The “enhancing tertiary tutor's cultural safety” study: Aboriginal and Torres Strait Islander cultural training for tutors of medical students
Introduction: The inclusion of an Aboriginal and Torres Strait Islander health curriculum is an accreditation requirement of medical training. Healthcare provisions that are culturally safe may lead to better health outcomes for Aboriginal and Torres Strait Islander peoples. To achieve this, graduating doctors need to practise in a culturally-safe manner when dealing with Aboriginal and Torres Strait Islander Australians. This study considered the impact of a cultural diversity/cultural-safety training program for problem-based learning (PBL) tutors of medical students.
Methods: This qualitative study looked at the impact of a cultural-safety training workshop that was delivered to current PBL tutors of medical students. The tutors were invited to participate in a focus group 6 months post workshop and asked to reflect on the content and structure of the workshop, their role as a tutor and whether their workshop experience translated to their tutorial work.
Results: The three key thematic findings from the focus group were around reflections on the tutor’s own cultural competence, the perceived role of the tutor in the PBL environment and the interaction between the tutor and the student in their tutorial groups. Interestingly, across these findings, an “us versus them” construct was noted.
Conclusion: PBL tutors can be agents of change; they are uniquely positioned to enable future doctors to have a pivotal role in better health outcomes for Aboriginal and Torres Strait Islander people. We found a single cultural-safety training event to be helpful but insufficient. Addressing systemic barriers towards institutional change across health professional education is required.
Australian Medical Council. (2017). Accreditation and recognition. Retrieved from https://www.amc.org.au/accreditation
Azer, S. A. (2007). Navigating problem-based learning. Marrickville, NSW, Australia: Elsevier.
Beagan, B. L. (2000). Neutralizing differences: Producing neutral doctors for (almost) neutral patients. Social Science & Medicine, 51, 1253–1265.
Beagan, B. L. (2003). Teaching social and cultural awareness to medical students: "It's all very nice to talk about it in theory, but ultimately it makes no difference". Academic Medicine, 78(6), 606–614.
Bennett, D., Power, A., Thomson, C., Mason, B., & Bartleet, B.-L. (2016). Reflection for learning, learning for reflection: Develpoing Indigenous competencies in higher education. Journal of University Teaching & Learning Practice, 13(2), 1–19.
Boutin-Foster, C., Foster, J. C., & Konopasek, L. (2008). Physician, know thyself: The professional culture of medicine as a framework for teaching cultural competence. Academic Medicine, 83 (1), 106–111.
Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Los Angeles, CA: Sage.
Bringle, R. G., Hatcher, J., & Jones, S. (Eds.). (2011). International service learning: Conceptual frameworks and research. Sterling, VA: Stylus.
Commonwealth of Australia—Department of Health. (2014). Appendix B: Developing Aboriginal and Torres Strait Islander cultural capabilities in health graduates: A review of the literature. Canberra, ACT, Australia: Health Workforce Australia.
Culture. (2018). In Cambridge Dictionary. Retrieved from https://dictionary. cambridge.org/dictionary/english/culture
Downing, R., Kowal, E., & Paradies, Y. (2011). Indigenous cultural training for health workers in Australia. International Journal for Quality in Health Care, 23(3), 247–257.
Durey, A. (2010). Reducing racism in Aboriginal health care in Australia: Where does cultural education fit? Australian and New Zealand Journal of Public Health, 34(Suppl. 1), S87–S92.
Gladman, J., Ryder, C., & Walters, L. K. (2015). Measuring organisational-level Aboriginal cultural climate to tailor cultural safety strategies. Rural and Remote Health, 15(4), 3050.
Laverty, M., McDermott, D. R., & Calma, T. (2017). Embedding cultural safety in Australia's main health care standards. Medical Journal of Australia, 207(1), 15–16.
Phillips, G. (2004). CDAMS Indigenous health curriculum framework. Retrieved from https://medicaldeans.org.au/md/2018/07/cdams-indig-health-frameworkreport. pdf
Roberts, J. H., Sanders, T., Mann, K., & Wass, V. (2010). Institutional marginalisation and student resistance: Barriers to learning about culture, race and ethnicity. Advances in Health Science Education, 15, 559–571.
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