Paeds Cases · preventive-and-community-paediatrics
Te Tiriti-informed well-child visit — communication OSCE
OSCE on Hui Process engagement, cultural safety, SUDI/smoke counselling and closed-loop equity planning with a Māori whānau.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
6-week Māori pēpē with incomplete enrolment, due immunisations, maternal smoking and occasional adult-bed sleep after feeds.
Objectives
- Use Hui Process engagement without tokenism. [2]
- Practise cultural safety (whānau-defined) rather than competence theatre. [1]
- Complete enrolment and immunisation access actions. [17] [11]
- Counsel smoke and safe sleep, including culturally designed options where available, without shame. [7] [9]
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- [1]Curtis E Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition International journal for equity in health, 2019.PMID 31727076
- [2]Lacey C The Hui Process: a framework to enhance the doctor-patient relationship with Māori The New Zealand medical journal, 2011.PMID 22237570
- [7]Tipene-Leach D Innovation to prevent sudden infant death: the wahakura as an Indigenous vision for a safe sleep environment Australian journal of primary health, 2019.PMID 31513759
- [9]MacFarlane M Smoking in pregnancy is a key factor for sudden infant death among Māori Acta paediatrica, 2018.PMID 29869345
- [11]Sheridan N Hauora Māori - Māori health: a right to equal outcomes in primary care International journal for equity in health, 2024.PMID 38413987
- [17]Young A Newborn enrolment, engagement, and immunisation in primary care: a qualitative study of healthcare providers' perspectives Journal of primary health care, 2026.PMID 42019944