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dc.contributor.authorCribb, Benjamin-
dc.contributor.otherLove, Rachel-
dc.contributor.otherGarland, Rebecca-
dc.contributor.otherRonald, Maxine-
dc.contributor.otherAlley, Patrick-
dc.contributor.otherMutu-Grigg, John-
dc.contributor.otherAramoana-Arlidge, Jaclyn-
dc.contributor.otherHill, Andrew-
dc.contributor.otherErceg, Joshua-
dc.contributor.otherGlass, Chayce-
dc.contributor.otherKoea, Jonathan-
dc.identifier.citationANZ J Surg . 2020 Dec;90(12):2393-2395en_US
dc.description.abstractWorldwide, 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.en_US
dc.subjectIndigenous Communitiesen_US
dc.subjectHealth Statusen_US
dc.subjectHealth Outcomesen_US
dc.subjectHistorical Traumaen_US
dc.subjectInstitutionalised Racismen_US
dc.subjectSocial Determinants of Healthen_US
dc.subjectCulturally Inaccessible Servicesen_US
dc.subjectCultural Biasen_US
dc.subjectCultural Safetyen_US
dc.subjectCultural Competenceen_US
dc.subjectClinical Contexten_US
dc.subjectRACS Māori Health Advisory Groupen_US
dc.subjectHead & Neck Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleCultural competency in otolaryngology-head and neck surgery training in Aotearoa, New Zealand.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleANZ Journal of Surgeryen_US
dc.description.affiliatesCanterbury DHB, Christchurch, New Zealanden_US
dc.description.affiliatesCapital and Coast DHB, Hutt Valley DHB, Wellington, New Zealanden_US
dc.description.affiliatesNorthland DHB, Whangarei, New Zealanden_US
dc.description.affiliatesRACS, Wellington, New Zealanden_US
dc.description.affiliatesAuckland Orthopaedic Surgeons, Auckland, New Zealanden_US
dc.description.affiliatesLakes DHB, Rotorua, New Zealanden_US
dc.description.affiliatesDepartment of Surgery, University of Auckland, Middlemore Hospital, Auckland, New Zealanden_US
dc.description.affiliatesUniversity of Otago, Wellington, New Zealanen_US
dc.description.affiliatesDepartment of Surgery, North Shore Hospital, Auckland, New Zealanden_US
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