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Clinical Discipline(s)/Organ System(s)
Hauora Māori
Progress Test Topic(s)
General duties
Towards the end of a teaching session with medical students, you are discussing one of the patients you took the students to see; a 63 year old Māori man with chronic obstructive pulmonary disease. One of the students starts questioning why the hospital is pouring resources into helping this man when he can't be bothered looking after himself; he continues to smoke and it is claimed he does not take his medications as recommended. The student observes that many Māori are like this, and wonders what is wrong with their culture that makes them so non-compliant and fatalistic.
Progress Test-Type Questions:   Question 1 | Question 2
Applied Science for Medicine 
   - Understanding of social and historical determinants of health and inequity
Clinical and Communication Skills 
   - Appropriate response to discriminatory or unprofessional discourse in clinical situations
Personal and Professional Skills 
   - Awareness and ability to address potential personal assumptions and biases on the basis of ethnicity, skin colour, frequency of health care use, gender identification, age, sexual orientation, history of addiction, body size, evidence of low socio-economic status
   - Awareness of health issues relevant to LGBTIQ (lesbian, gay, bisexual, transgender, intersex, & questioning) individuals
   - Ability to engage in clinical interactions and provide care in a way that respects and upholds patient rights
Hauora Māori 
   - Understanding the culture of medicine and awareness of own socialisation into that culture
   - Critical awareness of hidden curricula in medical education
   - Recognition of 'deficit analysis' thinking and discourse, and appropriate responses to such discourse
   - Critical understanding of the concept of 'compliance' - framing it as a function of the health professionals and system, not just the patient
   - Self-reflective competencies: awareness and ability to recognise own stereotypes and biases in relation to Māori patients and whānau
   - Understanding of inequities in health outcomes for Māori compared with non-Māori, and determinants of these inequities
   - Understanding of inequities in access to health services and quality of medical care for Māori, and application of this to clinical quality improvement
Population Health 
   - Determinants of smoking
   - Understanding of social determinants of health
Conditions to be considered relating to this scenario
chronic obstructive pulmonary disease