Projects of Interest

Welcome to the Project of Interests page. If you have a project that is related to Indigenous medical education or Indigenous health education please share it on LIME Network website by emailing us at lime-network@unimelb.edu.au.

Organisation Project
University of Queensland United nations Millennium Development Goals Project
 AIDA and Medical Deans Collaboration  Indigenous Health Projects
Cooperative Research Centre for Aboriginal Health (CRCAH) & Latrobe University (Administering Organisation) Improving the Culture of Hospitals for Aboriginal and Torres Strait Islander people
Indigenous Physicians Association of Canada (IPAC) & the Association of Faculties of Medicine of Canada (AFMC) First Nations, Inuit, Métis Health Core Competencies Framework for Undergraduate Medical Education
James Cook University Indigenous Health Careers Access Program (IHCAP)
The University of Auckland
Vision 20:20
The University of New South Wales Muru Marri Indigenous Health Unit & The University of New South Wales School of Public Health and Community Medicine Innovative scenario-based learning tool: ‘Ending Indigenous health inequalities within our lifetime’ DVD
Rural Health Education Foundation Live Strong: Closing the Gap on Chronic Disease DVD
Victorian Department of Health Improving Care for Aboriginal and Torres Strait Islander Patients (ICAP)
Australian Learning and Teaching Council Creating Cultural Empathy and Challenging Attitudes through Indigenous Narratives project
Combined Universities Centre for Rural Health Online Aboriginal Cultural Orientation Program
Onemda VicHealth Koori Health Unit & Victorian Aboriginal Community Controlled Health Organisation (VACCHO) Victorian Aboriginal Child Mortality Study (1988-2008)

 

AIDA and Medical Deans

Indigenous Health Projects

Two significant and exciting Medical Deans and AIDA projects have recently been granted funding from the Australian Government Department of Health and Ageing. The first involves a joint review of implementation of the CDAMS Indigenous Health Curriculum Framework and Healthy Futures Report across all medical schools in Australia.

The second involves holding a national forum in early 2011 to develop strategies and pathways for Indigenous medical academic leadership. Medical schools are currently assessed on Indigenous Health curricula and recruitment and retention practices for Indigenous medical students through accreditation process conducted by the Australian Medical Council and the Critical Reflection Tool provides schools with a framework for internal reflection and review. The Medical Deans–AIDA Review will assess implementation of the Curriculum Framework and Healthy Futures across all medical schools using the original documents as baselines, thereby giving a snapshot in time of current practices as well as an indication of progress over the last five years. The Review will include site visits to all medical schools, interviews with staff and students, as well as secondary research and analyses of findings. Significant contributions will be made by the LIME Network through the LIME
Reference Group and the LIME project Team. The review will be undertaken by a Project Officer for an anticipated 12-month period.

A discussion paper for the forum is currently being developed, outlining existing capacitybuilding initiatives, profiles of Indigenous medical academic leaders, and potential strategies. The forum itself seeks to bring together stakeholders and
individuals to discuss and develop effective strategies for the next three to five years. A Project Officer will be engaged to organise the forum and summarise its outcomes.

More Information: Please see Medical Deans Australia and New Zealand and AIDA for more details.

 

Cooperative Research Centre for Aboriginal Health (CRCAH) & Latrobe University (Administering Organisation)

Improving the Culture of Hospitals for Aboriginal and Torres Strait Islander people

The ICHP was funded by the Cooperative Research Centre for Aboriginal Health, now known as the Cooperative Research Centre for Aboriginal and Torres Strait Islander Health CRCATSIH), project managed by the Australian Institute for Primary Care, La Trobe University along with partner organisations The University of Melbourne (Onemda, Vichealth Koori Health Unit) and the Aboriginal Health Council of South Australia. The project has been guided by an Advisory Committee consisting of representatives from the Aboriginal Health Council of South Australia, The University of Melbourne, St.Vincent’s Hospital (Melbourne), La Trobe University, Royal Adelaide Hospital, Government of South Australia (Department of Health), Office of Aboriginal and Torres Strait Islander Health and the Tasmanian Department of Health and Human Services.

Project Aims

The aim of this project was to examine successful Aboriginal and Torres Strait Islander programs undertaken by hospitals, within a quality improvement framework. This information was used, as well as the experience of Aboriginal and Torres Strait Islander people, to explore what would support replicating and sustaining this type of work across a wide range of hospital environments. The project developed a Framework and Toolkit to assist in facilitating the organisational cultural change required to undertake this work effectively.

Conclusions

The ICHP has provided hospitals with a culturally appropriate quality improvement process along with a set of evidence-based tools and guidelines to facilitate a sustainable approach to Aboriginal health. The capacity of hospitals to respond more effectively to Aboriginal patients is increased by making Aboriginal health a quality issue. This will not only build the capacity of hospitals to improve their response to Aboriginal communities but also improve their
effectiveness in engaging with a range of other patients with complex needs.

Clearly the Framework, Toolkit and Training Program for Aboriginal staff has been found to be essential, important, credible, practical, useful, and timely. The capacity of Aboriginal staff and communities to engage in a meaningful and effective way with hospital reform has been increased by this process. The ICHP has increased the involvement and effectiveness of non-Aboriginal clinical staff by engaging them in projects that require them to work alongside Aboriginal staff and Aboriginal communities to improve hospital service delivery to Aboriginal patients. The potential to establish a process for continuous quality improvement for cultural reform in hospitals has been increased by the ICHP, which provides a systematic approach for local communities to develop strategies in partnership with the hospital in their area. This process will take time but will build the capacity and sustainability of both hospitals and their local communities to make a difference in Aboriginal health.
As a result of this project and the initial Round Table meeting to discuss project findings, ACHS approached the CRCATSIH to provide expert feedback on their draft Aboriginal standards to be included in the next version of EQUiP. Key stakeholders involved in this project have been involved in providing that feedback and the CRCATSIH will continue to work in partnership with ACHS as the standards are rolled out and implemented across Australian hospitals. To assist this discussion, we need to look at a selection of hospitals over a longer period of time .

In conclusion, hospitals need senior management to support this work as a priority and to ensure Aboriginal staff are trained to facilitate the process. It is recommended that further longitudinal research is undertaken to look at hospitals over the long term to build evidence that supports the involvement of quality and safety units in cultural sensitivity improvements. Finally, the inclusion of Aboriginal-specific standards in the ACHS EQuIP accreditation system, informed by Aboriginal key stakeholder organisations, is seen as a key driver to assist this change, and a much welcomed development.

Team Members:
John Willis (Project Manager), Alwin Chong, Angela Clarke, Monica Lawrence, Gai Wilson

Related Documents:
Improving the Culture of Hospitals: Newsletter No.2 June 2009
Improving the Culture of Hospitals: Newsletter No. 1 October 2008
Improving the culture of Hospitals Project: Newsletter No.3 April 2010

More Information:
Website: Improving the Culture of Hospitals for Aboriginal and Torres Strait Islander people
John Willis (Project Manager)
Ph: 03 9288 3942
Email: john.willis@svhm.org.au

Updated:23 July 2010

 

 

Indigenous Physicians Association of Canada (IPAC) and the Association of Faculties of Medicine of Canada (AFMC)

First Nations, Inuit, Métis Health Core Competencies Framework for Undergraduate Medical Education

AFMC & IPAC partnership released a First Nations, Inuit, Métis Health Core Competencies Framework for Undergraduate Medical Education on September 2, 2008.

This was developed through a broad consultation process with many partner stakeholders, the intent of these core competencies is to provide undergraduate medical educators with broad thematic domains around First Nations, Inuit, Métis health knowledge, skills and attitudes to engage in both patient and community-centered approaches to health care delivery with and for Indigenous peoples in Canada.

Implementation of these core competencies will help increase cultural competency and safety between Indigenous and non-Indigenous medical learners/ faculty and between physicians and Indigenous peoples/communities.

More Information:
First Nations, Inuit, Métis Health Core Competencies: A Curriculum Framework for Undergraduate Medical Education

 

 

James Cook University

Indigenous Health Careers Access Program (IHCAP)

IHCAP is designed to increase Aboriginal and Torres Strait Islander student success in pursuing a health career. This program is the only one of its kind in Australia and offers a free one-month orientation course that is held on JCU’s Townsville campus in January of each year. In that month, students will complete the subject English for Academic Purposes as an intensive subject.

The program then continues to provide students enrolled in a health degree with the practical skills and the knowledge to better cope with demands of university study.

The program focuses on:
* Learning and study skills
* Support networks
* Skills in coping with the demands of study, family and community
* Budgeting and planning life around uni study

More information:
Website: Indigenous Health Careers Access Program (IHCAP)
Jenine Godwin
IHCAP Mentor Coordinator
Indigenous Health Unit
Faculty of Medicine, Health and Molecular Sciences
Ph: (07) 4781 4547
Fax: (07) 4781 6171
Email: ihu@jcu.edu.au

 

 

The University of Auckland

Vision 20:20

Vision 20:20 is the Faculty of Medical and Health Sciences’ commitment to increasing the number of Māori and Pacific health professionals to 10 percent of the health workforce by the year 2020.

Project Information:
Vision 20:20 has three components coordinated by Te Kupenga Hauora Māori (Māori Health):

Māori and Pacific Admission Scheme (MAPAS)
* Admission/Retention/Academic and Pastoral Support
Māori and Pacfic Admission Scheme (MAPAS) is available to FMHS applications with indigenous Māori or Pacific whakapapa/ancestry. MAPAS Provides both admission into and support during study within the Certificate in Health Sciences, Nursing, Pharmacy, Medicine and Health Sciences programmes of the faculty. It seeks to provide a supportive environment where students, their whānau and staff accept a commitment to academic achievement within a Māori/Pacific context.

Hikitia te Ora - Certificate in Health Sciences (CertHSc)
* Bridging/Foundation
The Certificate in Health Scienes (CertHSc) is a one year bridging programme which prepares Māori and Pacific students for tertiary study in health sciences necessary for success in Overlapping Year One (OLY1) courses within the faculty and ongoing study in Nursing, Pharmacy, Medicine and Health Sciences. The CertHSc course content has a focus on academic and science literacy including chemistry, physics, biology and population health.

Whakapiki Ake Project (WAP)
* Māori Recruitment
The Whakapiki Ake Project (WAP) is a recruitment programme that actively engages with rangatahi Māori enrolled in secondary schools to promote health as a career and entry into the Certificate in Health Sciences programme as a pathway into FMHS professional programmes.  WAP offers exposure to health career options, assistance for students to apply to the FMHS and financial support with course fees for successful applications. Mature students may also apply.

More information:
Website: Māori and Pacific Success, Vision 20:20 - Health Career Pathways
Vision 20:20 Academic Director
Dr Elana Taipapaki Curtis
Room: 730-410
Ph: +64 9 373 7599 ext 86470
Email: e.curtis@auckland.ac.nz

Vision 20:20 Senior Administrator
Ursula McIntyre
Ph: +64 9 373 7599 ext 85005
Email: u.mcintyre@auckland.ac.nz

Project last updated: 28 June 2010

 

 

The University of New South Wales Muru Marri Indigenous Health Unit & The University of New South Wales School of Public Health and Community Medicine

Innovative scenario-based learning tool: ‘Ending Indigenous health inequalities within our lifetime’ DVD

Over the past twelve month's, Muru Marri's Professor Lisa Jackson Pulver and Sally Fitzpatrick collaborated with Lois Meyer from the SPHCM postgraduate team to produce a short documentary 'Ending Indigenous health inequalities within our lifetime' (recently presented at the 2009 LIME Connection III). This documentary presents the perspectives of a number of Aboriginal and non-Aboriginal community leaders and health experts from urban and remote Australia on how to approach the current health disadvantage faced by Aboriginal and Torres Strait Islander peoples.

The DVD is inspired by the Close the Gap campaign for Indigenous health equality, including the signing of the Close the Gap Statements of Intent across the country, and the commitment of substantial funds towards this end by the Council of Australian Governments. The DVD is designed to be used as a scenario building tool in either face-to-face and via online workshop delivery and is currently being implemented in group assignment work within the elective PHCM9630 "Indigenous Health in Australia".

The DVD resource has been funded through a Learning and Teaching Grant won by Lois Meyer and collegues from the university and is part of a larger project they are undertaking in developing scenario based learning strategies within the SPHCM postgraduate programs.

More Information:
Pod cast: ‘Ending Indigenous health inequalities within our lifetime' video [Streamed and Podcast]
Lois Meyer
Senior Research Fellow (UNSW)
Ph: 02 9385 8756
Fax: 02 9385 1526
Email:l.meyer@unsw.edu.au

Project last updated: 28 June 2010

 

 

Rural Health Education Foundation

Live Strong: Closing the Gap on Chronic Disease DVD

Live Strong is the latest of the half hour documentary style programs in the Rural Health Education Foundation’s Strong Series. It is presented by Daniel Browning of ABC Radio National’s Awaye!

It emphasises the need for a comprehensive approach to the prevention, treatment and management of chronic disease. It also looks at Indigenous concepts of health and explores how these might shape more effective intervention programs.

The program showcases some of the particular projects that are making a difference: The Family Wellbeing Program at Yarrabah in Queensland; The Healthy Lifestyle Awareness Outreach Program, run by the Dharah Gibinj Aboriginal Medical Service in Casino NSW; and The Improved Primary Health Care Initiative at Mossman, Gorge Aboriginal Community in Queensland

More information:
Website: Live Strong: Closing the Gap on Chronic Disease (The Australian Government Department of Health and Ageing has supported the distribution of this resource).

To order your free DVD visit the Rural Health Education Foundation or contact the Foundation on 02 62325480 or at support@rhef.com.au.

 

 

Victorian Department of Health

Improving Care for Aboriginal and Torres Strait Islander Patients (ICAP)

The Improving Care for Aboriginal and Torres Strait Islander Patients program builds on the work done by KHLOs across Victoria to improve the access of Aboriginal and Torres Strait Islander people in Victoria to mainstream health services.

Project Information:
ICAP is an extension and enhancement of the Koori Hospital Liaison (KHLO) Program, established in 1982.

Both the Department of Human Services (DHS) and the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) agree on the need for a new approach to ensuring accurate identification of, and quality care for, Aboriginal and Torres Strait Islander patients in Victorian health services. Commencing in the 2004-05 financial year, this approach is underpinned by amalgamating previously separate funding: the KHLO program and the WIES supplement. This provides a single coherent funding stream proportional to the health service's Aboriginal patient numbers. The WIES supplement for Aboriginal patients has been increased from 10% to 30%.

ICAP encourages:
* An Outcome Focus - cultural change in health services leading to improved identification and health care for Aboriginal patients.
* Responses Proportional to the Number of Aboriginal and Torres Strait Islander Patients - All health services with Aboriginal patients need to identify, and undertake, initiatives to improve identification and quality of care for Aboriginal patients. The scale and cost of these initiatives will necessarily be proportional to the number of Aboriginal patients, which is reflected in WIES supplement funding.
* Whole of Health Service Responsibility - Aboriginal patients are everybody's business in a health service, not the sole responsibility of designated Aboriginal liaison staff.
* Relationships with Aboriginal People and Organisations - From the perspective of health services, this is the key to improving cultural safety and being able to make appropriate referrals, both to the primary health system and post discharge. From the perspective of Aboriginal people, these relationships are the basis for building confidence to attend hospital at an appropriate time and to feel safe to identify as an Aboriginal person.

The ICAP Resource Kit is a compendium of best practice ideas and useful information to assist health services meet the requirements set out in the ICAP Guidelines. The Kit is updated as new practice examples emerge and new information becomes available.

More Information:
Website: Improving Care for Aboriginal & Torres Strait Islander Patients - ICAP
Koori Human Services Unit
Department of Human Services
20/50 Lonsdale Street
Melbourne 3000
Ph: 03 9096 7032
Email: koori@dhs.vic.gov.au

 

 

Australian Learning and Teaching Council

Creating Cultural Empathy and Challenging Attitudes through Indigenous Narratives project

The Creating Cultural Empathy and Challenging Attitudes through Indigenous Narratives is a two-year project which commenced in May 2010. This project is supported by the Australian Learning and Teaching Council which is an initiative of the Australian Government Department of Education, Employment and Workplace Relations. Professor Cobie Rudd, Professor Colleen Hayward, Associate Professor Moira Sim and Ms Toni Wain from Edith Cowan University lead the project, in collaboration with The Combined Universities Centre for Rural Health, Curtin University of Technology, The University of Notre Dame, The University of Western Australia and Health Consumers’ Council (WA). However, the success of the project will depend on the enthusiasm and involvement of health educators through Australia.

The project has two primary aims:
• to positively influence the health and wellbeing of Australian Indigenous people by improving the education of health professionals;
• to engage students with authentic stories of Indigenous people’s experience of healthcare, both positive and negative, which enhance the development of deep and lasting empathy.

The project activities include:
• Collection of 50 multimedia Indigenous stories, available to National Network members;
• Creation of a National Network of educators who are interested in developing and trialling learning resources;
• Mapping of potential learning from narratives to curricula;
• Creation of learning materials by National Network members; and
• Piloting learning activities with multidisciplinary health students across universities.

The National Network is the powerhouse of the project. It is a web-based community of self-identified health educators with a shared commitment to respond to the national priority of “Closing the Gap” between the health outcomes of Indigenous and non-Indigenous people through challenging attitudes and developing empathy to positively influence future health graduates. The library of stories will be available to everyone in the Network for the development of learning materials and activities. Collaboration between Network members will be encouraged and all contributions will be acknowledged. We expect the early stories to be available on the website in November this year. We encourage Indigenous and non-Indigenous educators from all health disciples to register as Network members.

For more information:
Email: altc.betterhealth@ecu.edu.au

 

 

Combined Universities Centre for Rural Health

Online Aboriginal Cultural Orientation program

According to the literature, many health professionals have little or no knowledge of the post-colonial legacies and cultural values of Aboriginal people, yet the impact of poor understanding undermines respect and compounds communication barriers. In recognition of this and the importance of two-way communication in health care, the Combined Universities Centre for Rural Health developed an Online Aboriginal Cultural Orientation program!

The online program, inclusive of information, videos, activities and links to further resources, consists of five self directed learning modules that promotes the professional responsibility of each participant to develop or enhance the skills they need to become effective independent learners in developing their own ongoing cultural competency, initially by gaining an understanding of:
• culture, self and diversity;
• the link between historical legacies and the determinants of health;
• common barriers for Aboriginal people in health services;
• culturally respectful clinical practice; and
• strategies to improve and develop cultural security.

The free on-line program aims to improve timely access to generic cultural orientation for health professionals and students; prior to clinical placements or on recruitment, or soon after commencing employment. It does not replace local cultural orientation, where information about local protocols, language groups, mentors and Aboriginal networks and services should be accessed to facilitate ongoing learning, which is essential for health professionals to develop a deeper understanding of Aboriginal cultural values and practices at a local level.

The online Aboriginal cultural orientation program takes approximately 2.5 hours to complete (depending on time spent following links provided to further education) and it can be done over 120 days without loss of completed assessments. It has been endorsed by the Royal College of Nursing Australia (attracting 3CPD points). Since its launch in mid December 2009, there are over 1,700 registered users across Australia and 210 completed online feedback surveys indicating a high level of support.

For more information contact:
Jan Hall Assistant Professor
Ph: 08 99560247
Email: Jan.Hall@cucrh.uwa.edu.au

Project last updated: 30 June 2010

 

 

University of Queensland

UQ-UNMDG Project

The UQ-UNMDG Project is a joint venture of the UQ School of Medicine and the UQ Medical Society (UQMS). It brings a substantial focus on Global Health to all students of the UQ Medical Program. Its impetus originates from the Head of UQ School of Medicine’s attendance at the 2007 Universitas 21 (U21) Annual Meeting.  At that meeting, Professor David Wilkinson offered UQ’s commitment to a new U21 Health Sciences Project that is currently being developed.

The U21 Project aims to address the 8 Millennium Development Goals by designing a relevant training module, to be incorporated into the curricula of health science training institutions around the world. The expectation is that each academic institution would tailor the training module according to their course requirements.  

While proudly linked to the U21 initiative, the UQ-UNMDG Project retains its independence – illustrated by the dual focus on Developing World Health and Australian Indigenous Health. It will deliver teaching and training, assist medical students to have relevant clinical experiences, offer extracurricular activities and raise awareness of these issues.  Shaped by consultation with over 250 expert academics, clinicians, technical staff and students, and the structure of the project is demonstrated below.


More Information: http://www2.som.uq.edu.au/som/CurrentStudents/globalhealth/Pages/default.aspx