Question

A 35-year-old First Nations woman presents to the emergency department with chest pain. She reports previous experiences of racism in hospital and expresses fear about not being believed. Her ECG and troponin are normal, and her pain is non-cardiac. Which action best exemplifies cultural safety and the CanMEDS Communicator role in this encounter?

Accepted Answer

Acknowledge her previous experiences, invite her to share concerns, and collaboratively explain the results and plan in a trauma-informed manner

Answer

Tell her that racism does not occur in your hospital and move on

Answer

Focus only on tests and avoid discussing her concerns to save time

Answer

Discharge her quickly to avoid "medicalising" her symptoms

Answer

Document "difficult patient" in the chart because she raised racism

Practice question