Family and Community Medicine-INMED Program, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
Arctic Indigenous Wellness Foundation, Yellowknife, Canada.
Med Teach. 2020 Oct;42(10):1085-1090. doi: 10.1080/0142159X.2020.1791320. Epub 2020 Jul 11.
A range of global environmental changes are contributing to an increasing global burden of disease. Since human health and well-being are intimately associated with the health of our planet, healthcare providers will not only be charged with caring for this expanding disease burden but will also need to become more environmentally sustainable in their professional practice. There is thus an urgent need in the health professions education community to prioritize environmentally sustainable healthcare practice, which must include and prioritize Indigenous voices and Indigenous knowledge systems. Critical global dialogue on the significance of Indigenous knowledge systems in educating health professionals for a sustainable future will be required if we are ready to ensure the generations that follow us are able to live healthy lives. Indigenous ways of 'being' in the world, which emphasize the importance of interconnection and reciprocal stewardship with everything in the natural world, are essential for advancing education for sustainable healthcare and overall well-being. Given the colonial legacy however, Indigenous people, despite their essential knowledge systems and abilities, still face many barriers accessing safe decolonizing spaces and presence in health professions education, which needs to be addressed.
一系列全球性环境变化导致全球疾病负担不断增加。由于人类健康和福祉与我们星球的健康息息相关,医疗保健提供者不仅将负责应对不断扩大的疾病负担,而且还需要在其专业实践中实现更具环境可持续性。因此,卫生专业教育界迫切需要优先考虑环境可持续的医疗保健实践,其中必须包括并优先考虑土著声音和土著知识体系。如果我们准备确保我们的后代能够过上健康的生活,就需要就土著知识体系在为可持续未来培养卫生专业人员方面的重要性进行重要的全球对话。土著人在世界上的“存在”方式强调与自然界万物相互联系和相互管理的重要性,对于推进可持续医疗保健和整体福祉教育至关重要。然而,鉴于殖民历史,尽管土著人民拥有重要的知识体系和能力,但他们在获得安全的去殖民化空间和参与卫生专业教育方面仍然面临许多障碍,这需要得到解决。