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NEXUS Spring Institute

The future of diversity and health research in Canada Frank, Blye Apr 25, 2008

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NEXUS Spring Institute 2008 April 24-25, 2008 The Future of Diversity and Health Research in Canada: Current Debates & New Frontiers.  Thank You! To the organizing committee and NEXUS for inviting me.  2  `  Halifax Harbour 3  Halifax at Night  The Bluenose on the Halifax Harbourfront  Presenter Blye Frank, PhD Professor & Head, Division of Medical Education Head, Department of Bioethics Faculty of Medicine, Dalhousie University 5849 University Avenue Halifax, NS, B3H 4H7 Phone: 902-494-1852 Fax: 902-494-2278 blye.frank@dal.ca  6  Halifax, NS 7  Sir Charles Tupper Medical School  8  Clinical Research Centre Today  9  Vancouver Halifax 10  Vancouver, British Columbia, Canada  11  12  Recognizing the land on which we do our work today  13  Moving Beyond the Celebration of Diversity: Taking Difference into Account in Health Education and Research St. John College- UBC-Point Grey Campus Friday, April 25th, 2008 3:15pm – 4:15pm  Two Main Areas  Ed  n o i t a c u h c r a e s Re  15  Current Debates  New Frontiers  16  You don't get harmony when everybody sings the same note -Doug Floyd  17  18  19  Framing my Presentation and our Discussion  3 Levels  l a u d i v i Ind  d n a l a n o i t u l t i a t n s o i In s s e f o Pr l a i c So  Attitudes / Beliefs Practice Cultural Competence Cultural Safety  Health Disparities  21  Individual  Location! Location! Location!  We all Come from Somewhere as Educators as Learners  The Greatest Research Project is:  OURSELVES!  Institutional / Professional  Social  “Of all the forms of inequality, injustice in health is the most shocking and inhumane.” -Martin Luther King Jr.  Health Disparities  Pakistan  Pakistan  Peshawar, Pakistan  The Ordinary The Everyday The Routine  Istanbul, Turkey  31  Tanzania  32  Moving from… The 5 D’s of Multiculturalism „ Dress „ Diet „ Dance „ Dialect „ Drumming  And Beyond… A Celebration of Diversity  To… Taking Difference into Account  RACE  CLASS  SEXUALITY  OTHER  REGION  ABILITY  AGE  RELIGION  GENDER  Taking Difference into Account in Education  37  Educational Model  Pedagogy  Language  Climate  Curriculum  Policy  Taking Difference into Account in Research in Health  39  Not a talk about Diverse Populations  40  Aim: „  To interrogate the research process  „  To think about ways of infiltrating that process with “taking difference in account”  41  Hauling complex lives into text Texting is a social process  42  Research  s e d u t i t At o n K  e g d wle  s l l i Sk 43  What is needed is rigorous scrutiny of our assumptions that shape the meaning of research itself.  44  Raises intensely personal questions about ourselves as raced, classed gendered actors in the research process.  45  Current Debates  New Frontiers  Working Together (Partnerships)  Social Accountability  To the Research Culture  Deliverables (KT)  To the community  On the team (multidisciplinary)  Partnerships  Cross Pillars  KT  Throughout the process Knowledge  Capacity Building  Skills Attitudes  47  Two Stories: „ Cole  „A  Harbour- team  large grant- team  48  Research Model  Pedagogy  Language  Climate  Policy  Curriculum 49  Rather, the focus is on: „  Language we use  „  Pedagogy of method- how? (women on the street)  „  Curriculum of methods (what is included)  „  Policy (knowledge translation, knowledge transfer, knowledge exchange) 50  Essentially asks: “How literate are we as researchers about the research process at many levels with regard to difference”  51  Explodes…. Creates a perch…  52  Knowledge is… „ Socially  constructed… „ Temporal „ Contextual  53  Always 2 major concerns for me:  h T  r e r e h t a eG  h T  d o h t e M e  54  e M  d o th  M  y g o l o d o h et  55  Method The Mechanics The How To 56  Methodology „ Theory „ Politics „ Philosophy  57  How we know what we know?  58  Who’s knowledge?  59  Knowledge Transfer, Translation, & Exchange Café Scientific  60  In Conclusion: …..and before I fly back to Halifax  61  Vancouver Halifax 62  Culturally Competent Research  63  Cultural Safety in Research and Culturally Safe Research  64  Moving to Cultural Competency and on to Cultural Safety  65  Social Accountability For us as Educators and Researchers 66  Research is messy, complex and full of pitfalls, and our challenge is surely to not collapse difference, but to hold it central in our work. 67  Thank You!  68  Consider „  Challenges  „  Questions  „  Concerns  69  PowerPoint  Production and  Animation  By                  Charles Hsuen 70  

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