Wednesday, October 25 | 10:00 am - 11:00 am
Training Options Duration: 60 Minutes Wednesday, October 25, 2017 | 10:00 AM PDT | 01:00 PM EDT
Overview: Hispanic patients usually prefer to take care of their basic medical needs in solo practitioners’ offices and small medical centers. where they find the respect and attention that large establishments deny them. Renowned experts of Quality in Health care have been critical of the current design and implementation of randomized clinical trials, the gold standard of clinical research, because they believe that they often, but not always, presume a linear, mechanistic system when in fact improvement in Health care takes place within complex adaptive systems that evolve.
They claim that care interventions must adapt to difficult contexts, which are often at odds with the concept of improvement health care delivery as a fixed set of activities, which can be studied through controlled clinical trials. We believe that the design and implementation of modern clinical trials must take into account the complexity and diversity of our patient populations and their different responses to the continuity of care and monitoring techniques. Not only there is need for evidence-based practice but also for “practice based evidence” that allow flexible learning to obtain acceptable outcomes. In a continuous loop that starts in the first stages of clinical research, goes through all the different stages of clinical trials, continues in the clinical care settings and goes back to the minds that initially proposed the studies, all the different actors and participants feed each other with positive feedback info. The combined action of ignorance and prejudice can impair the efficient recruitment and retaining of “different people” like Hispanics that have long suffered sustained, mendacious discrimination in their access to basic health care services for care and prevention of diseases.
The front desk staff is always the first responder to their particular needs, often expressed in non-traditional forms of expression, and should be carefully trained to avoid the most common pitfalls and misunderstandings. III The professionals-nurses, technicians, physicians-in direct contact with these patients must anticipate the emergency of some controversial issues and negative feedback that can, and will, sabotage a continued participation. The constrictive corset of political correctness in our society can discourage the honest discussion and remedy of critical issues such as patient apathy, dishonesty, and more commonly a claimed ignorance of GPC guidelines. Reacting to the longstanding critique that the clinical trials are skewed to favour the participation of only certain segments of the population, the FDA has enacted an “Action plan to enhance the Collection and Availability of Demographic subgroup data” in order to prodd the inclusion of Minority patients in the design and implementation of clinical research.
Why should you Attend: Based on our long experience of treating Hispanic and patients in “New Life Medical Center”, a Primary Care and Community Mental Health center in Miami, Florida, we will discuss the more common obstacles found in the final pursuit of good clinical outcomes for them. We will focus on the practical steps to assure an effective and equitable approach for the health care needs of these patients and the unbiased monitoring for compliance with internationally accepted regulations. As health care practitioners and administrators that must respond quickly to a changing health care arena, we will discuss case studies and enact role plays to illustrate the most common problems and the needed solutions.
Areas Covered in the Session:
Distinguish the more common scenarios that jeopardize the proper recruitment and participation of Hispanics Illustrate with case studies the counterproductive arguments and enticements in the approach to non-cooperative Hispanics Describe the basic tenets of Competency CLAS guidelines in a changing and polymorphous health care arena in our modern society
Who Will Benefit: Physicians Nurses Technicians Office Managers Administrators
Speaker Profile Dr. Mario O. Laplume was born on November 5th 1954 in Montevideo, Uruguay. He did his primary school studies in the “Lycée Français” and his secondary ones in the “Liceo No.5 José Pedro Varela.” In a parallel way he studied French in the “Alliance Francaise” and English in the “Instituto Anglo-Uruguayo.” In 1972 he earned a scholarship as an exchange student from “Youth For Understanding” and spent 6 months in Portage, Michigan. He studied Medicine in the “Universidad Nacional de La Plata” in La Plata, Argentina, from 1974 to 1981 when he graduated with the title of “Médico.”
He passed the ECFMG examinations in December 1982 and he did a Surgical Internship in “Lutheran Medical Center” in New York City. He did his post-graduate Neurology training in the “University of South Alabama” in Mobile, Alabama, in 1984 and 1985. He worked in “Coral Way Medical Associates”, a multi-specialty group in Miami, from 1986 to 2008, becoming its medical director in September 1998 until its final dissolution. From September 1996 to May 2008 he studied Master and Doctoral degrees in Public Health at “Columbia University in the City of New York”, earning his degrees in 1998 and 2008. His doctoral thesis is centred on the “Socio-Sanitary integration of the Regione Veneto” of Italy. From May 2008 up to the present time he has worked as an independent consultant in “Health Policy and Management” for various South Florida medical institutions.
Price – $139
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