A Scoping Review of Indigenous Health Curricular Content in Graduate Medical Education

Author:

Rashid Marghalara1ORCID,Nguyen Julie2,Foulds Jessica L.3ORCID,Dennett Liz4ORCID,Cardinal Nicole5,Forgie Sarah E.6ORCID

Affiliation:

1. All authors are with the University of Alberta, Edmonton, Alberta, Canada. Marghalara Rashid, PhD, is a Scientist in Health Professions Education, Department of Pediatrics

2. Julie Nguyen, MA, is a Research Assistant, Department of Pediatrics

3. Jessica L. Foulds, MD, is an Assistant Professor and Program Director, Department of Pediatrics

4. Liz Dennett, MLIS, is a Librarian, Scott Health Sciences Library

5. Nicole Cardinal, MD, is an Assistant Professor, Post Graduate Medical Education, and Clinical Lead for Education, Indigenous Health Initiatives, Faculty of Medicine and Dentistry

6. Sarah E. Forgie, MD, MEd, is a Professor and Chair, Department of Paediatrics, Faculty of Medicine and Dentistry

Abstract

ABSTRACT Background Graduate medical education is refocusing on the reconciliation process with Indigenous peoples and integrating Indigenous healing practices, cultural humility training, and courses on Indigenous health issues in their curricula. Physicians and all health care workers must be able to recognize, respect, and address the distinct health needs of all Indigenous peoples. Objective The aim of this scoping review was to explore and describe what exists in the current literature on the impact and challenges associated with Indigenous curricula developed for resident physicians. Methods The search was conducted using 9 bibliographic databases from inception until April 19, 2021. Two reviewers independently screened for inclusion using Covidence. Three reviewers extracted data and all 3 checked for completeness and accuracy. Results Eleven reports were included. Our included reports consisted of qualitative research (n=2), commentaries (n=1), special articles (n=3), systematic reviews (n=1), innovation reports (n=1), published abstracts (n=1), and program evaluation papers (n=2). Findings are presented by 3 themes: (1) Misunderstandings and cultural bias toward Indigenous people; (2) Increasing community-driven Indigenous partnerships to create a safe environment; and (3) Challenges in implementing Indigenous health curricula. Conclusions Themes identified related to Indigenous involvement, culturally competent care, common misconceptions about Indigenous peoples, as well as challenges and barriers to implementing Indigenous curricula for residency programs. A collaborative approach involving stakeholders with training in the community is a viable path forward. But comprehensive program evaluation, a source of stable funding, and further research focusing on effective Indigenous curricula for residents are needed.

Publisher

Journal of Graduate Medical Education

Subject

General Medicine,Education

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