NT Medical Program




        Dr Della Yarnold
        NT Indigenous Transition
        Pathways Director
This is me
Overview
•   Approach to Indigenous health curriculum
•   Local context curriculum
•   Where does health literacy fit?
•  ...
The Numbers
Pop. 227,025 (approx. 32.5% Indigenous)
1,349,129 square kilometres (520,902 sq mi),
People
The School
Approach to Indigenous
            Curriculum
•   CDAMS Framework
•   Three key areas
•   Communication
•   Applied knowle...
Communication
•   Recognition of health literacy issues
•   Effective listening
•   Language used
•   Concepts explained
•...
The Ideal
Confusing Messages
Applied Knowledge
•   Experiential learning
•   Team work / Multidisciplinary approaches
•   Recognition of system issues
...
Living Stats
Holistic Health
• Not in name only
• Practical applications (travel, medications
  etc...)
• Family, AHW, ALO, DMO, Interp...
Local Context Curriculum
• Cultural Educators (Matthew, Colleen &
  Bilawara)
• Indigenous reference group
• Community pla...
Health Literacy Approach
• Not just literacy
• Understanding health systems in the
  dominant culture
• Two way communicat...
Health Literacy Elements
Onus on practitioner to ensure it happens
Awareness of literacy, numeracy and the
 culture specif...
Health Literacy Awareness
•   Newest Vital Sign
•   Teach Back
•   Ask Me Three
•   Health Promotion
•   Communication ski...
Outcomes
• Appropriate two-way communication of
  health information - responsive
• Understand & be able to apply the
  in...
Integrated Approaches
• Applied knowledge increases awareness
• Communication facilitates assessment
• Holistic health ass...
Benefits to Patients
• Responsive doctors
• Improved options for increasing health
  knowledge
• Self management options i...
What might stop us?
Barriers
•   System
•   Cultural Awareness/Safety/Competency
•   Modelling of behaviours
•   Medical/Health Culture
•   HA...
Indigenous Entry Stream
• Indigenous doctors
• Combining cultural knowledge with clinical
  skills
• Increased recognition...
Questions??
Dr della yarnold  indigenous transitions pathways director, nt medical school, flinders university
Dr della yarnold  indigenous transitions pathways director, nt medical school, flinders university
Dr della yarnold  indigenous transitions pathways director, nt medical school, flinders university
Dr della yarnold  indigenous transitions pathways director, nt medical school, flinders university
Dr della yarnold  indigenous transitions pathways director, nt medical school, flinders university
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Dr della yarnold indigenous transitions pathways director, nt medical school, flinders university

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A keynote presentation made at the Chronic Diseases Network Conference on health literacy by Dr Yella Yarnold

Published in: Health & Medicine, Education
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Dr della yarnold indigenous transitions pathways director, nt medical school, flinders university

  1. 1. NT Medical Program Dr Della Yarnold NT Indigenous Transition Pathways Director
  2. 2. This is me
  3. 3. Overview • Approach to Indigenous health curriculum • Local context curriculum • Where does health literacy fit? • Integrated approaches • Benefits to patients • Indigenous Entry Stream
  4. 4. The Numbers Pop. 227,025 (approx. 32.5% Indigenous) 1,349,129 square kilometres (520,902 sq mi),
  5. 5. People
  6. 6. The School
  7. 7. Approach to Indigenous Curriculum • CDAMS Framework • Three key areas • Communication • Applied knowledge • Holistic health
  8. 8. Communication • Recognition of health literacy issues • Effective listening • Language used • Concepts explained • Resources available
  9. 9. The Ideal
  10. 10. Confusing Messages
  11. 11. Applied Knowledge • Experiential learning • Team work / Multidisciplinary approaches • Recognition of system issues • Holistic health • Epidemiological knowledge • Local context
  12. 12. Living Stats
  13. 13. Holistic Health • Not in name only • Practical applications (travel, medications etc...) • Family, AHW, ALO, DMO, Interpreters • Mind, body, spirit • Traditional practices
  14. 14. Local Context Curriculum • Cultural Educators (Matthew, Colleen & Bilawara) • Indigenous reference group • Community placements providing experiential learning • Service providers • Interpreters, AHW & ALO
  15. 15. Health Literacy Approach • Not just literacy • Understanding health systems in the dominant culture • Two way communication • Not appropriate to test for literacy • Must be aware of the potential impact • Mediated by holistic health approaches
  16. 16. Health Literacy Elements Onus on practitioner to ensure it happens Awareness of literacy, numeracy and the culture specific interpretation of health information An interaction which empowers an individual System and the culture in which it sits
  17. 17. Health Literacy Awareness • Newest Vital Sign • Teach Back • Ask Me Three • Health Promotion • Communication skills • Holistic health plans • Awareness of a different worldview
  18. 18. Outcomes • Appropriate two-way communication of health information - responsive • Understand & be able to apply the information to decisions made about health • Options for self empowerment and self management
  19. 19. Integrated Approaches • Applied knowledge increases awareness • Communication facilitates assessment • Holistic health assists with addressing health literacy • Skills transferrable to all patients
  20. 20. Benefits to Patients • Responsive doctors • Improved options for increasing health knowledge • Self management options increased • Appropriate management plans • Especially relevant to chronic disease
  21. 21. What might stop us?
  22. 22. Barriers • System • Cultural Awareness/Safety/Competency • Modelling of behaviours • Medical/Health Culture • HALT
  23. 23. Indigenous Entry Stream • Indigenous doctors • Combining cultural knowledge with clinical skills • Increased recognition of health literacy issues, incorporation of traditional healing practices, awareness of holistic health domains
  24. 24. Questions??

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