where to start?

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Where to start? Reflection on a new curriculum in Hauora Māori for Early Learners in Medicine Joanne Baxter 2009 1

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Where to start?. Reflection on a new curriculum in Hauora M āori for Early Learners in Medicine Joanne Baxter 2009 . Background contexts 2008 – “Early Learning in Medicine – Hauora Maori Immersion” Challenges and Opportunities Conclusion. Overview. 1. Background Contexts. - PowerPoint PPT Presentation

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Page 1: Where to start?

Where to start? Reflection on a new curriculum in Hauora

Māori for Early Learners in Medicine

Joanne Baxter2009

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Page 2: Where to start?

Overview Background contexts 2008 – “Early

Learning in Medicine – Hauora Maori Immersion”

Challenges and Opportunities

Conclusion

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Page 3: Where to start?

1. Background Contexts

Otago Medical CourseDiversity of Students

Hauora Māori Curriculum

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Page 4: Where to start?

Contexts

Māori HealthNeed / Inequalities

Māori Development

Medical Education

Māori Population and Health

Historical Cases / Modules / Integration

Changing Curriculum(2008)

Indigenous frameworkMāori Health

Workforce

Research LeadTeaching

NZ Society

University / Medical School /

Medical Students

Māori StrategicFramework

Diversity of backgrounds

Māori Students andSupport

Māori Capacity

International

Politics, Power,Perspectives

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Page 5: Where to start?

Changing curriculum Otago 2008 new curriculum 240 Students per year Years 2 /3: Early Learning in Medicine (Dunedin)

Integrated cases Early Clinical Skills Healthcare in the community The module programme (Block modules and Vertical

Modules)

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Diversity of students

240 students•150 1st year health sci•40-50 international•40-50 graduate / other

Maori / Pacific / Rural

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Page 7: Where to start?

Context: Hauora Māori Curriculum Otago Across Faculty of Medicine Otago

(Wellington, Christchurch, Dunedin) Hauora Māori curriculum development

Working towards – cohesive, across years and across locality curriculum

Mapped to agreed learning objectives Aligned with CDAMS Indigenous Curriculum

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Page 8: Where to start?

2. 2008 Early Learning in Medicine Hauora Māori

Immersion BlockWhat we did

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Page 9: Where to start?

Course: Foundation in Hauora Māori 240 students 12 Learning Objectives (spanning “foundation”) Themes

1. Context for Hauora Māori 2. Te Ao Maori: Foundation for Medical Practice 3. Lifelong learning in Hauora Māori 4. Weaving the threads

Lectures Block: 3-6 June

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Page 10: Where to start?

Hauora MāoriFoundation

Day 1 (afternoon)Tues

I Context

Day 2 Wed

II Te Ao Māori Or

III Life-long learning

Day 3 Thurs

III Life-long learningOr

II Te Ao Māori

Day 4 (morning)Friday

IV Weaving the threads

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240 120 120 240

Page 11: Where to start?

Hauora Māori in Year 2 – Who? Who?

Hauora Māori staff Dunedin, Wellington, Christchurch (including researchers)

Visiting Lecturers Māori from wider University Community (Arai Te Uru Marae and Panel) Epidemiology tutors Panel members

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Page 12: Where to start?

Hauora Māori in Year 2: Course contents 1. Context

Introduction, Māori Health and Health Status Determinants and Approaches in Māori

Health Introduction to Māori Society Introduction to the Historical Context Introduction to marae protocol and powhiri

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Page 13: Where to start?

Course contents2. Te Ao Māori: Foundation for Medical Practice (Marae)

Powhiri (welcome) and Korero Whakamutunga (farewell)

Korero (Christchurch) Workshops

Tikanga (cultural customs and beliefs) Te Reo (language) Mihimihi (greeting) Māori beliefs, values and experiences

Some changes 2009 – Whanau (concepts of family)

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Page 14: Where to start?

Hauora Māori in Year 2: Course contents 3. Lifelong learning in Hauora Māori

Overview of Lifelong learning (Lecture) Tutorial: Critical Appraisal Applying the evidence: Cardiovascular disease

(visiting lecturer) Learning from patients and whānau (Video and

self-reflection)

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Hauora Māori in Year 2: Course contents 4. Weaving the threads

Test (formative) Short answers Multichoice

Panel – questions and answers

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Hauora Māori in Year 2: Evaluation from students

How valuable for you? (1 to 5) – Median 1.9 Course increase your interest? – 1.9 Learn to value new viewpoints? – 1.5 Reached a deeper understanding of Māori Health? -1.9 Marae visit as a learning experience? – 1.1

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Page 17: Where to start?

2008 Evaluation from students: Best Aspects ‘Marae visit ‘

Fun, Learnt a lot, Singing, Good food, Workshops, Good feeling, Better environment to learn in, Experiencing the atmosphere, Help understand concepts

Panel discussion Te Reo Māori Foundation was laid Just everything

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3. Opportunities and Challenges

Focus on diversity of studentsQuickTime™ and a

decompressorare needed to see this picture.

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Challenge: The diversity of students Differing knowledge Differing attitude and interest Need to ‘un-do’ attitudes Some students - no foundation understanding

e.g. words No foundation for Hauora Māori (cf other areas) Risk: overstretch for some, boring for others,

hostility from others

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0102030405060708090

(1) Tooadvanced

3 (5) Tooelementary

%

How do you view the level of course content?

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More Challenges Dealing with minds AND hearts Fitting in with the frame of the curriculum Capacity Resources Skills and Training Time Assessment and outcomes

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What to achieve?

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Poor OK Great

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4. Conclusions

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Conclusions Contexts - important to understand when

developing an delivering Hauora Māori teaching Student diversity Structure of course Capacity Educational aims and methods

Foundation important early in course however one size doesn’t fit all

Experiential learning important Self reflection also important

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Page 25: Where to start?

“Education is the most powerful weapon which you can use to

change the world.”Nelson Mandela

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