Shadow Health Papers
Fatima Khan Shadow Health Assessment
Students get to know Fatima Khan, who is 44 years old and has type 1 diabetes. She’s getting ready for surgery to remove her gallbladder. In this practice session, students learn about important things to consider for Muslim patients, like what they eat, how they dress, their privacy, and what they can use.
To make Fatima’s character, the Shadow Health team looked at research and the best ways to care for South Asian and Muslim patients in hospitals. Muslim women often say that doctors don’t understand them well and don’t respect their need for privacy or modesty. Because Fatima’s headscarf doesn’t get in the way of the surgery, she wears it during the operation to stay true to her beliefs.
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Students talk to Fatima and have to notice if anything changes with her health. During this practice, Preceptor Diana stays in the room because Fatima wants a woman to be there with her. Students use their medical knowledge to make sure they give Fatima the best care, taking into account her culture and beliefs.
Fatima Khan Shadow Health Assessment
In a lesson about taking care of patients who need surgery, students meet Fatima Khan. She’s 44 years old and has type 1 diabetes. She’s getting ready for an operation to remove her gallbladder. In this practice, students learn about things that are important to consider for Muslim patients, like their diet, how they dress, their privacy, and what they can and can’t use.
To make Fatima’s character, the Shadow Health team looked at research and the best ways to take care of South Asian and Muslim patients in hospitals. Muslim women often say that doctors don’t understand them well and don’t respect their need for privacy or modesty. Because Fatima’s headscarf doesn’t cause any problems during the surgery, she keeps it on during the operation to follow her beliefs.
Students talk to Fatima and have to notice if anything changes with her health. During this practice, Preceptor Diana stays in the room because Fatima wants a woman there with her. Students use their medical knowledge to make sure they give Fatima the best care, thinking about her culture and beliefs.
Fatima Khan Shadow Health Assessment
In a Medical-Surgical DCE, students meet Fatima Khan, a 44-year-old type 1 diabetic who is pre-operative and awaiting a laparoscopic cholecystectomy. As part of this simulation, students practice healthcare considerations that may be important to Muslim patients, including diet, modesty and privacy, touch restriction and consent, and substance use restriction.
To develop Fatima’s character, the Shadow Health team drew upon published research and best practices for South Asian/Muslim patients in hospital settings. Muslim women in particular report provider bias, and a lack of sensitivity or understanding around concepts of modesty and dress. To accommodate Fatima’s needs and because the hijab does not obstruct or interfere with the surgery site, Fatima wears her hijab during the operation.
Students interview the patient and are challenged with recognizing a change in patient status. In this simulation, Preceptor Diana remains present in the room during the patient assessment to fulfill the patient’s request of having a same-gender provider present. Using clinical reasoning to implement safe, effective, patient-centered care, the students create a culturally appropriate care plan for Fatima.
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Simulation in Shadow Health
- Undergraduate DCE: Medical-Surgical DCE