CVO Cultural Competency Blog Post (7)

Beyond the Exam Room: Building Trust Across Cultures

Author: Malissa Bryan (she/they), M.A, PhD student

You likely didn’t choose a career in veterinary medicine with cultural competency in mind, but in today’s increasingly diverse world, it is an integral part of the work. Whether you are caring for family pets, barn cats, horses, or reptiles, you are not only working with animals but also interacting with the people whose backgrounds, identities, belief systems, general lived experiences, and even communication style may be different from your own. Understanding and learning how to approach differences can create a welcoming environment based on trust and mutual respect.

It is not about aiming for perfection. It’s about being attentive and having empathy. This is not only about performance. It’s about commitment to improvement.

Don’t Assume Shared Norms

What feels ‘normal’, ‘practical’, ‘professional’, and ‘respectful’ to you might feel cold, rude, dismissive, or in some cases discriminatory to someone else who has different cultural norms and practices. Cultural norms differ between regions and even neighbouring communities. Our cultural norms may differ from those of others. These norms shape how people communicate, interpret behaviours, and how they express feelings and concerns for their animals.  The way people interact and understand medical care is also influenced by culture.

Common mistakes:

  • Assuming directness equates to honesty. 
  • Interpreting avoidance of eye contact as a sign of untrustworthiness. 
  • Expecting decision-making to follow a particular process

What to do: 

  • Listen and ask clarifying questions before assuming. 
  • Ask open-ended questions and do not assume preferences and concerns
  • Stay curious and flexible.

Listen Deeply, Not Just Passively

Trust is the foundation of all relationships, including veterinary medicine. When clients feel seen, understood, valued, and heard, they’re more likely to support and comply with a care plan. To continue growing a trusting relationship, it is important to approach the client’s lived experience with care.

Common mistakes:

  • Assuming everyone has the same relationship with animals
  • Naming client reactions as overreactions
  • Listening to respond, not to understand

What to do:

  • Leave space for silence and emotions. Don’t hurry the conversation; give clients time to process information. 
  • Don’t rush to respond; sit with their stories and try to understand before responding.
  •  Make it clear that what people say in your veterinary offices matters.

Use Inclusive Language with the Public

Recognize that words matter and they shape experiences. Language that feels like the norm to you may feel isolating, dismissive, or judgmental to someone who has a different background or lived experience than you. Using inclusive language demonstrates that you care about the people in front of you, not just their pets.

Common mistakes:

  • Utilizing the terms: difficult, non-compliant, or problematic without context. 
  • Assuming intelligence or understanding based on accent  alone
  • Assuming gender or sexuality

What to do:

  • Ask for pronouns and the pronunciation of names. 
  • Break down medical terms and use plain language in a respectful manner
  • Utilize professional interpreters when needed

Check Your Bias at the Door

Every person has biases, and it is your responsibility to keep your biases in check. In clinical settings, where things move at a fast pace, bias may go unnoticed, which can impact the quality of care and how clients are treated.

Common mistakes:

  • Offering fewer options based on assumptions of financial capabilities
  • Assuming truthfulness based on their identity 
  • Spending less time with clients that we see as different from ourselves

What to do:

  • Pause: Is this based on a ‘gut feeling” or facts? 
  • Offer consistent treatment options and plain language instructions to all clients.
  • Seek feedback from clients.

Acknowledge Power Differences

As a veterinary professional, you hold a position of trust and a great deal of authority. It is important that you not only recognize your power but also use it to amplify the voices of your clients. This creates an environment where the pet and the client both feel safe.

Common mistakes:

  • Dismissing client questions or concerns
  • Interrupting and speaking over clients or rushing clients
  • Avoiding explanations to avoid discomfort

What to do

  • Be transparent about your role and the client’s available choices
  • Invite questions without invalidating concerns
  • Meet clients where they are- with respect and curiosity

Remember, building cultural competency is not a one-and-done skill we gain. Instead, it is a daily practice of humility, learning, and unlearning and a lifelong journey that we all must take. You don’t have to be an expert, but you do have to be willing to learn and listen. That’s how trust grows. That’s how the veterinary profession will continue to expand, becoming more inclusive of all the clients it serves.

We’re Here to Support Your EDI Journey!

CVO Cultural Competency Blog Post

Overcoming Barriers to Building Cultural Competency Early in Your Career

Author: Malissa Bryan (she/they), M.A, PhD student

Let’s be real: Starting your career is already filled with ups and downs. You’re trying to prove that you got what it takes, you’re navigating the rules, meeting new people who are already established within their careers, and influencing the workplace culture. 

Now imagine the extra layer of trying to show up authentically in places that do not always respect you or see you for who you are. That is a real experience for many people from historically excluded communities. Racialized people, newcomers, and many others often have the additional burden of navigating the consequences of workplaces that lack cultural competency and meaningful inclusion.

Cultural competency is not just a nice-to-have. For those of us who have had to spend a lifetime navigating systems and workplaces that weren’t built with us in mind, cultural competency is about survival, connection and living our truth. Cultural competency enhances belonging in the workplace and for the communities we serve.

Below are some real barriers that you may face when working towards building cultural competency early in your career, and steps you can take to push through them.

Limited Exposure to Other Lived Realities

Even if you have personally experienced what it means to move in the world differently, you don’t always know what that experience may feel like for someone else. You may have lived in communities, gone to schools with people who looked like you, shared similar beliefs, or similar struggles as you, but this did not reflect the full spectrum of people and identities in our world. This can create an echo chamber, make it hard to fully understand, and make space for realities and perspectives that differ from our own.

How to Move Through It:

  • Be genuinely curious without being performative. Ask questions. 
  • Attend community events that centre lived experiences that differ from your own
  • Participate in discussions that centre historically excluded people,  listen more than you speak, and offer support. 
  • When people share their experiences, respect them and believe them.

Nobody Taught You

Many folks did not grow up learning about cultural humility, cultural competency, identity, discrimination, or power dynamics in schools and workplaces. You might have seen it, experienced it, but not given the words to name it. In most workplaces, cultural competency training is not mandatory.

How to Move Through It:

  • Be intentional in learning about other cultures and communities
  • Listen to podcasts and read books from diverse authors
  • Do your research to learn more about cultures and communities that you are not familiar with.
  • Advocate for ongoing EDI and cultural competency training within your organization instead of one-off training.

Avoiding Discomfort or Guilt

Conversations about race, culture or identity can feel uncomfortable, especially if you haven’t had them in the past. This discomfort can lead you to avoid engaging with issues of discrimination.

How to Move Through It:

  • Recognize that discomfort is not harm 
  • Sit with discomfort instead of avoiding it
  • Process emotions with other folks who are ready to lean in 
  • Learn to tolerate tension. Growth doesn’t always feel comfy. 
  • Get honest about your reactions. When you feel yourself shutting down or getting defensive, take a deep breath and ask: What am I protecting right now? My ego? My comfort?

Unchecked Unconscious Bias

Unconscious bias shows up in subtle, sneaky ways: it impacts who you see as reliable, competent, honest, trustworthy, and who you are comfortable mentoring and being mentored by.  Unconscious bias can impact who you hire, which colleagues you build a connection with, how you treat clients, and even whose concerns you take seriously. These snap judgments can increase when workplaces lack diversity.

How to Move Through It:

  • Be honest about your blind spots. Ignoring bias is harmful. Tools like the Harvard Implicit Association Test can help you begin to uncover your bias, but deep and consistent reflection is where the real work happens. 
  • Interrupt habits as they happen. Did you just talk over someone? Did you ignore someone? Ask yourself why. 
  • Question your default responses.

Confusing Diversity with Competency

Many workplaces misuse the word diversity as if it were a magic fix. Having a diverse workforce or clientele doesn’t tell us anything about the state of the environment, if it is an inclusive, equitable or culturally competent workplace. Representation alone should not be mistaken for progress.

How to Move Through It:

  • Recognize that even if you are new in your career, it doesn’t mean you are neutral.
  • Build habits now. Early career is the best time to build anti-racism practices which live in your everyday actions. How you listen, whose feedback you value, what you normalize and what you interrupt. 
  • Don’t let visible diversity trick you into thinking the work is done.

Overall, cultural competency isn’t a destination; it is a daily practice and way of life. The systems you are stepping into weren’t likely built with equity and cultural competency in mind. You have the choice to either follow the status quo or be a part of the shift.

Start with small steps, but start authentically. Don’t wait for a title or someone else to be a part of the change.

We’re Here to Support Your EDI Journey!