Jumah Naana Afua, Wilson Don, Shah Rajiv
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON, Canada.
J Obstet Gynaecol Can. 2013 Jul;35(7):647-53. doi: 10.1016/s1701-2163(15)30891-4.
To assess Canadian obstetrics and gynaecology residents' knowledge of and experience in Indigenous women's health (IWH), including a self-assessment of competency, and to assess the ability of residency program directors to provide a curriculum in IWH and to assess the resources available to support this initiative.
Surveys for residents and for program directors were distributed to all accredited obstetrics and gynaecology residency programs in Canada. The resident survey consisted of 20 multiple choice questions in four key areas: general knowledge regarding Indigenous peoples in Canada; the impact of the residential school system; clinical experience in IWH; and a self-assessment of competency in IWH. The program director survey included an assessment of the content of the curriculum in IWH and of the resources available to support this curriculum.
Residents have little background knowledge of IWH and the determinants of health, and are aware of their knowledge gap. Residents are interested in IWH and recognize the importance of IWH training for their future practice. Program directors support the development of an IWH curriculum, but they lack the resources to provide a comprehensive IWH curriculum and would benefit from having a standardized curriculum available.
A nationwide curriculum initiative may be an effective way to facilitate the provision of education in IWH while decreasing the need for resources in individual programs.
评估加拿大妇产科住院医师对原住民妇女健康(IWH)的知识和经验,包括自我能力评估,评估住院医师培训项目主任提供IWH课程的能力以及评估支持该倡议的可用资源。
向加拿大所有经认可的妇产科住院医师培训项目发放针对住院医师和培训项目主任的调查问卷。住院医师调查问卷在四个关键领域包含20个多项选择题:关于加拿大原住民的一般知识;寄宿学校系统的影响;IWH方面的临床经验;以及IWH能力的自我评估。培训项目主任调查问卷包括对IWH课程内容以及支持该课程的可用资源的评估。
住院医师对IWH和健康决定因素的背景知识了解甚少,并意识到自己的知识差距。住院医师对IWH感兴趣,并认识到IWH培训对其未来实践的重要性。培训项目主任支持IWH课程的开发,但他们缺乏提供全面IWH课程的资源,若有标准化课程将会受益。
一项全国性的课程倡议可能是促进IWH教育提供、同时减少各个项目资源需求的有效方式。