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Indigenous health: designing a clinical orientation program valued by learners

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Authors:
Summary:

This study was conducted at the University of Otago, Christchurch. The researchers explored medical student experiences and perceptions of an orientation course for indigenous health competencies during undergraduate medical training. As the article explains, indigenous health programs are seen as a curriculum response to addressing health disparities and social accountability. The analysis included 602 quantitative (Likert-scale responses) and qualitative (open-text comments) student evaluations of a 3-day immersed indigenous health orientation programme held between 2006 and 2014. A thematic analysis included 426 narratives of student experiences. As many as 92% (509 of 551 respondents) of the responses rated the indigenous health orientation programme as extremely or highly valuable and 87% considered that the course strongly increased their interest in indigenous health. According to the evaluations, the following features of the clinical course enhance value for learners: situated learning (learning environment; learning context); teaching qualities (enthusiasm and passion for Māori health; role-modelling); curriculum content (re-presenting Māori history; exploring Māori beliefs, values and practices; using a Māori health framework in clinical practice); teaching methodologies (multiple teaching methods; simulated patient interview); and building relationships with peers (getting to know the student cohort; developing professional working relationships).

Comment:
Our colleagues in Otautahi have developed a number of excellent teaching and learning programmes in indigenous health. We’ve adopted the Hui Process in our clinical teaching sessions and had similar, positive feedback.
Reference: BMC Med Educ. 2017;17(1):180
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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