The 5 Rs of Cultural Humility were created by SHM as a straightforward pocket card tool for hospitalists Cultural to use in their daily work. While the fifth R, resilience, is internal.
The first four Rs—reflection, respect, regard, and relevance—are extrinsically focused. The unconscious prejudices that can negatively affect our daily interactions and that have been demonstrated to contribute to health care disparities can be reduced by practising cultural humility and treating every patient, coworker, or other person with humility and an open mind. Cultural humility is described as "a lifelong process of self-reflection and self-critique whereby the individual not only learns about another's culture.
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