Redwood-Campbell L, MacDonald W A, Moore K
Department of Family Medicine, McMaster University, Hamilton, Ont.
Can Fam Physician. 1999 Feb;45:325-30.
To determine whether Canadian family medicine residency programs currently have objectives, staff, and clinical experiences for adequately exposing residents to aboriginal health issues.
A one-page questionnaire was developed to survey the details of teaching about and exposure to aboriginal health issues.
Family medicine programs in Canada.
All Canadian family medicine program directors in the 18 programs (16 at universities and two satellite programs) were surveyed between October 1997 and March 1998.
Whether programs had teaching objectives for exposing residents to aboriginal health issues, whether they had resource people available, what elective and core experiences in aboriginal health were offered, and what types of experiences were available.
Response rate was 100%. No programs had formal, written curriculum objectives for residency training in aboriginal health issues, although some were considering them. Some programs, however, had objectives for specific weekend or day sessions. No programs had a strategy for encouraging enrollment of residents of aboriginal origin. Eleven programs had at least one resource person with experience in aboriginal health issues, and 12 had access to community-based aboriginal groups. Core experiences were all weekend seminars or retreats. Elective experiences in aboriginal health were available in 16 programs, and 11 programs were active on reserves.
Many Canadian family medicine programs give residents some exposure to aboriginal health issues, but most need more expertise and direction on these issues. Some programs have unique approaches to teaching aboriginal health care that could be shared. Formalized objectives derived in collaboration with other family medicine programs and aboriginal groups could substantially improve the quality of education in aboriginal health care in Canada.
确定加拿大家庭医学住院医师培训项目目前是否具备让住院医师充分接触原住民健康问题的目标、人员和临床经验。
设计了一份单页问卷，以调查有关原住民健康问题的教学细节和接触情况。
加拿大的家庭医学项目。
1997年10月至1998年3月期间，对18个项目（16个大学项目和2个附属项目）中的所有加拿大家庭医学项目主任进行了调查。
项目是否有让住院医师接触原住民健康问题的教学目标，是否有相关资源人员，提供了哪些原住民健康方面的选修和核心经验，以及有哪些类型的经验。
回复率为100%。没有项目针对原住民健康问题的住院医师培训制定正式的书面课程目标，尽管有些项目正在考虑制定。然而，一些项目有针对特定周末或日间课程的目标。没有项目制定鼓励原住民出身的住院医师入学的策略。11个项目至少有一名有原住民健康问题经验的资源人员，12个项目能够接触到基于社区的原住民群体。核心经验都是周末研讨会或务虚会。16个项目提供原住民健康方面的选修经验，11个项目在保留地开展活动。
许多加拿大家庭医学项目让住院医师接触到一些原住民健康问题，但大多数项目在这些问题上需要更多的专业知识和指导。一些项目在原住民医疗保健教学方面有独特的方法，可以分享。与其他家庭医学项目和原住民群体合作制定的正式目标可以大幅提高加拿大原住民医疗保健教育的质量。
