Can Fam Physician. 1989 Oct;35:2039-44.
When participating in health care in northern Native communities, physician-teachers are challenged to understand community development, treat diverse manifestations of illness and socio-cultural strain, and provide opportunities for students and residents to learn the skills, knowledge, and attitudes that will promote the health of Native people and that will develop the students' own education. The University of Toronto Sioux Lookout Program includes a teaching practice with the goals of service, teaching, and research that provides care and promotes health for 13 000 Ojibway- or Cree-speaking aboriginal Canadians in northwestern Ontario. Knowledge gained in this setting about broad determinants of health, communication skills, and clinical decision making can be generalized to other practices.
在参与北美原住民社区的医疗保健工作时，医学教师面临着理解社区发展、治疗各种疾病表现和社会文化压力的挑战，同时为学生和居民提供学习技能、知识和态度的机会，以促进原住民的健康，并培养学生自身的教育。多伦多大学苏圣玛丽分校项目包括教学实践，旨在为安大略省西北部 13000 名讲奥吉布瓦语或克里语的原住民提供服务、教学和研究，以促进他们的健康。在这种环境中获得的关于健康的广泛决定因素、沟通技巧和临床决策制定方面的知识，可以推广到其他实践中。
