1.Tweedy often ponders whether or not he has a special obligation as a Black medical student or a Black physician.
a). What are the challenges in the provider-patient/client relationship when each are from different racial, ethnic, gender, or socioeconomic backgrounds or experiences? (5 points)
b). Tweedy (2015) discusses provider-patient/client matching. Do you believe that someone of the same race, ethnicity, sociodemographic background, or gender as the patient/client can provide better care? Why or why not? Literature on nursing education and professional mentorship supports the importance same-race/ethnicity nursing faculty for students and mentor-mentee relationships. What are the possible ramifications, positive and negative, of matching? (NOTE: Matching is not a formal practice, or term, but a description.) (10 points)
- In Chapter 3, Charity Care, Tweedy compares his experiences of being diagnosed with hypertension to “Tina’s,” a patient he encountered in rural North Carolina during one of his clinical experiences. Then, in Chapter 9, Tweedy refers to people “Doing the Right Thing,” and proceeds to explain to the reader why it may be challenging for some people to do the right thing to promote and maintain their health, and to prevent disease.
a) Compare and contrast how SDOH, including zip code/location, have interacted to bring Tina (Chapter 3) and the people referenced in Chapter 9 to this point and will further affect their ability to manage their health. (5 points)
b) You may refer back to other SDOH (e.g., education, the health care delivery system [including the providers], the built environment, residing in an urban or rural community) covered thus far in your response. (5 points)
3.“Lucy,” a character in Chapter 4 (Inner City Blues) faced stressors that ultimately had negative effects on her health.
a). Discuss how the outcomes might have been different, had her life experiences been different. (5 points)
4.Tweedy provides several examples of health care providers treating patients differently based on race. One example is when he went to an urgent care center to seek care for a knee injury. Staff treated Tweedy one way until he revealed he was a physician. He also recounts the story of “Gary,” in Chapter 6.
a). What was your reaction to how some of the staff reacted to “Gary,” in Chapter 6? (5 points)
b). What similar judgments, assumptions, or stereotypes have you observed as a provider, client/patient, or relative of a client/patient? (10 points)