Participant-reported effect of an Indigenous health continuing professional development initiative for specialists
Open Access
- 18 February 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Medical Education
- Vol. 21 (1), 1-8
- https://doi.org/10.1186/s12909-021-02551-9
Abstract
Health outcomes of Indigenous patients are impacted by culturally unsafe specialty care environments. The ‘Educating for Equity (E4E)’ program is a continuing professional development (CPD) intervention which incorporates skill-based teaching to improve Indigenous patient experiences and outcomes in healthcare interactions. The E4E program was delivered to rheumatologists in two phases, each delivered as experiential learning workshops where participants engaged with and applied course content within an interactive format focusing on real-time feedback. The phase 1 workshop focused on skill development of E4E Framework concepts and principles. Phase 2 concentrated on building capacity for teaching of E4E content. Evaluation of the program’s effectiveness was through longitudinal responses to the Social Cultural Confidence in Care Survey (SCCCS), self-reported strategies employed to address social issues and improve therapeutic relationships, engagement with teaching others, and satisfaction with the program. Two cohorts of participants have participated in the program (n = 24 Phase 1, n = 10 Phase 2). For participants completing both phases of training, statistically significant improvements were observed in exploring social factors with patients, gaining knowledge and skills related to cultural aspects of care, improved communication and relationship building, and reflections on held stereotypes. Strategies to address social issues and build therapeutic relationships remained consistent throughout participation, while the training enhanced exploration and confidence to ask about cultural and traditional practices, and stronger communication strategies for exploring beliefs, expectations, social barriers, and residential school impacts on health. Participants reported feeling prepared to teach Indigenous health concepts to others and subsequently lead teaching with residents, fellows, and allied health professionals. Satisfaction with the delivery and content of the workshops was high, and participants valued interactions with peers in learning. This CPD intervention had a beneficial impact on self-reported confidence and enhanced practice strategies to engage with Indigenous patients.This publication has 17 references indexed in Scilit:
- Early Rheumatoid Arthritis Presentation, Treatment, and Outcomes in Aboriginal Patients in Canada: A Canadian Early Arthritis Cohort Study AnalysisArthritis Care & Research, 2018
- Impacts of Educating for Equity Workshop on Addressing Social Barriers of Type 2 Diabetes With Indigenous PatientsJournal of Continuing Education in the Health Professions, 2018
- Exploring Canadian Physicians' Experiences With Type 2 Diabetes Care for Adult Indigenous PatientsCanadian Journal of Diabetes, 2017
- Systematic review of rheumatic disease epidemiology in the indigenous populations of Canada, the United States, Australia, and New ZealandSeminars in Arthritis and Rheumatism, 2017
- Health care experiences of Indigenous people living with type 2 diabetes in CanadaCMAJ : Canadian Medical Association Journal, 2017
- Systematic review of rheumatic disease phenotypes and outcomes in the Indigenous populations of Canada, the USA, Australia and New ZealandRheumatology International, 2016
- Stand Up and Be Counted: Measuring and Mapping the Rheumatology Workforce in CanadaThe Journal of Rheumatology, 2016
- Discordant indigenous and provider frames explain challenges in improving access to arthritis care: a qualitative study using constructivist grounded theoryInternational Journal for Equity in Health, 2014
- Critical Synthesis Package: Clinical Cultural Competency Questionnaire (CCCQ)Mededportal, 2013
- A meta-analysis of continuing medical education effectivenessJournal of Continuing Education in the Health Professions, 2007