{"id":40368,"date":"2016-10-05T15:42:53","date_gmt":"2016-10-05T19:42:53","guid":{"rendered":"http:\/\/jetwit.com\/wordpress\/?p=40368"},"modified":"2016-10-05T15:42:53","modified_gmt":"2016-10-05T19:42:53","slug":"good-doc-bad-doc","status":"publish","type":"post","link":"https:\/\/jetwit.com\/wordpress\/2016\/10\/05\/good-doc-bad-doc\/","title":{"rendered":"Good Doc, Bad Doc"},"content":{"rendered":"<p><em><a href=\"https:\/\/www.linkedin.com\/in\/nathaniel-simmons-2bbab876\" target=\"_blank\">Nathaniel Simmons<\/a> (Nara-ken, 2007-2009) is currently a communication professor at Western\u00a0<\/em><em>Governors University and lives in Columbus, OH, USA. He teaches a variety of intercultural,\u00a0<\/em><em>interpersonal, and health communication courses. He has <a href=\"http:\/\/nathanielsimmonsphd.weebly.com\/research.html\" target=\"_blank\">researched <\/a>and published several\u00a0<\/em><em>scholarly articles regarding privacy management between foreign English teachers and\u00a0<\/em><em>Japanese co-workers in Japan and is currently working on turning his research into a book.<\/em><\/p>\n<p>What makes a <em><strong>good<\/strong><\/em>\u00a0or <em><strong>bad<\/strong><\/em> medical professional?<\/p>\n<p>From school medical checks to hospital visits, the average ALT has several medical encounters throughout their year(s) in Japan. \u00a0Intrigued by my own experiences within the Japanese medical world, I interviewed 49 foreign English teachers in Japan about their healthcare experiences, and here&#8217;s what they said (in a much more condensed format):<\/p>\n<p><strong>Bad providers violate patients\u2019 cultural expectations\u00a0<\/strong><\/p>\n<p>ALTs perceived providers that \u201cviolated,\u201d and\/or did not perform culturally expected practices as \u201cbad\u201d providers. \u00a0In other words, if a Japanese medical profession didn&#8217;t act as expected, the ALT perceived the experience and the medical provider as negative, or &#8220;bad.&#8221; \u00a0As an example, one English teacher characterized the difference between a \u201cgood\u201d and \u201cbad\u201d doctor. \u00a0The following is an excerpt that distinguished between two physicians this English teacher encountered while seeking treatment for bronchitis.<\/p>\n<p>&#8220;I walk into his [the\u00a0doctor\u2019s] office and he&#8217;s like, \u2018Yeah, you&#8217;re not healthy I can hear you from outside. \u00a0This isn&#8217;t just a cold is it?\u2019 \u2018No.\u2019 \u00a0Just from hearing me cough he knew that I wasn&#8217;t well. \u00a0He says to me, \u2018You either have bronchitis or pneumonia. \u00a0We\u2019re going to take an x-ray and blood tests to find out.\u2019 \u00a0Difference in doctor right there! One of them [the bad one] just hands out a diagnosis and is like I think you might need antibiotics and the other [the good one] is like I want to do a blood test and do an x-ray to make sure you need the antibiotics and if they&#8217;re the right kind. \u00a0So that doctor, the good doctor, figures out all the information I needed. \u00a0The bad doctor, is like, \u2018I&#8217;m going to give you medicine now. \u00a0Goodbye. \u00a0Give me \u00a5600.\u2019&#8221;<\/p>\n<p>This ALT&#8217;s experience with an array of Japanese medical professionals\u00a0within Japan allowed the ALT\u00a0to construct a comparison and contrast of \u201cgood\u201d and \u201cbad\u201d doctors.\u00a0 According to this ALT, good doctors either knew quickly what was wrong with a patient or took immediate action to determine what was causing the patient illness or discomfort as well as how to alleviate it.\u00a0 The \u201cgood\u201d doctor sought to understand the patient\u2019s perspective and the illness versus simply\u00a0handing out an antibiotic which may not treat the illness for a fee.<\/p>\n<p>Throughout interviews with ALTs, &#8220;bad&#8221; providers were described as:<\/p>\n<ul>\n<li>Ignited fear within the patient(s) by thinking out-loud and muttering possible diagnoses.<\/li>\n<li>Provided no verbal or nonverbal cues, especially on invasive exams like pap smears.<\/li>\n<li>Did not provide an &#8220;appropriate\/adequate&#8221; diagnosis.<\/li>\n<\/ul>\n<p><strong>Good providers attend to the patients\u2019 cultural expectations<\/strong><\/p>\n<p>ALTs believed that \u201cgood\u201d providers should attend to their cultural expectations (i.e., all of those standards and norms for practice in one\u2019s home culture). \u00a0In other words, &#8220;good doctors&#8221; should behave and act like one might expect in their home country. \u00a0For instance, when discussing a positive time with a doctor, one English teacher said:<\/p>\n<p><em>&#8220;<\/em>People here don\u2019t always smile when they meet you and things like that. \u00a0As a westerner you think, \u2018Oh you don\u2019t like me,\u2019 but no it\u2019s just because Japanese don\u2019t smile. \u00a0When he [the doctor] first met me, he smiled at me, he introduced himself [in English], and so far it&#8217;s all been working out.&#8221;<\/p>\n<p>Overall, &#8220;good&#8221; providers were described in interviews as:<\/p>\n<ul>\n<li>\u201cVery nice and understanding.\u201d<\/li>\n<li>&#8220;Similar to what I&#8217;d experience back home.&#8221;<\/li>\n<li>Had &#8220;appropriate&#8221; body language.<\/li>\n<li>Exceeded expectations on providing medical education, understanding, and comprehension to patients.<\/li>\n<\/ul>\n<p><strong>What next?<\/strong><\/p>\n<p>This study raises the importance of intercultural health communication training. \u00a0More programs need it. \u00a0English teachers are placed throughout Japan by numerous organizations and boards of education and are expected to live well. \u00a0However, that &#8220;living well&#8221; can be complicated when foreigners expect intercultural interactions to progress flawlessly and as according to their own culture. \u00a0Some ALTs even chose to not re-contract due to their health care experiences in Japan (and not necessarily because they are in poor health). \u00a0Scholars argue about &#8220;who should adapt to whom,&#8221; but that doesn&#8217;t really help us in the day-to-day life of a foreigner navigating a medical system (in Japan).<\/p>\n<p>Here are some suggestions, what others do you have?<\/p>\n<ol>\n<li>Expect difference.<\/li>\n<li>Do your homework.\n<ol>\n<li>Research the Japanese medical system.\n<ol>\n<li>What similarities, if any,\u00a0exist between Japan and your home country?<\/li>\n<li>What\u00a0differences, if any, exist between Japan and your home country?<\/li>\n<\/ol>\n<\/li>\n<li>Google Japanese words for common symptoms and your current prescriptions.<\/li>\n<li>Ask questions to a friend, other English teachers, and co-workers (if you feel comfortable).\n<ol>\n<li>What should I expect when I go to the doctor\/dentist\/hospital?<\/li>\n<li>What surprised you about the Japanese medical world? (to other foreigners).<\/li>\n<li>What over the counter medicine do you find works best for _____?<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<li>Laughter helps.<\/li>\n<li>Remember that Japanese medical professionals are trained professionals.<\/li>\n<li>Insert your tips here ______________!<\/li>\n<\/ol>\n<p><em>This blog post is an adaptation of the scholarly article: <\/em><\/p>\n<p>Simmons, N. (2016). (De-)legitimizing medical professional discourses: Evaluations from foreign English teachers in Japan. <em>Language &amp; Intercultural Communication,<\/em> <em>16<\/em>(2), 1-18. doi:10.1080\/14708477.2015.1113984<\/p>\n<p>Available at:\u00a0<a href=\"http:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/14708477.2015.1113984?journalCode=rmli20\u00a0\">http:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/14708477.2015.1113984?journalCode=rmli20\u00a0<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nathaniel Simmons (Nara-ken, 2007-2009) is currently a communication professor at Western\u00a0Governors University and lives in Columbus, OH, USA. He teaches a variety of intercultural,\u00a0interpersonal, and health communication courses. He has researched and published several\u00a0scholarly articles regarding privacy management between foreign English teachers and\u00a0Japanese co-workers in Japan and is currently working on turning his research into [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[8,73,1216,825],"tags":[1374],"class_list":["post-40368","post","type-post","status-publish","format-standard","hentry","category-academic","category-advice","category-life-as-a-jet","category-lifeafterjet","tag-health"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/pkZ7m-av6","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/posts\/40368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/users\/133"}],"replies":[{"embeddable":true,"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/comments?post=40368"}],"version-history":[{"count":3,"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/posts\/40368\/revisions"}],"predecessor-version":[{"id":40372,"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/posts\/40368\/revisions\/40372"}],"wp:attachment":[{"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/media?parent=40368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/categories?post=40368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jetwit.com\/wordpress\/wp-json\/wp\/v2\/tags?post=40368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}