Topic outline

  • Intercultural Competency

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    • Aboriginal and Torres Strait Islander Health and Cultural Safety Online Learning Resource

      This module aims to provide participants with an introduction to the knowledge, skills and attitudes required to enhance cultural safety, to improve the quality of clinical services and engagement in Intensive Care Medicine when working with Aboriginal and Torres Strait Islander Peoples, colleagues, patients and communities. 


      Acknowledgement of Country

      The College of Intensive Care Medicine acknowledges and pays respects to the traditional Custodians of the lands across Australia on which our members live and work and to their Elders, past, present and future. We pay respect to the Wurundjeri Peoples as the Traditional Custodians of the land on which CICM’s office stands. CICM acknowledges Māori as tangata whenua and Treaty of Waitangi partners in Aotearoa, New Zealand.

  • Welcome


    Welcome to the Aboriginal and Torres Strait Islander Health and Cultural Safety Online Learning Resource

    This online learning resource will support your appreciation of Aboriginal and Torres Strait Islander history and culture, the impact of colonisation, and subsequent impacts on health for Aboriginal and Torres Strait Islander Peoples. This learning resource will also focus on cultural safety in healthcare to support improved health outcomes for Aboriginal and Torres Strait Islander Peoples.

    There are 20 topics in this learning resource. Each topic includes key information, activities to support learning and questions for reflection. It is suggested that you spend a minimum of 30 – 45 minutes on each topic. 

    This learning resource asks for considered reflection on learning at the end of each topic. However, content in this module that is related to clinical practice is assessable as part of the second part exam.

    Please note this online course may contain images and voices of Aboriginal and Torres Strait Islander Peoples who have passed on.


    Navigation

    Below are some tips to make navigating through the topics and resources easier for you.

    • Select the modules from the main course screen; you will see the topics and activities listed. You can visit and re-visit any topic in any order
    • Use the breadcrumb links under the blue site menu at the top of the screen to simply move back a layer within the course
    • Use the site navigation Forward > and Back < arrows that you will see at the bottom of each screen
    • There is also a Jump to... drop-down feature at the bottom of each screen that will take you directly to a topic, reflection activity or reference screen
    • All external web links will open in a new browser window; simply close the new window to return to the topic screen
    • At the bottom of each topic screen, you will see instructions to select an image to take you directly to the reflection activity
    • When you submit your reflection activity, you will be taken back to the topic screen for that activity
    • All topic reference screens have direct web links, opening in a new window, to assist you with further resources

  • Introduction



    A survey of medical students from the University of Melbourne in 2001 found there was only one hour of Aboriginal health curriculum in the whole medical program across six years (Rasmussen, 2001).

    The survey also found most students did not previously learn Aboriginal studies in primary and high school. So why should we be surprised that a majority of first-year medical students understand very little about the history of Aboriginal and Torres Strait Islander Peoples?  

    Despite Aboriginal studies being included in the national K-12 curriculum since 2014, we still do not see any coordinated strategic investments at Federal, State or local levels in teacher confidence or teaching and learning resource accountability measures, aside from the individual whim of a principal or teacher.  

    Further, what is taught is often about Aboriginal and Torres Strait Islander cultures rather than the truth of genocide and the impacts on outcomes for Aboriginal and Torres Strait Islander Peoples today, thus rendering the studies romanticised and reductive. 

    Studies have shown that before learners can learn about Aboriginal and Torres Strait Islander cultures and programs, the curriculum, pedagogy, and teacher must first help them unlearn in a transformative manner what they didn’t know they had learned. In other words, to unlearn their potential for white privilege, unconscious bias, discrimination and racism.  


    Transformative learning is learning that transforms problematic frames of reference—sets of fixed assumptions and expectations (habits of mind, meaning perspectives, mindsets)—to make them more inclusive, discriminating, open, reflective, and emotionally able to change.

    (Mezirow, 2003, p. 5)


    Sophisticated pedagogy requires organisations to take a strategic, stepped and continual approach to cultural safety. It is about individuals learning throughout their careers and lives. It is also about knowing that transformational unlearning is required before learners become receptive and respectful of Aboriginal and Torres Strait Islander cultures and programs.

    The following topics will be covered in this online learning resource.

    Learning about others

    Learning about myself

    Learning about impacts

    Topic 1: Aboriginal and Torres Strait Islander Peoples and histories

    Topic 7: Awareness alone is not enough

    Topic 15: Holistic health concepts, including social and emotional wellbeing

    Topic 2: Colonisation

    Topic 8: Communication

    Topic 16: The historical and contemporary impacts of policy

    Topic 3: Traditional Owners

    Topic 9: Equity and Equality

    Topic 17: Intergenerational trauma and trauma-informed care

    Topic 4: Acknowledgements, Welcomes and culturally informed introductions

    Topic 10: Power Differentials

    Topic 18: Power and privilege and the impacts on health

    Topic 5: Current and previous populations

    Topic 11: Rights-based approach to care

    Topic 19: Racism and it's impacts
    Topic 6: Terminology and definitions

    Topic 12: Cultural safety: benefits of a culturally safe workplace

    		 Topic 20: Aboriginal health workforce, roles and assistance

    Topic 13: Allyship and courageous conversations

    Topic 14: Reflection on my role and impact

  • Learning About Others

  • Learning About Myself

  • Learning About Impacts

  • Course Feedback