CULTURAL ELEMENTS
General impressions/Observations	Cultural stories heard from others
Miss Manda told me that she thinks that being culturally competent is extremely important in working in a such diverse place like London. She also mentioned that culture is of different elements, so it is not only what where people come from, but also their educational level, personality, and socioeconomic status Miss Manda shared me with some of her clinical placement experiences last week	Story 1- one patient came to the post-natal ward and does not speak English. They had a Spanish interpreter for the patient via Language Line. Due to bad communication issues, the staff in the hospital did not know that they were expecting an interpreter (ineffective team communication). What is worse, the interpreter was late As the patient is about to deliver a baby, the staff asked around who can speak Spanish. Miss Lizzy tried to help as she speaks Italian and a little bit Spanish but unfortunately medical English in a foreign language is not just easy as a daily conversation. At last, they had to use google translator to help the lady deliver The delivery went OK. The translation applications helped tremendously. But the team were so nervous as being unable to communicate in the same language in a critical medical moment can be very daunting Story 2: Miss Manda told me that she met a doctor who can speak three languages last week. As one patient was unable to speak English, the doctor used Polish to communicate with the patient. This went very well Miss Manda commented that being multilingual is really a great advantage to be a doctor
Elements, features and special notes Workforce diversity is a theme for staff. A mixture of staff from different ethnicities work together The patient population is very diverse as well. As I sit in the waiting area, I can hear lots of patients from diverse ethnicities and speak different languages