Chapter 19. Alice Gregory: A 71-Year-Old African American Woman with Aortic Stenosis

  1. Lisa Hark PhD, RD Consultant2 and
  2. Horace DeLisser MD Associate Professor Assistant Dean3
  1. Susan E. Wiegers MD Professor1 and
  2. Horace DeLisser MD Associate Professor Assistant Dean3

Published Online: 27 APR 2009

DOI: 10.1002/9781444311686.ch19

Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals

How to Cite

Wiegers, S. E. and DeLisser, H. (2009) Alice Gregory: A 71-Year-Old African American Woman with Aortic Stenosis, in Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals (eds L. Hark and H. DeLisser), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444311686.ch19

Editor Information

  1. 2

    Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA

  2. 3

    Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

Author Information

  1. 1

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  2. 3

    Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

Publication History

  1. Published Online: 27 APR 2009
  2. Published Print: 10 APR 2009

ISBN Information

Print ISBN: 9781405180726

Online ISBN: 9781444311686

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Keywords:

  • African American woman with aortic stenosis;
  • an echocardiogram (ECG) after primary care provider (PCP) noting a loud systolic murmur;
  • desire to avoid a racist physician and racism;
  • race/ethnicity concordance in patient–physician relationship;
  • therapeutic relationship - honest, authentic, yet respectful and tactful

Summary

This chapter contains sections titled:

  • Why might Mrs. Gregory have asked this question?

  • Why might Dr. Nueyang have been angered or hurt by Mrs. Gregory's question?

  • How should Dr. Nueyang have responded to Mrs. Gregory's questions?

  • Should the patient's request be honored, particularly if it might reflect a bias or prejudice on the part of the patient?

  • References