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Title: Cultural competency in otolaryngology-head and neck surgery training in Aotearoa, New Zealand.
Epworth Authors: Cribb, Benjamin
Other Authors: Love, Rachel
Garland, Rebecca
Ronald, Maxine
Alley, Patrick
Mutu-Grigg, John
Aramoana-Arlidge, Jaclyn
Hill, Andrew
Erceg, Joshua
Glass, Chayce
Koea, Jonathan
Keywords: Indigenous Communities
Health Status
Health Outcomes
Historical Trauma
Institutionalised Racism
Social Determinants of Health
Culturally Inaccessible Services
Cultural Bias
Cultural Safety
Cultural Competence
Clinical Context
RACS Māori Health Advisory Group
Head & Neck Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Dec-2020
Publisher: Wiley
Citation: ANZ J Surg . 2020 Dec;90(12):2393-2395
Abstract: Worldwide, indigenous communities experience diminished health status and poorer health outcomes in comparison to the dominant non‐indigenous population. Four phenomena – historical trauma, institutionalized racism, social determinants of health and culturally inaccessible or unfriendly health services – contribute to this health inequality. To fulfil RACS vision of serving our community with excellence, achieving indigenous health equity must become one of the core values of RACS. This novel survey demonstrates that both OHNS supervisors and trainees largely understand and acknowledge the importance of providing culturally appropriate health services for Māori but are less familiar with the importance of appraising personal and institutional attitudes towards culture. In conjunction with the New Zealand based surgical training committees, the Māori Health Advisory Group is developing a formalized cultural safety teaching and assessment programme to meet this need and which will form part of a broader RACS strategy to address Māori health equity. However, while skills can be developed through courses and educational material, meaningful change only occurs when we enact this in our offices, on our wards and in our operating theatres. The informal and hidden curriculum guides our learners – unless we model the importance and value of delivering culturally safe care and actively engage in the improving the health of Māori, the changes needed will not occur.
DOI: 10.1111/ans.15787
PubMed URL:
ISSN: 1445-2197
Journal Title: ANZ Journal of Surgery
Type: Journal Article
Affiliated Organisations: Canterbury DHB, Christchurch, New Zealand
Capital and Coast DHB, Hutt Valley DHB, Wellington, New Zealand
Northland DHB, Whangarei, New Zealand
RACS, Wellington, New Zealand
Auckland Orthopaedic Surgeons, Auckland, New Zealand
Lakes DHB, Rotorua, New Zealand
Department of Surgery, University of Auckland, Middlemore Hospital, Auckland, New Zealand
University of Otago, Wellington, New Zealan
Department of Surgery, North Shore Hospital, Auckland, New Zealand
Type of Clinical Study or Trial: Survey
Appears in Collections:Head & Neck

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