看到我们的土著患者:在美国印第安人/阿拉斯加土著人民的代际创伤的基于案例的学习模块
Katlin T Wilson1,2,3, Madison L Esposito4,2,5, Cailean D MacColl1,6
1Fourth-Year Medical Student, University of Minnesota Medical School.
概括
一场关于代际创伤的研讨会改善了医疗提供者对美国印第安人/阿拉斯加原住民 (AI/AN) 健康差异和土著资源的理解. 这次培训解决了医疗教育中关于AI/AN健康的关键差距.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 土著研究土著研究.
背景情况:
- 代际创伤对美洲印第安人/阿拉斯加原住民 (AI/AN) 群体产生重大影响,导致慢性疾病和预期寿命缩短.
- 医学教育经常忽视部落国家面临的独特健康挑战和社会政治问题,导致提供者知识差距和护理不平等.
研究的目的:
- 开发和评估一个工作坊,旨在提高医疗提供者对AI/AN人群中代际创伤的理解.
- 解决医疗课程中关于AI/AN健康差异和社会政治因素的缺陷.
主要方法:
- 设计了一个研讨会,结合了基于案例的学习,原创视频和互动反思.
- 内容涵盖了AI/AN历史,代际创伤传播,失踪和被谋杀的土著人民 (MMIP) 危机以及相关资源.
- 研讨会为46名参与者提供了研讨会前和后的调查,评估知识和资源熟悉度.
主要成果:
- 研讨会后的调查显示,在四个提示中的两个提示中,正确答案选择的数量显著增加 (p < .01).
- 参与者对土著资源的熟悉度显著提高 (p < .01).
- 参与者的反强调了以技能为中心的教学的有用性,并提供了资源.
结论:
- 研讨会成功地解决了医疗教育中关于代际创伤和AI/AN健康的差距.
- 它提供了对健康影响的关键背景,包括MMIP危机中的医疗法律障碍.
- 该培训为提供者提供了本土资源,以改善对AI/AN患者的护理.
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