Bellwork An athletic trainer is treating a soccer player for a significant ankle injury. When asked how the injury occurred, the athlete does not respond. The AT becomes uncomfortable with the silence and repeats the question. After a very long pause, the athlete finally answers that he hurt his ankle while getting off of a bus. Why do you think the athlete took so long to respond to the question? What could the AT do to ensure that the athlete feels comfortable in responding to future questions?

6/1/2018 Sports Medicine Cultural Competence

Purpose of Today’s Lesson 6/1/2018 Purpose of Today’s Lesson Athletic trainers shall respect the rights, welfare and dignity of all individuals. In order to respect others, it is important to communicate with them. Miscommunication, whether verbal or non-verbal, can lead to inappropriate diagnosis and/or treatment of an athletic injury.

Objectives Define cultural competence. 6/1/2018 Objectives Define cultural competence. Identify methods of verbal communication. Identify methods of non-verbal communication. Identify other differences which exist between cultures.

Cultural competence Terminology 6/1/2018 Terminology Cultural competence an awareness of belief and values between cultures

PROPERTY OF PIMA COUNTY JTED, 2010 How could we help a new student feel comfortable when he/she comes into the class for the first time halfway through the school year? 2. Whiteboards/Slates student writes answer or solution to a question posed by the teacher teacher solicits all students to show at the same time teacher gives feedback to the students PROPERTY OF PIMA COUNTY JTED, 2010

PROPERTY OF PIMA COUNTY JTED, 2010 Think-Pair-Share Think of an experience when you heard a foreign language and could not understand what was being said. Share with your partner. 3. Think-pair-share teacher presents a question teacher gives wait time for student to form answer teacher instructs students to share their answer with a partner teacher calls on non-volunteers to share with the class PROPERTY OF PIMA COUNTY JTED, 2010

Call them by name & pronounce his/her name correctly 6/1/2018 Verbal Communication Greet the person Call them by name & pronounce his/her name correctly Determine the person’s language and level of English proficiency (speaking, reading and writing)

Bellwork Recap 6/1/2018 An athletic trainer is treating a soccer player for a significant ankle injury. When asked how the injury occurred, the athlete does not respond. The AT becomes uncomfortable with the silence and repeats the question. After a very long pause, the athlete finally answers that he hurt his ankle while getting off of a bus. Why do you think the athlete took so long to respond to the question? What could the AT do to ensure that the athlete feels comfortable in responding to future questions?

6/1/2018 Bellwork Answers The injured soccer athlete in the bellwork slide was a native Spanish-speaker. In order to understand the athletic trainer’s question, he had to translate it from English to Spanish, think of his response in Spanish, translate it back to English and then answer the question. ANYONE HAD THIS HAPPEN??

PROPERTY OF PIMA COUNTY JTED, 2010 Think-Pair-Share Think of an experience when you heard a foreign language and how you felt at not being able to understand what was being said. How did you feel? What did you do? 3. Think-pair-share teacher presents a question teacher gives wait time for student to form answer teacher instructs students to share their answer with a partner teacher calls on non-volunteers to share with the class PROPERTY OF PIMA COUNTY JTED, 2010

PROPERTY OF PIMA COUNTY JTED, 2010 Write in your notes Write down as many methods of non-verbal communication as you can think of & what each method means. 2. Whiteboards/Slates student writes answer or solution to a question posed by the teacher teacher solicits all students to show at the same time teacher gives feedback to the students PROPERTY OF PIMA COUNTY JTED, 2010

6/1/2018 NON VERBAL Examples of non verbal and your reactions

Non-Verbal Communication 6/1/2018 Non-Verbal Communication Personal space *Close or distant personal space *Tactile person vs. non-contact person (Always follow the person’s lead!) Gestures – not universal! *Pointing at a person - used to call someone or may be considered impolite *Smiling & nodding may indicate politeness, not understanding or agreement *Direct eye contact – considered disrespectful in some cultures

Non-Verbal Communication 6/1/2018 Non-Verbal Communication Silence – what does it mean? *Thinking of an answer? *Doesn’t understand / confused? *Angry Expressions of pain *Stoic (afraid to show pain / sign of weakness) *Emotive (open expression / likes to share)

PROPERTY OF PIMA COUNTY JTED, 2010 With your Partner Think of examples of as many types of cultural considerations and share examples. 2. Whiteboards/Slates student writes answer or solution to a question posed by the teacher teacher solicits all students to show at the same time teacher gives feedback to the students PROPERTY OF PIMA COUNTY JTED, 2010

Cultural Considerations 6/1/2018 Cultural Considerations Language used in social vs. personal conversation Social organization of the family (head = father or mother? Who makes important decisions?) Traditional or cultural practices (beliefs concerning injuries, healing, use of medicine, etc.) Spiritual or religious practices (ie, fasting during Ramadan)

Cultural Considerations (cont.) 6/1/2018 Cultural Considerations (cont.) Observance of Ethnic & Religious holidays Views of appropriate touch Cultural meaning / significance Religious considerations (body covered?) Always ask for permission! Health issues or disparities Diet restrictions Sickle cell & asthma more prevalent in African Americans

Cultural Considerations (cont.) 6/1/2018 Cultural Considerations (cont.) Narrative or storytelling Chronological (sequential) Episodic history (highlights major events) Orientation to time Future time – value being early/on time Present time – here & now, not worried about the future

Write on a separate piece of paper Property of CTE Joint Venture 6/1/2018 Write on a separate piece of paper Why do you think it is so important for Athletic Trainers to understand differences between cultures?

6/1/2018 CONCLUSION Since athletic trainers treat athletes from a wide range of cultural backgrounds, it is important to understand cultural differences in order to show respect while caring for each athlete.