Submission ID 78290

Code OG-2-4
At the end of this workshop, participants will be able to:
Category Medical Education
Type Oral
Will the presenter be a: Resident
Title A Novel Pedagogical Project to Spur Decolonization in Medical Education
Background/Purpose Canada's Truth and Reconciliation Commission (TRC) report urges medical schools to educate about residential schools' contribution towards healthcare inequities faced by Indigenous people and provide skills based training in human rights and anti-racism. Members of the Cumming School of Medicine's Department of Psychiatry and the Indigenous, Local and Global Health Office (ILGH) engaged in a process emphasizing relationships and ethical listening to develop a novel popular theatre-based brief adapted simulation to educate for culturally informed Indigenous mental healthcare and to engage in anti-racism strategies. Our research objective was to explore learning experiences and outcomes for therapeutic relationships with Indigenous patients in mental healthcare following participation in the pilot educational event.
Methods We undertook a mixed methods case study. Ten psychiatry residents completed retrospective pre- and post-workshop self-efficacy ratings in response to items that evaluated their knowledge, skills and communication in therapeutic engagement with Indigenous patients in mental healthcare. Post-event, we held one focus group and undertook two individual interviews.
Results Psychiatry residents reported increased self-efficacy in discussing racism experienced by Indigenous patients (p<.05) and in employing cultural factors to build therapeutic relationships with Indigenous patients (p<.05). Preliminary thematic analysis identified the importance of embodied learning, and of Indigenous educator-led facilitation prior to and post-event.
Discussion Attending closely to process and relationships was essential to minimise colonial structures in developing the novel popular theatre-based adapted simulation. Our findings hold promise for subsequent iterations of the pedagogical tool, to further explore the role of embodied and transformative learning.
Keyword 1 Indigenous Health
Keyword 2 anti-racism
Keyword 3 case study
Abstract content most relevant to: (check all that apply) Residency Education
Abstract Track - First Choice Indigenous Health
Authors Elisabeth Merner
Erica Blimkie
Elisabeth Merner
Erica Blimkie
Pamela Roach
Rachel Grimminck
Lynden Crowshoe
Janet de Groot
Michele Decottignies
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