Implementation of the optometry Aboriginal and Torres Strait Islander health curriculum framework

Area of Science:

• Optometry education
• Indigenous health curriculum development
• Cultural safety in healthcare

Background:

• Accreditation requirements mandate culturally safe care for First Nations Peoples in Australian and Aotearoa New Zealand optometry programs.
• The Optometry Council of Australia and New Zealand (OCANZ) developed the Optometry Aboriginal and Torres Strait Islander Health Curriculum Framework (Optometry Framework) to guide programs.

Purpose of the Study:

• To evaluate the early implementation progress of the Optometry Framework across Australian optometry programs.

Main Methods:

• A modified OCANZ curriculum mapping tool was used.
• Online unit outlines were reviewed to verify data.
• Qualitative content analysis was employed to synthesize curriculum maps.

Main Results:

• No participating programs had a dedicated Aboriginal and Torres Strait Islander health unit; content was integrated into core units.
• Only 25% of relevant units had direct learning outcomes.
• While all programs included some content related to the Framework's themes and novice/intermediate learning, only four addressed entry-to-practice levels. Average direct content duration was 18 hours.
• Direct assessment was minimal, primarily reflective journals or exam questions. Not all programs offered relevant clinical placements.

Conclusions:

• Progress in implementing the Optometry Framework is evident, but significant enhancements are needed.
• Programs must integrate more direct learning outcomes, content (especially at entry-to-practice levels), and assessment methods.
• These curriculum improvements are crucial for equipping optometry students with the skills for culturally safe patient care.