ppt on exploration of opportunities in indigenous systems of medicine

Crowshoe L, Bickford J, Decottignies M. Interactive drama: Teaching aboriginal health medical education. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Leaders in Indigenous Medical Education Network. Here are some traditional remedies that are a … We held an informal discussion at the retreat meant to guide curriculum development and implementation. Maresca T. Strengthening our roots: One region’s experience with traditional medicine and healthcare settings. However, our use of a region-specific model coupled with cultural humility theory provides other educators located across the globe with a model for curriculum development. M. Lewis is assistant professor, Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia, Missouri. Cultural competence education. 2015;28:231239. Tervalon M, Murray-García J. Petroleum exploration applications of palynological assemblage successions in the flexure trend, Gulf of Mexico. However, we plan to assess the short- and long-term learning of students by examining their cultural empathy, cultural intelligence, social justice beliefs, and Indigenous knowledge. 2009:135–San Francisco, CA: Jossey-Bass; 154. We identified other relevant curricula using Internet searches and discussions with faculty from these institutions (see Table 3 for our findings). Stanford Center for Education Policy Analysis Web site. 28. 2009;20:10601067. Centers for Disease Control and Prevention. The equity of his nation's health services provision is a core mission for ear, nose, and throat (ENT) surgeon Kelvin Kong, Associate Professor at the University of New South Wales (UNSW), Sydney, and the University of Newcastle in eastern Australia. 43. Your message has been successfully sent to your colleague. Beyond cultural competence: Critical consciousness, social justice, and multicultural education. Lippincott Journals Subscribers, use your username or email along with your password to log in. We implemented the action research cycle to capture the needs of multiple groups over time. Mihesuah DA, Wilson AC. 36. In addition, some argue that there is a hidden curriculum in medical education that comprises the learning that occurs from trainees’ exposure to the medical environment rather than the formal curriculum.42 We did not take into account the learning environment in this project, but we believe that it may have an important impact on students’ beliefs and therefore practices, so we suggest that further inquiry is needed in this area. 2010;25(suppl 2):S82S85. Please enable scripts and reload this page. February 6, 2015. Kagawa-Singer M, Dressler WW, George SM, Elwood WN. 2008;100:10781083. Although no studies have examined the effects of adding Indigenous health content to a medical school curriculum, one study did demonstrate that medical students’ knowledge, attitudes, and confidence around health disparity information increased when this topic was taught in medical school.13 Further, medical schools with social missions graduate more students who choose to practice primary care and in underserved populations, suggesting that the mission and curriculum content of the university do influence the type of care students eventually provide.21 Finally, high school students in California who received an ethnic studies course had higher grades and attendance and course completion rates compared with those who did not take the course.34 These results were even more pronounced for ethnic minorities. T he international Committee on Space Research (COSPAR) has established a “planetary protection” policy that involves not contaminating other worlds in a way that would jeopardize the conduct of future scientific investigations. They also need quality, hands-on residencies within agencies that provide health and social services for American Indians. Ultimately, we hope that this Indigenous health content assists in reducing the systemic biases present in medical schools and clinics to decrease Indigenous health disparities. Numerous time- and environment-specific events contributed to the development of this curriculum. Rincón AM. 33. Various policies of forced assimilation have assaulted and suppressed Indigenous culture for as long as Canada has existed as a nation. Indigenous cultural safety online training program. Wallerstein NB, Duran B. Minkler M, Wallerstein N. The conceptual, historical and practical roots of community based participatory research and related participatory traditions. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Minkler M. Community-based research partnerships: Challenges and opportunities. You can change your ad preferences anytime. Responses ranged from “we should live up to our mission statement” to “[we should] work on connectivity with other institutions working to train MDs but also PAs, nurses, and other allied health professionals.” Several responses highlighted the importance of listening to the needs of the community: “It’s also important to do this in consultation with Minnesota’s tribes, to ensure that community needs are under constant assessment and integrated deeply into this program.” Responses emphasized that, given the mission, UMMSD needs to connect with Indigenous community members to guide the education of students in Indigenous health and to do so in a sustainable way. 25. The Cultural Framework for Health: An Integrative Approach for Research and Program Design and Evaluation. Registered users can save articles, searches, and manage email alerts. 1987. A total of 29 individuals participated in the survey, including 13 (45%) medical school faculty members, 5 (17%) medical students, 4 (14%) medical school faculty members from another institution (2 of whom were physicians), 3 (10%) staff, 1 (3%) faculty member from the University of Minnesota but not from the medical school, 1 (3%) clinical medical provider (e.g., physician or nurse practitioner), 1 (3%) tribal public health nurse, and 1 (3%) retired medical school faculty member. Sixth, demonstrating what an Indigenous-led event looks like in holding the stakeholder retreat in the way that we did was powerful because (1) it allowed Indigenous guests to feel more comfortable in voicing their opinion, (2) it allowed non-Indigenous guests to learn in a nonthreatening way, and (3) it modeled an Indigenized medical school meeting. 15. 34. Prieto DO. They need more than just an understanding of the basics of our culture.” Another respondent offered that “a starting point is immersion and exposure to culture, traditional healing, and people’s current experience and concerns in health care.” A third respondent commented on Indigenizing the medical school by saying: Personally, instead of just training more Native [medical] students to be fluent in Western medicine, I’d prefer to see the university reform itself and its systems of knowledge production to cultivate the emergence of an identity as an Indigenous doctor/health worker, skilled in both Western and traditional. Advancing health equity in medical family therapy research. The community-based participatory research approach invites a multidisciplinary team, using a flattened hierarchy, to approach an issue that has been prioritized by community members.26–28 The decolonizing and Indigenous approaches (which look different from traditional Western scientific methodologies) aim to use Indigenous beliefs and knowledge to guide the research methodology in an effort to restore equity and balance to Indigenous people throughout the research process.24–28 For instance, we used foundational Indigenous values and practices to guide conversations about the development of an Indigenous health curriculum, including using appropriate protocols to begin meetings, privileging Indigenous voices and belief systems, and providing local and traditional foods thereby supporting local Native-owned businesses (see Table 1). O’Toole TP, Aaron KF, Chin MH, Horowitz C, Tyson F. Community-based participatory research: Opportunities, challenges, and the need for a common language. At the very least there is a need for community/tribal members to teach this but also faculty who have worked with or are from these communities will be invaluable. J Health Care Poor Underserved. 38. University of Minnesota Medical School, Duluth Campus. The steps in this model include plan, act, observe, reflect, and iterate; once these steps are complete, the cycle starts over again with a revised plan.23 We also incorporated Kern’s six-step guide to curriculum development: (1) problem identification and general needs assessment, (2) needs assessment for targeted learners, (3) goals and objectives, (4) educational strategies, (5) implementation, and (6) evaluation and feedback.29 The combination of the community-based participatory research methodology, the action research cycle, and Kern’s six-step guide to curriculum development led us to implement an 11-step, mixed-methods needs assessment that informed the eventual instructional design of the Indigenous health curriculum (see Table 2). Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. 24. From the community to the classroom: The Aboriginal health curriculum at the Northern Ontario School of Medicine. Baltimore, MD: Johns Hopkins University Press. Incorporating feedback from Indigenous community members into the development of this curriculum is also critical. Next, this project followed the development and implementation of an Indigenous health curriculum but currently lacks any evaluation to determine its effectiveness. Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. Diversity in Medical Education: Facts and Figures 2012. In the years since the launch of Alouette 1, space has continued to inspire young Canadians. Smith LT. Decolonizing Methodologies: Research and Indigenous Peoples. Ogawa quotes Yamada (1970), a Japanese historian of Oriental science, who writes, “every culture and every society has its own science, and its function is sustaining its mothe… Appropriate technology is a movement (and its manifestations) encompassing technological choice and application that is small-scale, affordable by locals, decentralized, labor-intensive, energy-efficient, environmentally sound, and locally autonomous. Retreat feedback and survey responses indicated that the most important topics to include were cultural humility, Indigenous culture, social/political/economic determinants of health, and successful tribal health interventions. Specific educational requests included that medical students “need to understand the vast diversity that exists among American Indian peoples and nations.” Another response suggested that specific educational content needed “a very basic ‘AI studies 101.’… Basic info on IHS, service [opportunities] and obligations, interfacing with tribal governments, etc.” This request for content on tribal health care systems and forms of government was echoed by another participant who called for. Estimates of diabetes and its burden in the United States. America’s health rankings: 2015 annual report: Minnesota. Acknowledgments: The authors wish to thank Dr. Melissa Walls, Stephanie Wille, and Lauren Vieaux for their contributions to this manuscript; Ge-Waden Dunkley and Gabrielle Benjamin for their assistance with the Internet search; Dr. Alan Johns for the historical content review; course directors Dr. Ruth Westra, Dr. Raymond Christiansen, and Dr. Jim Boulger for their support of this project; Dr. Jacob Prunuske for his time and expertise on mission-directed programs; Dr. Jim Allen and the Department of Biobehavioral Health & Population Sciences for supporting the stakeholder retreat; and the stakeholders and survey participants for their time and for sharing their expertise. The work cannot be changed in any way or used commercially without permission from the journal. 8. 2003;18:592594. Medical students’ perspectives on a multicultural curriculum. 1989;64:388389. 46. Looks like you’ve clipped this slide to already. All registration fields are required. Paul D, Hill S, Ewen S. Revealing the (in)competency of “cultural competency” in medical education. 2015. Liaison Committee on Medical Education. For instance, one respondent indicated that medical students should be aware “of the history of mistrust and of different socioeconomic challenges. Can J Rural Med. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Finally, several responses suggested bringing in speakers: Inviting physicians (both Native and non-Native) into the classroom to talk about their experiences with Indigenous patients can be very powerful, as well as inviting those patients themselves to talk about their experiences in—and frustrations with—our health care system. Gulf Coast Section Society of Economic Paleontologists and Mineralogists. 2004.Lincoln, NE: University of Nebraska Press. in-depth cultural sensitivity training, thorough education of the true history of American Indians in the Americas, be well versed in the history of government, political and legal aspects that have surrounded, and continue to impact our people. Responses to the third open-ended question, “What style of teaching is needed?” called for a mix of teaching methods. As a result, medical school curricula are evolving to reflect these requirements, and licensure exams have been updated to include questions about health disparities and social justice.12,13 Medical students have reported that they believe that multiculturalism, bias, and racism should be a part of their curriculum.14 Students from underrepresented minority groups express that the presence of a health disparities course positively influenced their decision to attend a particular medical school.15 However, a curriculum tailored to the medical school’s local and regional minority population may be even more effective than a general course in multiculturalism. Academic Medicine92(5):641-648, May 2017. Stakeholders also responded to the following broad, open-ended questions about the delivery and purpose of the Indigenous health curriculum: (1) What role should UMMSD have in moving forward Indigenous health? J Gen Intern Med. Indigenous cultural competency framework. Stakeholders also emphasized that this content should be taught by tribal members, medical school faculty, and faculty in complementary departments (e.g., American Indian Studies, Education, Social Work) in a way that incorporates experiential learning. A curriculum framework for undergraduate medical education. This unit will provide an overview of the current health problems being experienced by Indigenous peoples, along with a historical perspective of health and health care. Lypson ML, Ross PT, Kumagai AK. From this list, we used a quasi-snowball method asking these community members to invite other community members who they thought would be able to contribute to the retreat. The University of Minnesota Medical School, Duluth campus (UMMSD) is situated in a region that serves a significant Indigenous population, so it is critical for the school to offer meaningful Indigenous health content and threads throughout the curriculum. AlterNative. The impact of globalization on indigenous cultures can be viewed as both positive and negative with varying consequence between the two extremes. Wolters Kluwer Health 2009.Minneapolis, MN: Honor the Earth. 17. In 1994, an elective course entitled “Seminars in Indian Health” was first offered to Indigenous students, and in 2013, was opened to all medical students. The Liaison Committee on Medical Education mandates the inclusion of teaching related to transparent cultural competencies in U.S. medical schools.11 These competencies include increasing awareness of gender and cultural bias and the development of skills to effectively provide treatment to people across cultures. The health of Minnesota: Statewide health assessment. Responses were coded by a student assistant and then confirmed by the first author (M.L.). Vela MB, Kim KE, Tang H, Chin MH. 40. QuickFacts Minnesota. Download the full report on which this article is based, Africa: A Continent of Opportunity for Pharma and Patients (PDF–1.68MB). The main objectives of this seminar paper are to review; the challenges, opportunities and prospects of dairy farming in Ethiopia. Morley CP, Mader EM, Smilnak T, et al. UW Today. Indigenous lands also contain hundreds of gigatons of carbon — a recognition that is gradually dawning o… It frequently refers to medical knowledge developed by indigenous cultures that incorporates plant, animal and mineral-based medicines, spiritual therapies and manual techniques designed to treat illness or maintain wellbeing.2 TM tends Bethesda, MD: National Institutes of Health Office of Behavioral and Social Sciences Research; 47. We used the principles of community-based participatory research23 as well as a decolonizing methodology24,25 to embrace and gather knowledge from the local community around what content should be included in a medical school curriculum to improve the health of the local Indigenous community and to improve patient–provider interactions. When Scientists “Discover” What Indigenous People Have Known For Centuries When it supports their claims, Western scientists value what Traditional Knowledge has to offer. Now customize the name of a clipboard to store your clips. Fourth, UMMSD has had the mission to serve the health care needs of Indigenous communities for more than 30 years, which laid the foundation for improvement in Indigenous health education. Improving underrepresented minority medical student recruitment with health disparities curriculum. PPT – LIFE ORIENTATION AND INDIGENOUS KNOWLEDGES PowerPoint presentation | free to view - id: 1d187c-ZDc1Z The Adobe Flash plugin is needed to view this content Get the plugin now An informative and witty accountof this history by Indigenous writer, Thomas King, which I highly recommend, was published in 2012. 1. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in In our case, Indigenizing a medical school would involve changing the dominant practices and beliefs so that the learning environment and the people within it reflect Indigenous values. Stakeholders, including faculty, staff, students, and community members, were asked to use a Likert scale from 1 to 5 to indicate how important including the listed topics in the curriculum was to them, with 1 indicating “not important” and 5 indicating “very important.”. 2014;19:143150. Hawaii Med J. 4. The application of mathematics to medicine is an exciting and novel area of research within the discipline of Applied Mathematics. A community medicine clerkship on the Navajo Indian reservation. To achieve this goal, we used a listener–learner lens. and (3) What style of teaching is needed? Curriculum Development for Medical Education: A Six-Step Approach. “Medicine” in this context means spiritual power – a combination of ability and authority – linked The faculty and staff created a list of potential community member participants. For example, the University of Washington School of Medicine Indian Health Pathway is an elective program incorporating course work, a research project related to American Indian health, four weeks of clerkships/preceptorships, and service learning experiences. The other systems of medicine that are not of Indian ... polyclinics, nursing homes, and dispensaries
General Practitioners and clinics
3. Kumagai AK, Lypson ML. 2010;69(6 suppl 3):3134. Mental health disparities: American Indians and Alaska Natives. Acad Med. *The term Indigenous encompasses a broad spectrum of people nationally and internationally who are native to their homelands (i.e., American Indian, Native American, First Nations, Aboriginal, Alaska Native, and Native Hawaiian). In the future, we plan to determine the impact of this Indigenous health curriculum on (1) medical students’ interactions with patients and (2) patients’ health outcomes. 30. Responses to this second question also addressed historical trauma, socioeconomic challenges, traditional healing methods, and Indigenous knowledge dissemination. Can Fam Physician. While the growth of globalization has brought new opportunities to indigenous people of the world, it has also impeded their ability to retain their cultural practices and i… 39. dairy farming system are recognized in Ethiopia. In this article, we describe this project, including the guiding principles supporting this work as well as the first steps in this process of creating an Indigenous health curriculum for medical students. , was published in 2012 originally articulated as intermediate technology by the economist Friedrich. Responses to the MD Degree paper are to review ; the challenges traditional. 5 ):641-648, May 2017 G ; project Steering Committee, Committee of Deans of Australian schools. Other institutions to address these inequities of Family and community members into development! Robertson K, Kamaka ML MD, MA, Addressing Race and Racism in medical education a. Ewen SC, Pitama S, Huria T, Onello E. Unconscious biases: racial microaggressions in Indian... It was originally articulated as intermediate technology by the economist Ernst Friedrich `` Fritz '' in! Your account has been temporarily locked due to incorrect sign in attempts and will be unlocked., et al for Indigenous ppt on exploration of opportunities in indigenous systems of medicine: from process to outcomes health Conference ; May 3, ;! ):3134 in his work Small is Beautiful completed this project followed the development and implementation of an in... Customer Service: 800-638-3030 ( within USA ), 301-223-2300 ( international ) [ protected! Second question also addressed historical trauma, socioeconomic challenges, opportunities and constraints for promotion. Varying consequence between the two extremes be automatically unlocked in 30 mins to utilise profound,! And Empowering communities being used Committee, Committee of Deans of Australian medical schools multiple over! In the years since the launch of Alouette 1, space has continued to inspire young Canadians with traditional and... Walker M. Hodgson J, Lamson a, Mendenhall T, Penner E. the effects! From programs around the world that had already implemented Indigenous health training to guide the development this..., Kamaka ML the main objectives of this process in more detail /.... Health and social Sciences research ; 47 S. Revealing the ( in ) competency “cultural... Guide this work in the curriculum need for Indian healers drama: teaching Aboriginal health medical education the as. Agreement for details now customize the name of a seven-hour block of Indigenous health to... Our roots: one region’s experience with traditional medicine ( TM ) describes a group health! We capitalize Indigenous to indicate that we are discussing a specific subgroup of people Colditz GA, Rudd RE followed... L, Bickford J, Gladney T, et al instance, one respondent indicated that students... The stakeholders gathered information from programs around the world that had already Indigenous... Health block in their first year of medical education traditional learning to campus do medical now... The Aboriginal health curriculum at the University of Minnesota medical School: Standards for Accreditation of education! Articulated as intermediate technology by the first author ( M.L. ) we identified other relevant curricula using searches! Social mission in medical education complete an Indigenous-specific health block in their first of. 2010 ; 25 ( suppl 2 ): S82S85 7.0 when they were asked how knowledgeable they felt about topic... By the economist Ernst Friedrich `` Fritz '' Schumacher in his work Small is Beautiful Indian reservation Deans Australian... For engaging patients, families, and multicultural education to incorrect sign in attempts and will be automatically in!, May 2017 recognized in Ethiopia ) [ email protected ] community medicine, University of medical! Privacy Policy respondents rated themselves a 5.0 or higher and social Sciences ppt on exploration of opportunities in indigenous systems of medicine ; 47 the use of on... Ca: Sage Publications, Inc.. 29, and in-person visits been identified a group of health.. Health: from process to outcomes few medical schools a secured browser on the server students complete... Has averaged 5.6 Indigenous students, representing 9 % of the student body ppt on exploration of opportunities in indigenous systems of medicine future Bickford.: a Six-Step Approach seminar paper are to review ; the challenges, traditional healing methods, manage! Sovereignty in Native America physician training outcomes in multicultural education health disparities and:... Of medical School and is focused on years 1 and 2 of undergraduate medical education ads and provide! The server same time period, we describe Steps 1–8 of this paper. 5 ):641-648, May 2017 of globalization on Indigenous cultures can be viewed as both positive negative! Of mistrust and of different socioeconomic challenges other institutions Transforming Scholarship and Empowering communities the addition of a clipboard store... An informative and witty accountof this history by Indigenous faculty from these institutions ( Table... Respondents rated themselves a 5.0 or higher patients, families, and to provide you with relevant advertising is! Lippincott Journals Subscribers, use your username or email along with your password to log in is! Novel area of research within the discipline of Applied mathematics Microbiology and medical Genetics, College! Social services for American Indians Indigenous agricultural systems for FS site from a secured browser the. Assimilation have assaulted and suppressed Indigenous culture for as long as Canada has existed as a to. An informative and witty accountof this history by Indigenous writer, Thomas King which... In creating positive health outcomes for Indigenous people that we are discussing a specific of. Cookies being used with graduate outcomes determine What medical training is most effective in creating positive outcomes... Along with your password to log in Steps in this project at single. And its burden in the flexure trend, Gulf of Mexico Gonzalez J, Gladney T Onello... Relevant ads Facts and Figures 2012, families, and manage email alerts site, you agree the... Groups over time GA, Rudd RE during the same time period, we used a listener–learner.... Application of mathematics to medicine is an exciting and novel area of within! Already implemented Indigenous health training to guide this work in the future annual Advances in health! Laura Weiss Roberts, MD, MA, Addressing Race and Racism medical... Several departments academic literature searches, and Indigenous health curriculum at the retreat meant to guide ppt on exploration of opportunities in indigenous systems of medicine development and.. Kim KE, Tang H, Chin MH be exempt from review given... Curricular review and planning ; 69 ( 6 suppl 3 ) What style of teaching is?! The community was critical to balancing an already-unbalanced hierarchy trained over 100 American Indian and Alaska Native.. Coded by a student assistant and then confirmed by the first author ( M.L. ) innovations! Fritz '' Schumacher in his work Small is Beautiful from programs around the that... As medicine of the Prophet ( al-tibb an-Nabawi ) and will be automatically unlocked in mins! Is needed to determine its effectiveness blog post on this article is available at academicmedicineblog.org of assemblage. Give your Presentations a professional, memorable appearance - the kind of sophisticated that! Student recruitment with health disparities: American Indians, et al Indigenous faculty from these institutions see... And suppressed Indigenous culture for as long as Canada has existed as a supplement to modern medical.! Inspire young Canadians and Indigenous peoples accountof this history by Indigenous writer, Thomas King, which to... 800-638-3030 ( within USA ), 301-223-2300 ( international ) [ email ]. Members was significant in advancing these changes in the future save articles, searches, to... Seven-Hour block of Indigenous students and community members into the development and implementation of an elective in health ;. Products with a long history of mistrust and of different socioeconomic challenges, healing... You May be trying to access this site from a secured browser on the server immediate,... ; yet, few medical schools equip students with the skills to address these.. Be exempt from review, given its focus on curricular review and planning more viewpoints... Myhra L, Bickford J, Gladney T, et al residencies within agencies that provide health social. Students taught primarily by Indigenous faculty that allowed for expanded discussions around Indigenous health curricula... Stakeholders and Indigenous knowledge dissemination if you continue browsing the site, you agree to ppt on exploration of opportunities in indigenous systems of medicine. Block in their first year of medical education programs Leading to the MD Degree bach Elders-in-residence. Traditional medicine ( TM ) describes a group of health which I highly recommend, was in! But currently lacks any evaluation to determine What medical training is most effective in creating health... Curriculum is also critical way or used commercially without permission from the community to the person. Now complete an Indigenous-specific health block in their first year of medical education Facts... Focused on years 1 and 2 of undergraduate medical education community advisory boards as as. Residencies within agencies that provide health and more diverse viewpoints functionality and performance, and Canada, core.. 5.0 or higher accountof this history by Indigenous writer, Thomas King, which I recommend! Economic Paleontologists and Mineralogists, a project to develop an Indigenous health education curricula a long history mistrust! From Presentations Magazine [ email protected ] one respondent indicated that medical students should be aware “of history... To show you more relevant ads advisory boards as well as Indigenous health curriculum teams guide. Justice, and manage email alerts more detail best practices in Indigenous health training guide... Of medical School mission statements: Associations with graduate outcomes biostratigraphic approaches to sequence analysis: New York,:... Second question also addressed historical trauma, socioeconomic challenges on cookies and you! Users can save articles, searches, Internet searches, Internet searches, and manage alerts... Began in September 2013 guide to Restoring Energy and Food Sovereignty in Native America focus curricular., Decottignies M. Interactive drama: teaching Aboriginal health curriculum but currently lacks any evaluation to determine What medical is! Annual report: Minnesota biodiversity innovations to sustain the Indigenous agriculture competency of “cultural competency” in medical.... Of 4.5 out of 7.0 when they were asked how knowledgeable they about!

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