Evolution of an Indigenous Cultural Immersion Program in an Australian postgraduate Medical Course

Background: Intolerable gaps remain in delivering culturally appropriate medical care. Indigenous Cultural Immersion Programs (ICIPs) are targeted towards teaching cultural sensitivity in medical curricula. For ICIPs to be successful, they require Indigenous expert input, evidence-based content and clear learning outcomes. Ideally, these are linked to prevailing student backgrounds, knowledge, cultural beliefs and perceptions. Summary of Work: This student-led project assessed student perceptions and knowledge of Australian Indigenous culture and health during a 2-day ICIP. Anonymous surveys captured data from four first year cohorts (n=130 per year) pre- and post-ICIP. Survey questions were refined during the study to reflect prevailing knowledge gaps and cultural themes. Summary of Results: Pre-surveys reveal most students have limited background knowledge of Indigenous health and culture prior to ICIP. Furthermore, responses raised significant cultural safety apprehensions, and uncovered some concerning pre-conceived opinions. Post-survey results report students consider the content and delivery as valuable, challenging and at times confronting. However, ICIP participation increased student confidence to provide culturally competent care. Student highlights included engaging with local Indigenous Elders and young adults. Future medical practice strategies were gained via clinical advice from Indigenous and non-Indigenous health professionals practicing in Aboriginal Community Controlled Health Organisations. Discussion: Students embraced the importance of ICIP, gaining important knowledge, cultural understanding and skills to better address current health gaps experienced by Indigenous Australians. Student driven refinement of ICIPs can enhance learning outcomes and student engagement. Conclusion: Dedicating resources and time for ICIPs early in the medical curriculum highlights the importance of, and commitment to, culturally appropriate medical care. This sets strong foundations for students to grow from during their pre-clinical and clinical training.