Cultural competence is more than an understanding of different cultural groups. Post a reflection of the non-ethnic group prompt provided in the D2L Checklist. The reflection will focus on your broad definition of culture competence. 

Cultural competence is also vital to understanding effective interaction with people who have disabilities and people who identify as lesbian, gay, bisexual or transgender or transexual. My definition of cultural competence has broadened throughout this class and especially after this module 6 unit. I did not expect to include these populations of people under the "diversity" heading, however I am thankful they are included. I have learned quite a bit and feel a bit more comfortable working with people within the LGBT community,  especially after reading the power point entitled "LGBT Concerns in Healthcare". In the power point, it was stated that the term "intersex" should be used to refer to people born with different combinations of sex organs, hormones and genitalia instead of the term "hermaphrodite",  which is a term I was taught to use in high school. Additionally, I found it interesting that the appropriate medical response when an intersex child is born, is to avoid and postpone surgery until the individual can choose it later in life. 

Often when I go to see a doctor, give blood or have an annual pap smear the question is always asked, "Are you sexually active?". I know what this question is asking, however I agree that it would be more appropriate and that a practitioner will get a more specific answer if they ask the the direct question: "Have you had sexual contact recently? If so, what kind?". I appreciate that this information was offered in the power point and plan to suggest it be asked at a future appointment. 

The most important point made in this powerpoint is to never make assumptions when working with the LGBT community and to not be afraid to ask questions respectfully in order to obtain more accurate information.