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Archive Diversity in Surgery 2019

Next Steps

If you're committed to becoming more diverse and inclusive, here are a few places to get help.

Even if everyone in your facility means well, making a facility diverse, inclusive and welcoming to employees and patients from all backgrounds and cultures is a huge challenge. There are many tools and organizations that can help you on your journey. Here are just a few.

BaFa’ BaFa’

Raising awareness of how culture informs behavior and preparing staffers to work with people of other backgrounds is the idea of BaFa’ BaFa’, a self-administered, half-day training exercise for organizations.

Originally created in the 1970s for the U.S. Navy, the exercise starts by dividing your group in half and creating two distinct cultures. One is a collectivist, people-oriented touchy-feely culture. The other is more individualistic and task-oriented. Each group’s members learn the rules of their respective cultures and begin living by them. Then there’s an exchange of the group members. Members of the dominant culture typically misperceive, misunderstand and stereotype their visitors, while the visitors feel lost and overwhelmed. The exercise then teaches all participants how to understand and accept non-members by teaching non-defensive ways of asking about cultural practices and understanding the problems those practices were designed to solve.

The underlying assumption is that every employee is bi-cultural or multi-cultural, belonging to the culture of their birth and also the surgical facility’s work culture. The home culture can’t be changed, but if employees can identify the cultural values and practices that support the work culture or are neutral to it, major benefits will result.

To purchase the program, you’ll spend $400 for a director’s kit and $29 per participant. You need a minimum of 12 participants; 18 to 35 participants is better.
(800) 942 2900

Cleveland Clinic’s Diversity Toolkit

A patient of the Baha’I faith is visiting your center and you are unfamiliar with the customs of the religion. This free resource can help. Get a quick summary on any of more than 60 different cultures, from Aboriginal to Zoroastrian. Learn about attitudes toward medical care, nutrition, touching, sex, attire and more. It also includes tips on understanding cultures, communicating with members of different cultures and a glossary of commonly used terms.

Compass D&I Toolkit
by the Nova Collective

Get the tools you need to educate employees on diversity and inclusion with the Compass D&I Toolkit from the Nova Collective. The organization provides a curriculum with 15 videos, 30 behavioral scenario cartoons and 3 bundled discussion guides. It also trains your trainer, either in person or over the phone, to facilitate discussions about each of the topics.

Typically, your organization’s trainer will send out a video and the related behavioral scenarios on a single topic to your employees in advance. You can then chew over that topic as part of your regular staff meeting. It only takes about 20 minutes per topic. Pricing is tiered based on the size of your organization; smaller organizations can acquire the series for as little as $10,000, whereas the largest organizations may need to pay as much as $39,500, but you own the content in perpetuity. There is no per-use charge.



The name is no joke. This Oregon-based training organization was started by 2 highly respected social scientists who are still engaged in NIH-funded research on what works in diversity training. With a focus on health care, past clients include the Mayo Clinic and Kaiser Permanente. You can purchase training services a la carte, but ideally your engagement consists of 3 parts. First, DiversityScience will use digital surveys and possibly some personal interviews to assess how female employees and employees from marginalized groups feel about your workplace. The results are documented in a non-judgmental manner. Next, all employees complete a pair of 20-minute e-learning experiences. Finally, either your organizational leaders receive in-person training from a DiversityScience principal, or a leader or HR professional can take a 90-minute “train the trainer” course from a DiversityScience teacher on a remote basis. The organization believes strict, evidence-based training improves diversity efforts. Comprehensive assessments cost anywhere from $15,000 to $100,000, depending on the organization’s size. The e-learning modules cost $60 per person. An in-person visit from one of DiversityScience’s leaders costs $5,000 per day, plus travel expenses.
(612) 315-7212

The Health Equality Index

If you want to make your facility friendly to LGBTQIA2S+ patients and you also want the community to know about it, sign up to get listed in the HEI. This yearly report is designed to help LGBTQIA2S+ patients and their families find equitable and inclusive care. It’s mostly intended for hospitals, but outpatient facilities are eligible as long as you have 100 employees or more. To participate, you fill out and submit an online survey inquiring about your policies for inclusive patient non-discrimination, inclusive visitation, inclusive employment non- discrimination and staff training in patient-centered care for LGBTQIA2S+ individuals. You get scored on a 100-point scale and the results will be published in the following year’s report.
(800) 777-4723

Mastery Training Services

This organization offers more than 30 diversity courses to help employees create a respectful work environment where everyone feels welcome. Prices range from less than $5 to about $40.

Titles include 8 Keys To A More Respectful Workplace; Anyone Can Be An Ally: Speaking up for an LGBT Inclusive Workplace; Consciously Overcoming Unconscious Bias; Diversity: Age and Physical Ability Workplace Issues; Diversity: Race, Ethnicity, Language and Religion Workplace Issues, and many more.

Most courses end with a basic quiz, using learning focused strategies to help ensure teaching points are understood and remembered. Some offer additional resources such as downloadable workbooks and job aids.
(855) 991-0684

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