Paeds Vivas · preventive-and-community-paediatrics
Aboriginal and Torres Strait Islander child health — branching viva
Structured oral on cultural safety, ACCHO partnership, ear and lung inequities, racism as exposure, and ARF reasoning.
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Target exams
RACP DCEMRCPCH Clinical
Prompt
General paediatrics clinic: an Aboriginal family with a preschooler who has hearing concerns and recurrent wet cough; they ask whether hospital staff will treat them with respect.
Opening (2–3 minutes)
Examiner: How will you start this consultation? [2]
Strong answer: Introduce myself and role. Ask Aboriginal and/or Torres Strait Islander status respectfully and record it. Ask who should be part of decisions. Offer Aboriginal Health Worker involvement. Acknowledge the family’s concern about respect directly and state that cultural safety is judged by their experience. [2] [3]
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References8Show ledgerHide ledger
- [1]Verbunt E Cultural determinants of health for Aboriginal and Torres Strait Islander people - a narrative overview of reviews. International journal for equity in health, 2021.PMID 34384447
- [2]De Zilva S Culturally safe health care practice for Indigenous Peoples in Australia: A systematic meta-ethnographic review. Journal of health services research & policy, 2022.PMID 34875923
- [3]McGough S There is no health without Cultural Safety: why Cultural Safety matters. Contemporary nurse, 2022.PMID 35014602
- [5]Kairuz CA Impact of racism and discrimination on physical and mental health among Aboriginal and Torres Strait islander peoples living in Australia: a systematic scoping review. BMC public health, 2021.PMID 34217243
- [9]Harkus S Routine ear health and hearing checks for Aboriginal and Torres Strait Islander children aged under 6 years attending primary care: a national consensus statement. The Medical journal of Australia, 2023.PMID 37716709
- [11]DeLacy J Ear health and hearing in urban Aboriginal children. Australian and New Zealand journal of public health, 2023.PMID 37517360
- [12]Chang AB Lung disease in indigenous children. Paediatric respiratory reviews, 2014.PMID 24958089
- [15]Parnaby MG Rheumatic fever in indigenous Australian children. Journal of paediatrics and child health, 2010.PMID 20854325