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NT Medical Program




        Dr Della Yarnold
        NT Indigenous Transition
        Pathways Director
This is me
Overview
•   Approach to Indigenous health curriculum
•   Local context curriculum
•   Where does health literacy fit?
•   Integrated approaches
•   Benefits to patients
•   Indigenous Entry Stream
The Numbers
Pop. 227,025 (approx. 32.5% Indigenous)
1,349,129 square kilometres (520,902 sq mi),
People
The School
Approach to Indigenous
            Curriculum
•   CDAMS Framework
•   Three key areas
•   Communication
•   Applied knowledge
•   Holistic health
Communication
•   Recognition of health literacy issues
•   Effective listening
•   Language used
•   Concepts explained
•   Resources available
The Ideal
Confusing Messages
Applied Knowledge
•   Experiential learning
•   Team work / Multidisciplinary approaches
•   Recognition of system issues
•   Holistic health
•   Epidemiological knowledge
•   Local context
Living Stats
Holistic Health
• Not in name only
• Practical applications (travel, medications
  etc...)
• Family, AHW, ALO, DMO, Interpreters
• Mind, body, spirit
• Traditional practices
Local Context Curriculum
• Cultural Educators (Matthew, Colleen &
  Bilawara)
• Indigenous reference group
• Community placements providing
  experiential learning
• Service providers
• Interpreters, AHW & ALO
Health Literacy Approach
• Not just literacy
• Understanding health systems in the
  dominant culture
• Two way communication
• Not appropriate to test for literacy
• Must be aware of the potential impact
• Mediated by holistic health approaches
Health Literacy Elements
Onus on practitioner to ensure it happens
Awareness of literacy, numeracy and the
 culture specific interpretation of health
 information
An interaction which empowers an individual
System and the culture in which it sits
Health Literacy Awareness
•   Newest Vital Sign
•   Teach Back
•   Ask Me Three
•   Health Promotion
•   Communication skills
•   Holistic health plans
•   Awareness of a different worldview
Outcomes
• Appropriate two-way communication of
  health information - responsive
• Understand & be able to apply the
  information to decisions made about
  health
• Options for self empowerment and self
  management
Integrated Approaches
• Applied knowledge increases awareness
• Communication facilitates assessment
• Holistic health assists with addressing
  health literacy
• Skills transferrable to all patients
Benefits to Patients
• Responsive doctors
• Improved options for increasing health
  knowledge
• Self management options increased
• Appropriate management plans
• Especially relevant to chronic disease
What might stop us?
Barriers
•   System
•   Cultural Awareness/Safety/Competency
•   Modelling of behaviours
•   Medical/Health Culture
•   HALT
Indigenous Entry Stream
• Indigenous doctors
• Combining cultural knowledge with clinical
  skills
• Increased recognition of health literacy
  issues, incorporation of traditional healing
  practices, awareness of holistic health
  domains
Questions??

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Dr della yarnold indigenous transitions pathways director, nt medical school, flinders university

  • 1. NT Medical Program Dr Della Yarnold NT Indigenous Transition Pathways Director
  • 3. Overview • Approach to Indigenous health curriculum • Local context curriculum • Where does health literacy fit? • Integrated approaches • Benefits to patients • Indigenous Entry Stream
  • 4.
  • 5. The Numbers Pop. 227,025 (approx. 32.5% Indigenous) 1,349,129 square kilometres (520,902 sq mi),
  • 8. Approach to Indigenous Curriculum • CDAMS Framework • Three key areas • Communication • Applied knowledge • Holistic health
  • 9. Communication • Recognition of health literacy issues • Effective listening • Language used • Concepts explained • Resources available
  • 12. Applied Knowledge • Experiential learning • Team work / Multidisciplinary approaches • Recognition of system issues • Holistic health • Epidemiological knowledge • Local context
  • 14. Holistic Health • Not in name only • Practical applications (travel, medications etc...) • Family, AHW, ALO, DMO, Interpreters • Mind, body, spirit • Traditional practices
  • 15.
  • 16. Local Context Curriculum • Cultural Educators (Matthew, Colleen & Bilawara) • Indigenous reference group • Community placements providing experiential learning • Service providers • Interpreters, AHW & ALO
  • 17. Health Literacy Approach • Not just literacy • Understanding health systems in the dominant culture • Two way communication • Not appropriate to test for literacy • Must be aware of the potential impact • Mediated by holistic health approaches
  • 18. Health Literacy Elements Onus on practitioner to ensure it happens Awareness of literacy, numeracy and the culture specific interpretation of health information An interaction which empowers an individual System and the culture in which it sits
  • 19.
  • 20. Health Literacy Awareness • Newest Vital Sign • Teach Back • Ask Me Three • Health Promotion • Communication skills • Holistic health plans • Awareness of a different worldview
  • 21.
  • 22. Outcomes • Appropriate two-way communication of health information - responsive • Understand & be able to apply the information to decisions made about health • Options for self empowerment and self management
  • 23. Integrated Approaches • Applied knowledge increases awareness • Communication facilitates assessment • Holistic health assists with addressing health literacy • Skills transferrable to all patients
  • 24. Benefits to Patients • Responsive doctors • Improved options for increasing health knowledge • Self management options increased • Appropriate management plans • Especially relevant to chronic disease
  • 26. Barriers • System • Cultural Awareness/Safety/Competency • Modelling of behaviours • Medical/Health Culture • HALT
  • 27.
  • 28. Indigenous Entry Stream • Indigenous doctors • Combining cultural knowledge with clinical skills • Increased recognition of health literacy issues, incorporation of traditional healing practices, awareness of holistic health domains