title: Queering know-how: clinical skill acquisition as ethical practice.
abstract: Our study of queer women patients and their primary health care providers (HCPs) in Halifax, Nova Scotia, reveals a gap between providers' theoretical knowledge of "cultural competency" and patients' experience. Drawing on Patricia Benner's Dreyfusian model of skill acquisition in nursing, we suggest that the dissonance between the anti-heteronormative principles expressed in interviews and the relative absence of skilled anti-heteronormative clinical practice can be understood as a failure to grasp the field of practice as a whole. Moving from "knowing-that" to "knowing-how" in terms of anti-heteronormative clinical skills is not only a desirable epistemological trajectory, we argue, but also a way of understanding better and worse ethical practice.
authors.affiliation: Departments of Political Science and Philosophy, University of Alberta, HM Tory Building 11-27, Edmonton, Alberta, Canada, T6G 2H4, cheyes@ualberta.ca.
authors.forename: Cressida J
authors.initials: CJ
authors.lastname: Heyes
authors.forename: Angela
authors.initials: A
authors.lastname: Thachuk
mesh_terms: D002983:Clinical Competence; D054521:Cultural Competency / Q000941:ethics*; D026690:Ethics, Clinical; D005260:Female; D063509:Homophobia / Q000941:ethics*; D006801:Humans; D009674:Nova Scotia; D011320:Primary Health Care / Q000941:ethics*; D000072339:Sexual and Gender Minorities