Cultural Safety Training for Supervisors Research Project
Many of you will recall participating in a Cultural Safety Audit towards the end of last year. The audit report has been critical to informing the EV Cultural Safety Framework and the shift in our thinking to develop an organisation wide approach to cultural safety. The Framework is approaching completion with review phases well underway. When finalised, the Framework will be the foundation document for the Cultural Safety Training for Supervisors Research Project funded by the Department of Health.
The Framework will also underpin modules being developed on Cultural Awareness and Cultural Safety for staff and all EV cohort groups. This is the planned outcome from our research however the research has led us to propose a four-phase program which includes future development of modules on racism and privilege and trauma-informed care. The aim is to make the Framework available as open education resource for other organisations to adapt and use.
We are proud to say that at EV we are working with Aboriginal and Torres Strait Islander Peoples and Communities, alongside governments, health bodies and health education providers to improve health and wellbeing, eliminate racism and help everyone to understand the importance of trauma informed health care.
Registrars on Placement in Aboriginal Health Services and Remote Supervision
Three registrars are on placement in Aboriginal Health training posts in Semester 1 2021 who together will deliver approximately 39 FTE weeks of primary health care. Two more registrars will take up placements in second semester. Interest in an AH in 2022 is high with matching and interviews currently underway. All registrars placed in an Aboriginal health service work under an RACGP approved remote supervision model and we once again thank our small dedicated group of remote supervisors.
Aboriginal and Torres Strait Islander Cultural Protocols
EVs Aboriginal and Torres Strait Islander Cultural Protocols were launched in April. The Protocols are a “one stop shop” resource and source of information to answer questions about Aboriginal health at EV and generally. While not yet available on our website, interested stakeholders can request a copy via firstname.lastname@example.org .
Reconciliation Action Plan
Our Reconciliation Action Plan (RAP) Working Group continues to drive attainment of our RAP deliverables with over 71% already achieved or on track for completion by December 2021 – well done to all involved in achieving these excellent results. Would you like a refresher on the EV RAP intentions and actions? You can watch our RAP overview here. Why not get in touch with the Aboriginal Health Team at EV to see how you can get involved in this important work - email@example.com.
Reconciliation Action Plan - New Award
Speaking of reconciliation, we are very excited that an inaugural RAP award will be included in EVs Annual Awards Program in 2021. Registrars, supervisors, practices/practice individuals can nominate for the Outstanding Contribution to Aboriginal Health award. So many worthy Aboriginal Health “heroes” out there. Look out for more information soon.
Striving for Best Practice Health Care – Bunurong Health Services
A component of our Aboriginal and Torres Strait Islander Health Training Program funding is available to support GP training in ACCHS. Bunurong Health Services in Dandenong, a popular training post with EV registrars, successfully applied for funding in 2020 to increase efficacy of child diagnoses and treatment.
The Bunurong Health Services Story
Aboriginal and Torres Strait Islander people in urban settings come to Aboriginal Community Controlled Health Services for different reasons. It could be for culturally safe care, for complex and chronic care needs and for comprehensive preventive care amongst other reasons. In terms of comprehensive preventive care the mainstay of assessment is using the Aboriginal and Torres Strait Islander Health Assessment template. This template was recently updated by RACGP and the National Aboriginal Community Controlled Health Organisation.
Bunurong Health Services found the templates very useful and adapted them to our context. There was one adaptation particularly of note, the inclusion of the Parental Evaluation of Developmental Status (PEDS) in the 0-5 year-old Health Assessment template. The PEDS is promoted by the Royal Children’s Hospital and already a feature in the My Health, Learning and Development book (The Green Book) that all Victorian parents would have received when having a new baby. Using the PEDS is simple but required training.
Thanks to EV support we were able to send our nurse and GP Supervisor to complete the Train-the-Trainer course. The PEDS Train-the-Trainer course was virtual in 2020 and gave us all the tools we need to sustainably train our GPs, Nurses, and Aboriginal Health Workers (AHW) to deliver PEDS for our patients. EV registrar Dr Priscilla Paterson with other members of the BHS clinical team received the first ever workshop adapted for the Aboriginal health context. It turned out that Dr Priscilla and our male AHW Trevor were also the first to use PEDS at BHS.
“It was easy to use and provided a useful framework to assess the child,” Dr Priscilla said. ”The course made me understand the importance of performing developmental screening regularly in order to better support children who need help. I learnt how to use the PEDS tool to screen for developmental issues and how to use this information to inform further steps.”
As Dr Priscilla observed – “one of the benefits of the PEDS is that the interpretation sheet makes recommendations for which pathway the GP should take after the screening for developmental issues.”
According to research in the general population on the PEDS outcomes, 57% of children 0-8 years old had parental concerns and thus required further advice, assessment or referrals. We work with vulnerable group of families in the community. We are well prepared to pick up developmental concerns early, help parents to care of their children and to ensure the health and wellbeing of patients throughout the lifespan in our local Aboriginal and Torres Strait Islander community.”
Contributed by Dr Hung Nguyen, GP and Supervisor BHS.
EV may have provided support for the BHS team to complete the training but congratulation go to those at BHS for their commitment to applying best practice tools to their clinical practice.