Here to be seen: ten practical lessons in cultural consciousness in primary health care

Providing health care for culturally diverse individuals and members of underserved groups can be challenging but also rewarding if a few simple yet important lessons are followed. Taking time to get to know patients; using preferred names; looking at patients' photographs; learning patients' languages; showing respect; being open to messages in the media; listening to patients' stories; prescribing culturally appropriate and practical regimens; and remaining aware of the interrelationship of culture, illness, and health care are steps toward cultural consciousness and competence in primary care. This article is based on a keynote address at the 11th Annual Primary Care for the Underserved Conference held May 2003 in Boston, Massachusetts.