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Educating for Indigenous Health Equity: An International Consensus Statement.

Rhys Jones1, Lynden Crowshoe, Papaarangi Reid

  • 1R. Jones is senior lecturer, Te Kupenga Hauora Maori, University of Auckland, Auckland, New Zealand. L. Crowshoe is associate professor, Department of Family Medicine, University of Calgary, Calgary, Alberta, Canada. P. Reid is professor and Tumuaki, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. B. Calam is associate professor, Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada. E. Curtis is associate professor, Te Kupenga Hauora Maori, University of Auckland, Auckland, New Zealand. M. Green is professor and head, Department of Family Medicine, Queen's University, Kingston, Ontario, Canada. T. Huria is senior lecturer, Maori/Indigenous Health Institute, University of Otago, Christchurch, New Zealand. K. Jacklin is professor, Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, Minnesota, and professor, Human Sciences Division, Northern Ontario School of Medicine, Laurentian University, Sudbury, Ontario, Canada. M. Kamaka is associate professor, Department of Native Hawaiian Health, University of Hawai'i at Manoa John A. Burns School of Medicine, Honolulu, Hawai'i. C. Lacey is senior lecturer, Maori/Indigenous Health Institute, University of Otago, Christchurch, New Zealand. J. Milroy is professor, School of Indigenous Studies, University of Western Australia, Perth, Western Australia, Australia. D. Paul is professor, School of Medicine, University of Notre Dame Australia, Fremantle, Western Australia, Australia. S. Pitama is associate professor, Maori/Indigenous Health Institute, University of Otago, Christchurch, New Zealand. L. Walker is associate director, Centre for Excellence in Indigenous Health, University of British Columbia, Vancouver, British Columbia, Canada. G. Webb is associate professor, Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia. S. Ewen is professor and director, Melbourne Poche Centre for Indigenous Health, and pro vice chancellor (Indigenous), University of Melbourne, Melbourne, Victoria, Australia.

Academic Medicine : Journal of the Association of American Medical Colleges
|October 3, 2018
PubMed
Summary

Medical education must address colonization, racism, and privilege to reduce Indigenous health inequities. Institutions need to decolonize curricula and advocate for systemic reform to achieve health equity.

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Area of Science:

  • Medical Education
  • Public Health
  • Indigenous Health Studies

Background:

  • Health inequities persist between Indigenous and non-Indigenous populations.
  • Medical education's role in perpetuating these inequities is a significant concern.
  • Existing medical education frameworks often fail to adequately address Indigenous health needs.

Purpose of the Study:

  • To examine factors contributing to medical education's role in Indigenous health inequity.
  • To inform interventions aimed at addressing these factors.
  • To advance Indigenous health equity through medical education reform.

Main Methods:

  • Developed a consensus statement synthesizing research, evaluation, and expert experience.
  • Included an international research collaboration with experts in Indigenous medical education.
  • Identified foundational processes limiting Indigenous health development in medical education.

Main Results:

  • Colonization, racism, and privilege are fundamental determinants of Indigenous health, embedded in Western medical education.
  • Medical education institutions must engage in decolonization and address systemic racism and privilege.
  • Formalized, comprehensive Indigenous health curricula are essential across all educational environments.

Conclusions:

  • Medical education institutions must actively decolonize and address racism and privilege.
  • Institutions should advocate for health system and societal reforms to eliminate health inequities.
  • Adequate resourcing, infrastructure investment, and Indigenous leadership are crucial for advancing Indigenous health equity.