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Indigenous Health Curriculum and Health Professional Learners: A Systematic Review.

Alison Francis-Cracknell¹, Margaret Murray², Claire Palermo³

¹a Faculty of Medicine Nursing and Health Sciences , Monash University , Frankston , Australia.

Medical Teacher

|October 10, 2018

Summary

Indigenous health curricula improve health professional students' cultural awareness and readiness for equitable care. Further research is needed to optimize training for Indigenous health settings.

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Area of Science:

Medical Education
Public Health
Indigenous Studies

Background:

Indigenous peoples globally face significant healthcare access inequities.
An estimated 370 million Indigenous people reside in over 70 countries.

Purpose of the Study:

To systematically review the impact of Indigenous healthcare curricula on entry-level health professional learners.
To assess preparation for delivering equitable healthcare to Indigenous populations.

Main Methods:

Systematic review of 17 articles.
Analysis of study context, design, measures, delivery modes, content, duration, learner reactions, and learning outcomes.
Quality assessment using the Medical Education Research Study Quality Instrument.

Main Results:

Most studies utilized face-to-face or blended learning, including Indigenous placements and digital formats.
Learning gains primarily focused on cultural awareness across five domains: remembering, understanding, self-knowledge, perspective, and application.
Positive learner reactions were linked to attitude, environment, educator skill, pedagogy, and opportunities; negative reactions to attitude and environment.

Conclusions:

Further exploration is required on how to best prepare health professionals for Indigenous health.
Opportunities exist to enhance understanding of Indigenous health teaching and learning across various settings, including digital platforms and mainstream clinical placements.