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Embedding Indigenous Health within a New Medicine Program
Philip Jones & Lisa Jackson-Pulver
Faculty of Medicine, UNSW
UNSW Medicine Program
6-year UG program
Three phases.
Modular structure (8-week courses).
Common organising domains in Phases 1
& 2 with recurring themes.
Vertical integration.
Graduate Capabilities
Using basic and clinical sciences. Social/cultural aspects of health & disease. Patient assessment and management. Effective communication. Team work. Self-directed learning and critical evaluation. Ethics and legal responsibilities. Becoming a reflective practitioner.
Graduate Capabilities Relating to Indigenous Health
Awareness of cultural issues.
Reflections on personal value system.
Cultural sensitivity, tolerance and respect for
others.
Communicates effectively with culturally
diverse patients and families.
Phase 1: Scenario based learning
Health scenarios provide a context for learning activities.
Predominantly campus-based activities.
Scenario groups.
Phase 1 learning activities related to Indigenous Health Scenarios illustrating health problems
affecting Indigenous peopleTeenage pregnancyChild developmentWeight control and diabetesAlcohol-related disorders
Teenage Pregnancy Scenario
Jessica is an Anglo-Celtic girl living in a small country town and is in year 9 at the local high school. She is worried that she is pregnant because her period is two weeks overdue.
Deborah is an Aboriginal girl living in western Sydney as part of an urban Aboriginal community. She is 22 weeks pregnant and attends an Aboriginal Medical Centre. Doctors are worried because her fetus may be small for her apparent dates.
Phase 1 learning activities related to Indigenous Health Lectures
Lecture on diabetes from an Indigenous speaker
Small group sessionsViewing and discussing “Lonely Boy Richard”
Communication skills tutorials
Phase 1 assessment activities
Individual assignments Trachoma & equity in child health. Rheumatic heart disease in Indigenous Australians - a
third world disease in a first world country.
Group projects Planning a health promotion and education campaign
on nutrition and/or weight control for type 2 diabetes. Evaluate campaigns to reduce risky alcohol
consumption among specific sub-populations.
Phase 2: Practice based learning Structured clinical
experiences based on weekly themes.
Linking to biomedical sciences on campus.
Independent learning project.
“Cross cultural and Indigenous health” theme in Phase 2 Lectures
Overview of Indigenous healthCommon health problems especially skin
problems. Communication skills tutorials
Case studies involving Aboriginal health workers.
Case method tutorial
This is the story of how several remote Indigenous communities made efforts to control skin infections in their community members, particularly their children.
Chronic scabies and the resulting streptococcal skin infections are a significant cause of long-term serious health complications.
The community of Minjilang on Croker Island in Torres Strait tried a health intervention to reduce the prevalence of these infections. The desert communities of the Kimberley in Western Australia tried an environmental intervention.
Phase 2 assessment activities
Group projectAnalysis of a Health Problem in a Local
Population
Station in Phase 2 Integrated Clinical Examination Evaluate communication skills in interview of
aboriginal patient.
Phase 3: Independent reflective learning Clinical clerkships. Hospital and
community settings. Flexibility in choice of
courses within guidelines.
Portfolio Assessment
Students required to demonstrate evidence of achievement for graduate capabilities.
Reflective essay on learning and development of graduate capabilities.
Conclusions
Outcomes-based curriculum with graduate capabilities linking to Indigenous Health.
Learning activities relating to Indigenous Health within different courses across each phase of the curriculum.
Learning activities involving Aboriginal patients and health care workers.
Increased awareness and understanding of issues affecting Indigenous Health.
Recommended