scholarly journals Cultural Safety: A Framework for Interactions between Aboriginal Patients and Canadian Family Medicine Practitioners

2013 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
Ava C. Baker ◽  
Audrey R. Giles
Keyword(s):  
Family Medicine ◽  
Cultural Sensitivity ◽  
Aboriginal People ◽  
Family Physicians ◽  
Aboriginal Health ◽  
Cultural Safety ◽  
Colonial History ◽  
History Of ◽  
Family Medicine Residents

Current approaches for non-Aboriginal family medicine practitioners encountering Aboriginal patients are based in cultural sensitivity, which is an inadequate model to satisfy the obligation of family medicine residents and physicians to Aboriginal health in Canada. In this paper, we advocate for the adoption of a cultural safety approach as a superior method for training family medicine residents in interactions with Aboriginal patients. Family medicine programs can integrate cultural safety into their curriculum by teaching residents about the colonial history of Aboriginal people to foster understanding of power imbalances. This knowledge can then be used to help family medicine residents learn to identify their own biases that may affect the care of Aboriginal patients. By advocating for family medicine practitioners to use cultural safety to challenge their own concepts of culture and to address their own worldviews, patient encounters between non-Aboriginal family physicians and Aboriginal patients may be made safer and more productive.

Traveling with Trained Man

Transfers ◽  
2020 ◽  
Vol 10 (2-3) ◽  
pp. 83-102
Author(s):  
Katie Maher
Keyword(s):  
Aboriginal People ◽  
Colonial History ◽  
Black Artists ◽  
Shared Spaces ◽  
History Of

This article considers the railways as a decolonial option for moving toward mobility justice. It views the photographic artwork Trained Man by Ngalkban Australian artist Darren Siwes through a mobilities lens, considering how the artist plays with time and attends to space, making visible what colonial projects of protection and assimilation have attempted to erase. Attending to the truths and imaginaries that reside and move with Trained Man, it draws on the work of Aboriginal and Black artists, scholars, and activists to trace Australia’s past and present colonial history of training Aboriginal people into whiteness. It considers the railways as carrying “two lines of destiny” with potential moving in both colonial and decolonial directions. The article concludes by suggesting that shared spaces such as the railways open possibilities for mobilizing the decolonial project.

Renewing country: Aboriginal people and their lands in rangeland environments

2001 ◽  
Vol 23 (1) ◽  
pp. 99 ◽  
Author(s):  
Heather Goodall
Keyword(s):  
Decision Making ◽  
Capital Investment ◽  
Aboriginal People ◽  
Active Role ◽  
Land Values ◽  
Colonial History ◽  
Environmental Decision Making ◽  
History Of ◽  
Viable Approach ◽  
Environmental Decision

After long campaigns demanding recognition of traditional land rights, Aboriginal people have regained control over some properties, but in circumstances that are greatly changed from pre-invasion conditions. Much of this newly acquired land is in rangeland areas, where the environmental degradation arising from pastoralism has lowered land values, thereby making land available for Aboriginal acquisition but at the same time making it less commercially viable without major capital investment, with the attendant possibility of further damage. In this context there can be no simple return to 'tradition', nor are there easy blueprints to follow to redevelop a viable approach to land management. Aborigines are faced with the question of choosing practical management decisions that will meet their cultural and ecological, as well as economic, needs. They are seeking also to take an active role in the broader management of the rangelands for which they feel responsibilities, beyond the fencelines of any one property. They are finding, however, that environmental decision-making is still embedded in the long colonial history of rural conflict over land and resources. While there are some approaches in common with non-Aboriginal neighbours and despite severe pressures and constraints, Aboriginal land managers are developing a distinctive pattern of decision-making which privileges social and cultural uses, together with an interest in implementing practical conservation measures for a wide variety of native biota. But the expression of Aboriginal interests in environmental decision-making continues to be obstructed. The long history of rural racial conflict over land and resources has left a legacy of severe structural disadvantage and of persistent, hostile alliances which act to marginalise Aboriginal voices despite the appearance of increasing inclusivity. The paper argues that these obstructions to an active Aboriginal role in environmental decision-making need to be recognised and addressed if Aboriginal interests and knowledge are to contribute justly and effectively to rangeland sustainability.

scholarly journals A Pilot Study to Address Tolerance of Uncertainty Among Family Medicine Residents

2018 ◽  
Vol 50 (7) ◽  
pp. 531-538 ◽  
Author(s):  
Deborah Taylor ◽  
Bethany Picker ◽  
Donald Woolever ◽  
Erin K. Thayer ◽  
Patricia A. Carney ◽  
...  
Keyword(s):  
Family Medicine ◽  
Family Physicians ◽  
Medical Problems ◽  
Sustained Improvement ◽  
Tolerance Of Ambiguity ◽  
New Curriculum ◽  
Quasi Experimental ◽  
Tolerance Of Uncertainty ◽  
The Impact ◽  
Family Medicine Residents

Background and Objectives: Because patients often present to their family physicians with undifferentiated medical problems, uncertainty is common. Family medicine residents must manage both the ambiguity inherent in the field as well as the very real uncertainty of learning to become a skilled physician with little experience to serve as a guide. The purpose of this analysis was to assess the impact of a new curriculum on family medicine residents’ tolerance of ambiguity. Methods: We conducted an exploratory quasi-experimental study to assess the impact of a novel curriculum designed to improve family medicine residents’ tolerance of ambiguity. Four different surveys were administered to 25 family medicine residents at different stages in their training prior to and immediately and 6 months after the new curriculum. Results: Although many constructs remained unchanged with the intervention, one important construct, namely perceived threats of ambiguity, showed significant and sustained improvement relative to before undertaking this curriculum (score of 26.2 prior to the intervention, 22.1 immediately after, and 22.0 6 months after the intervention). Conclusions: A new curriculum designed to improve tolerance to ambiguity appears to reduce the perceived threats of ambiguity in this small exploratory study.

scholarly journals Seven tips for clinical supervision in the time of COVID 19

2020 ◽  
Author(s):  
Karen Schultz ◽  
Alexander Singer ◽  
Ivy Oadansan
Keyword(s):  
Family Medicine ◽  
Clinical Supervision ◽  
Family Physicians ◽  
Care Model ◽  
Virtual Care ◽  
Virtual Supervision ◽  
Family Medicine Residents

Virtual care (VC) rapidly has become the preferred care model in family medicine settings during the COVID-19 pandemic.  Both residents and preceptors must rapidly adapt and develop new skills to provide and supervise virtual care. The College of Family Physicians of Canada (CFPC) created a VC supervision guide for family medicine residents and preceptors by quickly mobilizing a consensus driven approach leveraging existing CFPC educational committees, representing a broad range of teachers and residents in the country. The guide can be adapted to other settings and is provided in the hopes of being helpful to all preceptors providing VC and (virtual) supervision during the pandemic. 

scholarly journals Family physicians' utility of social media: a survey comparison among family medicine residents and physicians

2018 ◽  
Vol 18 (3) ◽  
pp. 817 ◽  
Author(s):  
Karim Syed Irfan ◽  
Irfan Farhana ◽  
Al Faris Eiad ◽  
Al Maflehi Nassr ◽  
Al Qahtani Al Mohammed ◽  
...  
Keyword(s):  
Social Media ◽  
Family Medicine ◽  
Family Physicians ◽  
Survey Comparison ◽  
Family Medicine Residents

Comparison of Intended Scope of Practice for Family Medicine Residents With Reported Scope of Practice Among Practicing Family Physicians

JAMA ◽  
2015 ◽  
Vol 314 (22) ◽  
pp. 2364 ◽  
Author(s):  
Anastasia J. Coutinho ◽  
Anneli Cochrane ◽  
Keith Stelter ◽  
Robert L. Phillips ◽  
Lars E. Peterson
Keyword(s):  
Family Medicine ◽  
Family Physicians ◽  
Scope Of Practice ◽  
Family Medicine Residents

scholarly journals A structured curriculum and procedure clinic to help family medicine residents diagnose and treat skin cancer

2021 ◽  
Author(s):  
Christine Rivet ◽  
Farhad Motamedi ◽  
Joseph Burns ◽  
Douglas Archibald
Keyword(s):  
Skin Cancer ◽  
Family Medicine ◽  
Family Physicians ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Diagnosis And Management ◽  
Skin Cancers ◽  
Ideal Situation ◽  
Hands On ◽  
Family Medicine Residents

Implication Statement Melanoma is a potentially deadly type of skin cancer that has been increasing in incidence but is curable if found in the early stages. Family physicians are in an ideal situation to examine the skin during routine visits, but studies indicate they are not well trained to detect or treat skin cancers. We piloted a structured, longitudinal, hands-on procedural curriculum to improve family medicine residents’ ability to identify and manage skin cancers. Family medicine residency programs wishing to improve the diagnosis and management of skin cancer by family physicians might consider trialing our structured curriculum and procedure clinic.

scholarly journals Laying the foundations of meaningful community engagement in Aboriginal health research: Establishing a community reference group and terms of reference in a novel research field.

2021 ◽  
Author(s):  
Penny O'Brien ◽  
Ryan Prehn ◽  
Naz Rind ◽  
Ivan Lin ◽  
Peter FM Choong ◽  
...  
Keyword(s):  
Community Engagement ◽  
Health Research ◽  
Aboriginal People ◽  
Reference Group ◽  
Aboriginal Health ◽  
Research Field ◽  
Cultural Safety ◽  
Two Phase ◽  
Stakeholder Perspectives ◽  
Service Staff

Abstract Background Community engagement in Aboriginal health research aims to protect and empower participating individuals and communities and is an ethical requirement in research. One approach to incorporating community engagement in research is to engage a community reference group to provide oversight and cultural guidance to projects. The aim of this study was to describe the process of establishing a community reference group and terms of reference to guide the Enhancing Equity, Collaboration and Culturally secure Osteoarthritis care for Aboriginal Australians collaboration (ECCO). ECCO is a national inter-professional team of Aboriginal and non-Aboriginal health service staff and researchers that was established to develop culturally secure osteoarthritis care for Aboriginal people. Methods This was a two-phase study conducted in Victoria, Australia. In phase one, semi-structured research yarns were conducted collaboratively by Aboriginal and non-Aboriginal co-investigators to explore Aboriginal health stakeholder perspectives on establishing a community reference group and terms of reference. In phase two, we used recommendations identified in phase one to invite members to participate in the ECCO community reference group and to ratify the terms of reference through a culturally adapted focus group. Results Thirteen people (eight female, four male) participated in phase one. Participants represented diverse professional backgrounds including physiotherapy, nursing, general practice, health services management, hospital liaison, cultural safety education, health research and the arts. Three themes were identified in phase one; Recruitment and Representation (trust and relationships, in-house call-outs, broad-spectrum expertise and Aboriginal majority); Purpose (community engagement, research steering, knowledge dissemination and advocacy) and; Function and Logistics (frequency and format of meetings, size of group, roles and responsibilities, authority, communication and dissemination). In phase two, six Aboriginal people were invited to become members of the ECCO community reference group who recommended changes to seven domains of the terms of reference. Conclusion The findings of this study are captured in a 10-step framework which describes practical strategies for establishing a community reference group and terms of reference.

scholarly journals The Critical Thinking Skills of Practicing Family Physicians: A Population-Based Cross-Sectional Study

2020 ◽  
Vol 52 (9) ◽  
pp. 635-641
Author(s):  
David Ross ◽  
Michelle Morros ◽  
Efrem Violato
Keyword(s):  
Critical Thinking ◽  
Family Medicine ◽  
Univariate Analysis ◽  
Family Physicians ◽  
Thinking Skills ◽  
Population Based ◽  
Critical Thinking Skills ◽  
Cross Sectional ◽  
Practicing Physicians ◽  
Family Medicine Residents

Background and Objectives: Critical thinking (CT) skills are an important aspect of clinical reasoning and diagnosis. The goals of this study were to (1) examine levels of CT skills of practicing family physicians, (2) compare the CT skills of practicing family physicians to family medicine residents, and (3) identify individual variables and practice characteristics predictive of CT skills. . Methods: We used a population-based, cross-sectional design to compare practicing and resident family physicians and examine the predictors of CT skills in practicing family physicians. Sixty-two practicing family physicians were recruited across Canada. We used data from 59 family medicine residents at a single institution in Canada. We used the California Critical Thinking Skills Test (CCTST) to measure CT skills. We analyzed data using descriptive and univariate analysis, multivariate analysis of variance, and hierarchical multiple linear regression. CT skills were further examined in follow-up analysis using polynomial regression. Results: Residents performed better than practicing physicians on nearly all aspects of CT (P<.005). Age was the strongest predictor of CT skills in practicing physicians (P<.005); CT skills declined with age as a quadratic function (P<.005). Conclusions: As a group, practicing family physicians exhibited lower scores on the CCTST compared to family medicine residents. CT skills showed a decline with age, accelerating after approximately age 60 years. The results of the study have implications for continuing education and assessment of physicians’ clinical skills. Further research is required to better understand what other predictors may be important for CT skills of practicing family physicians.

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