Diversity and Inclusion in Quality Patient Care

1. Front Matter

   Pages i-xxvii

   PDF

2. Part I

   1. Front Matter

      Pages 1-1

      PDF

   2. Introduction

      • Marcus L. Martin, Sheryl Heron, Lisa Moreno-Walton, Michelle Strickland

      Pages 3-4

   3. The Inconvenient Truth About Unconscious Bias in the Health Professions

      • Laura Castillo-Page, Norma Iris Poll-Hunter, David A. Acosta, Malika Fair

      Pages 5-13

   4. Microaggressions

      • Jeffrey Druck, Marcia Perry, Sheryl Heron, Marcus L. Martin

      Pages 15-22

   5. Gender Bias: An Undesirable Challenge in Health Professions and Health Care

      • Vivian W. Pinn

      Pages 23-36

   6. A Global Perspective on Health Care

      • Lisa Moreno-Walton

      Pages 37-43

   7. Cultural Competence and the Deaf Patient

      • Jason M. Rotoli, Paolo Grenga, Trevor Halle, Rachel Nelson, Gloria Wink

      Pages 45-59

   8. Transgender

      • Adrian D. Daul

      Pages 61-67

   9. Unconscious Bias in Action

      • Bernard L. Lopez

      Pages 69-74

3. Part II

   1. Front Matter

      Pages 75-75

      PDF

   2. African-American Patient

      • Traci R. Trice

      Pages 77-83

   3. African-American Patient: Bias in Women’s Health

      • Mekbib Gemeda, Anthonia Ojo

      Pages 85-91

   4. Asian Patient

      • Simiao Li, Michael Gisondi

      Pages 93-96

   5. Native-American Patient

      • Xi Damrell, Kevin Ferguson

      Pages 97-102

   6. LGB Patient and Mental Health

      • Charlie Borowicz, John S. Rozel

      Pages 103-106

   7. Transgender Patient and Mental Health

      • Charlie Borowicz, John S. Rozel

      Pages 107-110

   8. Transgender Patient and Registration

      • Gabrielle Marzani, Esteban Cubillos-Torres

      Pages 111-117

   9. The Rastafarian Patient

      • Cynthia Price, Tanya Belle

      Pages 119-124

   10. Rastafarianism and Western Medicine

       • Heather Prendergast

       Pages 125-131

This new edition focuses on bias in health care and provides a variety of case examples related to the timely topics of unconscious bias and microaggressions encountered by patients, students, attending and resident physicians, nurses, staff, and advanced practice providers in various healthcare settings. The proliferation of literature on unconscious bias and microaggressions has raised public awareness around these concerns. This case compendium discusses strategies and addresses professional responses to bias in health care and extends beyond the individual patient and healthcare provider into the communities where biased assumptions and attitudes exist. Recognizing that ethnic minorities, the elderly, the poor, and persons with Medicaid coverage utilize the emergency department at higher rates than the general population, this compendium also builds upon the case studies from the first edition to cover a broader array of underserved minority groups. Diversity and Inclusion in Quality Patient Care: Your Story/Our Story – A Case-Based Compendium, 2nd Edition is an essential resource for attending and resident physicians, nurses, staff, advanced practice providers, and students in emergency medicine, primary care, and public health.

• Cultural competence in health care
• Diversity in patient care
• Emergency services for minority populations
• Inclusion in patient care
• LGBT patients
• Low-income patients
• Microaggressions
• Patients from minority populations
• Patients with disabilities
• Public health and cultural competence
• Transcultural patient services
• Unconscious bias

“A powerful narrative of voices, Your Story/Our Story should help all peopledoctors, nurses, patients, and our communities-understand and reflect on the role bias plays in our lives. Whether we are patients or providers, a must read for us to understand and bring forth solutions to create a healthy environment.” (Kenny Leon, Tony Award winning director and producer – True Colors Theatre Company)

“This sentinel book, edited by experts in the field, not only examines the damaging impact of unconscious bias on patient care, but on the professional development and effectiveness of healthcare professionals and trainees. The chapters in this book are ideal training cases and discussions relevant for medical education seminars and simulations. They supply not only realistic scenarios, but credible solutions for managing knowledge gaps and establishing equity in healthcare. A must read for practitioners, educators and consumers alike.” (Richard Carmona, M.D., M.P.H., F.A.C.S.; 17th Surgeon General of the United States, Distinguished Professor University of Arizona)

“As medical care becomes a global concern, the role of unconscious bias, cultural competency, and attitudes of inclusion becomes imperative for discussion in healthcare practice and education. This book takes several steps in raising awareness and proposing solutions that can lead to a decrease in the disparities we now see around the world. Access to care is more than just being able to get to the place where care is given. It means getting to the person who has the ability to understand the problem and the motivation to leverage the resources to fix it. For healthcare providers who want to be that person, this book is a tool towards getting there.” (Lee Wallis)

• Office for Diversity and Equity and Department of Emergency Medicine, University of Virginia, Charlottesville, USA

  Marcus L. Martin

• Department of Emergency Medicine, Emory University School of Medicine, Atlanta, USA

  Sheryl Heron

• Department of Medicine, Louisiana State University, New Orleans, USA

  Lisa Moreno-Walton

• Office for Diversity and Equity, University of Virginia, Charlottesville, USA

  Michelle Strickland

Marcus L. Martin, MD
Vice President and Chief Officer for Diversity and Equity


Professor of Emergency Medicine


University of Virginia




Sheryl Heron, MD, MPH


Professor and Vice Chair of Administrative Affairs in the Department of Emergency Medicine


Assistant Dean for Medical Education and Student Affairs on the Grady Campus


Associate Director of Education and Training for the Center Injury Prevention and Research Center at Emory (IPRCE)


Emory University




Lisa Moreno-Walton, MD, MS, MSCR 


Professor of Clinical Emergency Medicine


Director of Research—Emergency Medicine


Director of Diversity—Emergency Medicine


Louisiana State University Health Services Center


Clinical Associate Professor of Surgery


Tulane University School of Medicine




Michelle Strickland, MPA


Research Assistant 


Office for Diversity and Equity 


University of Virginia

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