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DO - Ohio University College of Osteopathic Medicine

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theme through the COE’s newly developed certificate<br />

program in intercultural communication at OU-COM.<br />

As warm and welcoming as this sounds, Orbe’s program is<br />

no feel-good affirmation fest. In fact, it can be downright<br />

uncomfortable. Participants must critically examine their<br />

own cultural identities, assumptions and biases; learn to<br />

implement communication principles and practice negotiating<br />

patients’ culturally based beliefs about medical care through<br />

simulated interviews.<br />

“This is not cultural sensitivity training. This is about developing<br />

strong communication skills so you get the most meaningful,<br />

productive exchange out <strong>of</strong> a 15-20 minute meeting with a<br />

patient,” Orbe says.<br />

Developing this dynamic series was a team effort. Burnett,<br />

Ann Brieck, associate director <strong>of</strong> student affairs, and Harold<br />

C. Thompson III, D.O., director <strong>of</strong> multicultural affairs, worked<br />

with Orbe to develop the OU-COM certificate program in<br />

intercultural communications, funded by a federal Health and<br />

Human Services Center <strong>of</strong> Excellence grant.<br />

“Cultural training is growing because <strong>of</strong> the demand <strong>of</strong> students,”<br />

Thompson says. “Our world is changing, and students<br />

understand the need to grasp it. We want to provide them<br />

with more practice inside and outside <strong>of</strong> the classroom.”<br />

Mindful approach<br />

As a biracial, first-generation college student, Orbe was drawn<br />

to the cultural aspects <strong>of</strong> communication. After earning his<br />

bachelor’s degree at <strong>Ohio</strong> <strong>University</strong>, he returned for a doctorate,<br />

also in communication studies, during which time his wife gave<br />

birth to their first child at O’Bleness Hospital. He now teaches<br />

intercultural communication at Western Michigan <strong>University</strong>.<br />

“There’s an inextricable relationship between culture and<br />

communication,” he says. “I explore ways in which that<br />

relationship manifests.”<br />

Orbe led his first OU-COM seminar, called “Physician-Patient<br />

Communication in a Multicultural Society,” during winter<br />

quarter 2006. Participants met twice, for a total <strong>of</strong> nine<br />

hours. They earned two academic credits and were given an<br />

overview <strong>of</strong> basic communication concepts and theories<br />

and how they relate to practical medical settings.<br />

“In terms <strong>of</strong> health-care communication, what you say and<br />

how you say it leads to different interpretations among<br />

different people,” says Becky Teagarden, a second-year<br />

medical student who attended this first seminar.<br />

In addition to differing disease propensities across cultural<br />

groups, there are differences in healing methods. Many<br />

groups trust traditional remedies—such as indigenous herbs<br />

and healing rituals—to Western medicine. Cultures can also<br />

express differences in their radius <strong>of</strong> personal space or level<br />

<strong>of</strong> family involvement in decision-making.<br />

Such cultural tips can be helpful, but it’s impossible to<br />

memorize the genetic predispositions, medical practices and<br />

social etiquette <strong>of</strong> every culture. The trick, according to<br />

Orbe, is to ask probing questions and cultivate mindfulness.<br />

michaeldibari.com<br />

From left, first-year students Nicholas Niemiec, Michael Finamore, Aaron Wolk<strong>of</strong>f, Ismail Oshogwemoh, Brett Buller, Jason<br />

Lane, and Baldassare Pipitone toss a ball <strong>of</strong> yarn to create a network <strong>of</strong> gratitude, admiration, appreciation and humanity as<br />

the seminar draws to a close.<br />

16 www.oucom.ohio.edu

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