Department of Pathology and Anatomy, Morehouse School of Medicine, Atlanta, Georgia, USA.
College of Education and Human Development, Georgia State University, Atlanta, Georgia, USA.
Clin Anat. 2021 Sep;34(6):899-909. doi: 10.1002/ca.23752. Epub 2021 May 28.
The anatomy curriculum is a place where professionalism can be learned and practiced, including training in cultural competence and communication skills for working with diverse populations. One population that has received little attention in terms of medical education are d/Deaf and hard of hearing (d/DHH) patients, although there is much evidence to support health care disparities in this population. Several major contributing factors include differing views of deafness between medical professionals and those who are culturally Deaf, a lack of understanding of Deaf culture and American Sign Language (ASL) by medical professionals, a lack of educational resources in ASL, and poor experiences in health care. To address this need, a Deaf Culture Applied Anatomy session was incorporated into the first-year curriculum at Morehouse School of Medicine while medical students were studying anatomy of the ear and hearing. Panelists, who were culturally Deaf, hard of hearing, and hearing children of deaf adults, shared their experiences in healthcare, including challenges they faced with communication and care. Surveys were provided to students before and after the panel session. Surveys indicated a lack of knowledge prior to this session, while also demonstrating that this 90-min session improved students' understanding of effective communication with future patients and issues related to deafness. Qualitative feedback also suggested that the students found the session to be personally and professionally beneficial. Implementing the Deaf Culture session was an effective means for introducing students to Deaf culture and working with d/DHH patients.
解剖学课程是一个可以学习和实践专业精神的地方，包括为与不同人群合作而进行的文化能力和沟通技巧培训。在医学教育中，有一个人群几乎没有得到关注，那就是聋哑和重听（d/DHH）患者，尽管有很多证据表明该人群存在医疗保健方面的差异。几个主要的促成因素包括医疗专业人员和文化上的聋人之间对耳聋的不同看法、医疗专业人员对聋人文化和美国手语（ASL）缺乏理解、ASL 教育资源的缺乏以及医疗保健方面的糟糕体验。为了解决这一需求，在莫尔豪斯医学院的一年级课程中纳入了聋人文化应用解剖学课程，同时学生们正在学习耳朵和听力的解剖学。聋人、重听和聋人成年子女的听力 panelist 分享了他们在医疗保健方面的经验，包括他们在沟通和护理方面面临的挑战。在小组会议之前和之后向学生提供了调查。调查表明，在此之前学生缺乏相关知识，同时也表明，这个 90 分钟的会议提高了学生对与未来患者有效沟通以及与耳聋相关问题的理解。定性反馈还表明，学生们发现该课程对他们的个人和职业发展都很有益。实施聋人文化课程是向学生介绍聋人文化和与 d/DHH 患者合作的有效手段。
