Enhanced Skills Program: Indigenous Health Goals and Objectives Rural/Remote

1) Medical Expert:

The trainee will be able to:

  1. Demonstrate skills and knowledge in primary/secondary care of Indigenous people, including both outpatient and inpatient care.
  2. Demonstrate knowledge and skills pertaining to the specific health issues that are most relevant to the Indigenous populations of Canada.
  3. Demonstrate an understanding of the impact and correlation of the various medical, social and spiritual determinants of health and well-being on First Nations, Inuit and Metis (Indigenous) peoples.
  4. Describe the Indigenous patient’s view of illness, how the community is part of the patient, and “empowerment.”
  5. Keep up to date with new information and research in the field of Indigenous health.

2) Communicator:

The trainee will be able to:

  1. Work cross culturally and with interpreters.
  2. Work inter-professionally, including with Aboriginal healers.
  3. Demonstrate knowledge and skills regarding cultural safety as it pertains to Indigenous people.

3) Collaborator:

The trainee will be able to:

  1. Function effectively in a multidisciplinary team to provide high quality care to Indigenous populations. These team members would include physicians, nurses, nurse practitioners, clerical staff, traditional healers, therapists, pharmacists, and medical specialists.

4) Manager:

The trainee will be able to:

  1. Assess, plan, provide and integrate care for specific Indigenous populations appropriate to the patients’ locale.
  2. Demonstrate awareness of the context of patient referrals, and demonstrate increased skills with respect to effective consultation with health care professionals in the patients’ home community.
  3. Establish and ensure appropriate support systems and follow-up for sustained culturally appropriate care.
  4. Demonstrate awareness of community and health resources, and support structures available to both rural and remote Indigenous communities, appropriate to the training locale.

5) Health Advocate:

The Trainee will be able to:

  1. Demonstrate an understanding of the Indigenous patient’s view of illness, how the community is part of the patient, and “empowerment.”
  2. Demonstrate an understanding of the impact of discrimination, racism, and government policies on the health care of Indigenous populations.

6) Scholar:

The Trainee will be able to:

  1. Provide teaching to colleagues, students and residents about Indigenous health issues.
  2. Describe the history of Aboriginal peoples in Canada, including the history of colonization, residential schools and political issues, and how this history affects current health and social conditions of the Indigenous population.
  3. Critically appraise medical information and its sources, and apply the relevant information to medical practice.
  4. Employ critical analysis skills in evaluating the delivery of health care to Indigenous peoples.

7) Professional:

The Trainee will be able to:

  1. Demonstrate self-reflection skills that include an analysis of one’s own response to the histories and contemporary environments of Indigenous peoples.
  2. Demonstrate a commitment to patients and their families, colleagues, their profession and to society through ethical and reflective practice.