Person-first Language in Healthcare: The Missing Link in Healthcare Simulation Training

The words used, how those words are used, and how others perceive the use of those words matter. In the quest towards inclusive practices, it is important to acknowledge that words matter because they are a symbol of respect and identity. Admittedly, it can be difficult to know what person-first terminology is appropriate and generally accepted terminology may shift over time. To add to the complexity within groups of people and cultures, there are disagreements of what is acceptable. In healthcare, the term “patient” has been identified as the least objectionable term when compared to a client, consumer, or customer (Deber R.B. Kraetschmer N. Urowitz S. Sharpe N. Patient, consumer, client, or customer: what do people want to be called?.). Additionally, patients desire to have a relationship with their healthcare provider that resembles friendship (Magnezi R. Bergman L.C. Urowitz S. Would your patient prefer to be considered your friend? Patient preferences in physician relationships.). To this end, it is important to ask patients what they expect from the healthcare provider relationship and how they wish to be referred. By asking this simple question it communicates that you care and want to get it right for your patient regardless of race, ethnicity, gender identity, sexual orientation, or ability. The following sections discuss inclusive language around person-first language, race and ethnicity, sex, gender identity, sexual orientation, ability, and agism, used in healthcare.

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