Fatima Khan Shadow Health Assessment

In a Medical-Surgical DCE (Digital Clinical Experience), students are introduced to Fatima Khan, a 44-year-old woman diagnosed with type 1 diabetes, who is currently in the pre-operative stage and awaiting a laparoscopic cholecystectomy, a surgical procedure to remove her gallbladder. This immersive simulation provides students with a hands-on opportunity to understand and address healthcare considerations specific to Muslim patients, such as Fatima. These considerations encompass various aspects, including dietary requirements, respecting her modesty and privacy preferences, understanding boundaries related to physical contact and consent, and being mindful of any restrictions on substance use.

To bring Fatima’s character to life, the Shadow Health team extensively researched published literature and consulted established best practices concerning the care of South Asian and Muslim patients within hospital settings. It’s well-documented that Muslim patients, particularly women, often encounter biases from healthcare providers and may feel misunderstood or uncomfortable due to a lack of sensitivity regarding their cultural and religious practices, especially concerning modesty and attire. In Fatima’s case, because her hijab, a head covering worn by some Muslim women, does not interfere with the surgical site, she chooses to wear it during the operation, reflecting her commitment to her faith and personal identity.

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Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Throughout the simulation, students engage with Fatima, conducting interviews to gather relevant medical history and assess her current condition. They must also remain vigilant for any signs of changes in her health status, thereby honing their clinical observation skills. Additionally, in response to Fatima’s request for a provider of the same gender to be present during her assessment, Preceptor Diana remains in the room, demonstrating an understanding of and respect for Fatima’s cultural and religious preferences.

Drawing upon their clinical reasoning abilities, students work towards developing a comprehensive and culturally appropriate care plan tailored to Fatima’s individual needs and preferences. By prioritizing patient-centered care and integrating cultural competence into their practice, students strive to ensure that Fatima receives care that is not only safe and effective but also respectful of her religious beliefs and cultural background. This immersive learning experience equips students with the necessary skills and understanding to provide compassionate and culturally sensitive care to diverse patient populations they may encounter in their future careers as healthcare professionals.

Fatima Khan Shadow Health Assessment

In a Medical-Surgical DCE, students get to know Fatima Khan, a 44-year-old woman with type 1 diabetes who is waiting for a laparoscopic cholecystectomy surgery. In this virtual simulation, students learn about healthcare considerations important for Muslim patients like Fatima. These include understanding her dietary needs, respecting her desire for modesty and privacy, being mindful of touch boundaries and obtaining consent, and being aware of substance use restrictions.

To create Fatima’s character, the Shadow Health team researched and followed the best practices for caring for South Asian/Muslim patients in hospital settings. Muslim patients, especially women, often face bias from healthcare providers and may feel uncomfortable due to a lack of sensitivity regarding their modesty and attire. To meet Fatima’s needs and since her hijab doesn’t interfere with the surgery, she wears it during the operation.

During the simulation, students interact with Fatima, conducting interviews and assessing her condition. They must also be alert to any changes in her health status. In this scenario, Preceptor Diana stays in the room during the assessment, as Fatima requested a provider of the same gender for her comfort. By using clinical judgment and understanding, students develop a care plan that respects Fatima’s cultural and religious beliefs, ensuring her care is safe, effective, and centered around her needs.

Fatima Khan Shadow Health Assessment

In a Medical-Surgical DCE, students meet Fatima Khan, a 44-year-old type 1 diabetic who is pre-operative and awaiting a laparoscopic cholecystectomy. As part of this simulation, students practice healthcare considerations that may be important to Muslim patients, including diet, modesty and privacy, touch restriction and consent, and substance use restriction.

To develop Fatima’s character, the Shadow Health team drew upon published research and best practices for South Asian/Muslim patients in hospital settings. Muslim women in particular report provider bias, and a lack of sensitivity or understanding around concepts of modesty and dress. To accommodate Fatima’s needs and because the hijab does not obstruct or interfere with the surgery site, Fatima wears her hijab during the operation.

Students interview the patient and are challenged with recognizing a change in patient status. In this simulation, Preceptor Diana remains present in the room during the patient assessment to fulfill the patient’s request of having a same-gender provider present.  Using clinical reasoning to implement safe, effective, patient-centered care, the students create a culturally appropriate care plan for Fatima.

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Simulation in Shadow Health

• Undergraduate DCE: Medical-Surgical DCE