Material Detail

This 4-phase educational module can be offered either within a cultural competency curriculum, gastroenterology sequence, or a physical diagnosis curriculum. This case has been used for the past 3 years as part of a 2nd year clinical foundations course in undergraduate medical education. The overall objective of the case is to demonstrate the importance of social history taking skills within the clinical context. Moreover, it emphasizes the important aspects of culture for both patients and physicians. This case also allows students to work through a case in a small group setting, which allows faculty to better assess student's diagnostic ability as well as their ability to understand the critical nature of a patient's history in obtaining the correct diagnosis. Finally, this case exposes students to culturally specific terms, traditions and manifestations of illness.

During this case, students work to define the concept of "culture" and how it can be ascertained during the social history. However, more importantly we encourage students to be confronted with the reality of the importance of culture in the patient-physician interaction. This session concentrates on key areas of the medical history and more specifically the social history, how culture can shape the differential diagnosis, and the importance culture has in the patient's perception of their illness.

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