Respecting Differences: Dermatology in a Diverse Society
In most of the Western world, we find ourselves living in an increasingly multicultural society. As a result, encounters between ethnically, racially, culturally, and religiously diverse patients and healthcare providers have become commonplace in all areas of medicine, dermatology being no exception. This chapter explores the ethical and professional issues that can arise from the practice of dermatology in today’s diverse society and also addresses the ethical and professional obligations of the dermatologist in these sensitive, difficult to handle, and often tension-provoking situations. The importance of cultural competence in dermatology training and practice as it relates to the core requirements is discussed.
KeywordsAmerican Medical Association Cultural Competence Limited English Proficiency Moral Objection Professional Obligation
- 1.Agency for Healthcare Research and Quality. National healthcare disparities report. Rockville: U.S. Department of Health and Human Services; 2004.Google Scholar
- 3.Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington: National Academic Press; 2003.Google Scholar
- 4.Health Canada. Certain circumstances – issues in equity and responsiveness in access to health care in Canada. http://www.hc-sc.gc.ca/hcs-sss/pubs/acces/2001-certain-equit-acces/index-eng.php. Accessed 15 Apr 2010.
- 19.Canadian Medical Association. CMA Code of Ethics. 2004 [cited April 15, 2010]. http://policybase.cma.ca/PolicyPDF/PD04-06.pdf.
- 20.American Medical Association Code of Medical Ethics. Principles of Medical Ethics. 2001. [cited April 15, 2010]. http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-medical-ethics.shtml.
- 21.American Medical Association Code of Medical Ethics. Opinion 9.12 – Patient-Physician Relationship: Respect for Law and Human Rights. 2008. [cited April 15, 2010]. http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion912.shtml.
- 22.Council on Ethics and Judicial Affairs of the American Medical Association. CEJA report 4-A-00 potential patients: ethical considerations. 2000 [cited April 15, 2010]. http://www.ama-assn.org/ama1/pub/upload/mm/369/ceja_4a00.pdf.
- 26.The Office of Minority Health. National standards for culturally and linguistically appropriate health care: final report. Washington: U.S. Department of Health and Human Services; 2001.Google Scholar
- 27.The American Board of Dermatology, Inc. ABMS/ACGME core competencies in Dermatology. http://www.abderm.org/residency/definition.html. Accessed 6 Sept 2010.
- 28.Royal College of Physicians and Surgeons of Canada. Objectives of training in Dermatology. 2009 [cited September 6, 2010]. http://rcpsc.medical.org/residency/certification/objectives/derm_e.pdf.
- 32.Council on Ethics and Judicial Affairs of the American Medical Association. CEJA report 6-A-07 physician objection to treatment and individual patient discrimination. 2007 [cited April 15, 2010]. http://www.ama-assn.org/ama1/pub/upload/mm/369/ceja_6a07.pdf.
- 33.American Medical Association Code of Medical Ethics. Opinion 9.06 – free choice. 1977 [cited June 15, 2010]. http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion906.shtml.
- 38.American Medical News. Making sure your patients know what you’re saying. 2009 [cited June 22, 2010]. http://www.ama-assn.org/amednews/2009/04/20/prsa0420.htm.
- 39.American Medical News. How to handle a prejudiced patient. 2008 [cited June 22, 2010]. http://www.ama-assn.org/amednews/2008/03/03/prca0303.htm.