Supplementary Digital Appendix 1

(1)

1

Supplementary Digital Appendix 1

Document Review Form

Name of Case: ___________________________________________________________

Author(s): ______________________________________________________________

Unit of Study: ____________________________________________________________

Date of Review: _________________________________________

Summary of Case:

______________________________________________________________________________

Please read the case for the following information:

1. Is the ethnicity, gender, race, religion, sexual orientation, or social class (or any other representation of culture and diversity) of the patient indicated?

 YES  NO  N/A

Please describe

______________________________________________________________________________

(2)

2

2. Is there any information about the ethnicity, gender, race, religion, sexual orientation or social class (or any other representation of culture and diversity) of the physician?

Please describe

______________________________________________________________________________

3. If issues of culture and diversity are presented, is this information related to the patients’

illness/diagnosis?

If yes, please describe

______________________________________________________________________________

4. If issues of culture and diversity are presented, is this the source of difficulty/complication for the physician?

Please describe

______________________________________________________________________________

5. If issues of culture and diversity are presented, are stereotypes regarding this particular culture reinforced in the case?

(3)

3

Please describe

______________________________________________________________________________

6. Is the patients’ personal life/situation (relationship status, family situation, parental status, etc.) described?

Please describe

______________________________________________________________________________

7. From whose perspective is the case written (i.e. – Dr. Jones sees a patient who feels nauseous… vs. A patient who feels nauseous comes to see Dr. Jones…)?

 PHYSICIAN  PATIENT  OTHER

Please describe

______________________________________________________________________________

8. Who appears to be the “main character” in the case?

 PHYSICIAN  PATIENT  OTHER

Please describe

______________________________________________________________________________

(4)

4

______________________________________________________________________________

9. Is the patients’ voice directly represented in the text (i.e. – Does the patient speak in the case?)?

Please describe

______________________________________________________________________________

10. Is the voice of anyone, other than the patient, directly represented in the text (i.e. – Does anyone, other than the patient, speak in the case?)?

If yes, who? Please describe

______________________________________________________________________________

11. Is communication an issue in this case?

Please describe

______________________________________________________________________________

12. Is there any other aspect of this case upon which you’d like to comment?

(5)

5

Please describe

______________________________________________________________________________