Truth and Reconciliation Commission of Canada: Call to Action #24
We call upon medical and nursing schools in Canada to require all students to take a course dealing with Indigenous health issues, including the history and legacy of residential schools, the United Nations Declaration on the Rights of Indigenous Peoples, Treaties and Indigenous rights, and Indigenous teachings and practices. This will require skills-based training in intercultural competency, conflict resolution, human rights, and anti-racism.
This Call to Action requires ongoing response and commitment.
Given the nature of knowledge, skills, attitudes, and behaviours to be shared with our medical learners, rather than create a single, stand-alone course (which could serve to silo this content in a single place in our curriculum), Queen’s MD Program has addressed this call by creating a cross-curricular integrated thread. As such, Queen’s Medical students receive initial foundational instruction in Year 1 courses MEDS 113 Introduction to Physician Roles, MEDS 117 Heath Determinants, and MEDS 123 Population Health (including instruction of the history and legacy of residential schools, the UN Declaration on the Rights of Indigenous Peoples, Treaties and Indigenous rights, and Indigenous teachings and practices, including intercultural competency, conflict resolution, human rights, and anti-racism) which includes both instruction and mandatory assessment. This curriculum includes presentations and panels by local Indigenous Community members. This foundational instruction is expanded upon in Year 2 integrated throughout in Clinical Foundations and Clinical and Communication Skills courses (all of which have been assigned the new MCC Presentation 78-9 Indigenous Health as a learning objective) and is continued throughout the clinical Clerkship of Years 3 and 4.
It is important to note that this integration is a work-in-progress as we continue to evaluate and map our curriculum, finalize a gap analysis, and augment our current content.