skills mentioned in the slide?
Show answer
Eye contact, smile, touch; Acknowledge feelings; Be objective third party
53
What does it mean to be an objective third party in communication?
Show answer
It means to remain neutral and unbiased while communicating, focusing on the facts and not personal opinions.
54
What is the importance of cultural understanding in dental care?
Show answer
Cultural understanding is essential for person-centered care and building trust with diverse populations.
55
How does nonverbal communication vary across cultures and what are some examples?
Show answer
Nonverbal cues vary across cultures, including facial expressions, eye contact, and gestures.
56
What is the requirement for professional interpreters in dental care?
Show answer
Professional interpreters are required by Title VI of the Civil Rights Act to ensure patients fully understand diagnoses and treatment plans.
57
What is the phone number to dial for translation services over the phone?
Show answer
1-800-481-3293
58
What is the account number required to access translation services over the phone?
Show answer
501037211
59
What is the website to access translation services over video?
Show answer
https://video.cyracom.com/
60
What is the principle of Autonomy in dental ethics?
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The dentist has a duty to respect the patient's rights to self-determination and confidentiality.
61
What is the principle of Nonmaleficence in dental ethics?
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The dentist has a duty to refrain from harming the patient.
62
What is the principle of Beneficence in dental ethics?
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The dentist has a duty to promote the patient's welfare.
63
What is the principle of Justice in dental ethics?
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The dentist has a duty to treat people fairly.
64
What is the principle of Veracity in dental ethics?
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The dentist has a duty to communicate truthfully.
65
What does the principle of Autonomy in dentistry entail?
Show answer
Respect cultural values in decision-making and ensure informed consent is clear and culturally appropriate.
66
What is the principle of Nonmaleficence in dentistry?
Show answer
Avoid harm by recognizing and addressing cultural misunderstandings or biases.
67
What does the principle of Beneficence in dentistry require?
Show answer
Provide care that aligns with the patient's cultural beliefs and promotes their well-being.
68
What is cultural humility?
Show answer
Cultural humility is an approach to care that involves recognizing one's own biases and limitations, and being open to learning from patients and their cultural backgrounds.
69
What does effective communication entail in patient care?
Show answer
Effective communication involves understanding patients' backgrounds and needs, which helps in providing equitable, respectful, and transparent care.
70
What is the importance of lifelong learning in the context of patient care?
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Lifelong learning is crucial for addressing knowledge gaps and growing professionally, ensuring that healthcare providers can provide the best care possible.
71
What is the acronym SDOH and what does it stand for?
Show answer
SDOH stands for Social Determinants of Health.
72
What are the eight tactics mentioned for identifying and reducing implicit biases?
Show answer
The eight tactics are not explicitly listed in the slide, but they are mentioned as a topic for discussion.
73
What is the chief complaint of the patient KT?
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KT's chief complaint is that her lower right tooth has been in throbbing pain for the past three days.
74
What are the clinical findings for tooth #30?
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The clinical findings for tooth #30 include a large existing amalgam restoration with recurrent caries, a parulis associated with #30, and an endo ice test showing lingering pain compared to adjacent teeth.
75
What is the proposed treatment for tooth #30?
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The proposed treatment for tooth #30 is emergency pulpotomy.
76
What is the chief complaint of the patient in Case 2?
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The patient has multiple broken teeth that are painful and his mouth has recently started to smell.
77
What is the patient's medical history?
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The patient smokes tobacco, 1 pack per day for 40 years.
78
What is the patient's dental history?
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The patient has not seen the dentist in over 10 years due to lack of insurance and dislike for the dentist.
79
What is the patient's chief complaint?
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The patient states that she was told by her previous dentist that she needed her upper left molar extracted and wants an implant to replace it.
80
What is the patient's dental history?
Show answer
The patient has consistent prophylactic dental care.