Exploring the learning environment afforded by an Aboriginal Community Controlled Health service in a rural longitudinal integrated clerkship

ABSTRACT

Objectives

Despite the extensive literature regarding longitudinal integrated clerkships (LICs), there is very little evidence about this model in non-traditional settings, such as Aboriginal Community Controlled Health Organisations (ACCHOs). This study explored the key elements of the learning experience in a rural LIC programme, within an ACCHO from the perspective of multiple stakeholders including medical students, the general practice supervisory team, Aboriginal health workers (AHWs) and cultural mentors.

Methods

The study was conducted using a qualitative case-study design. Participants included Year 3 medical students and the health care team (general practitioners, practice nurse, AHWs, and a practice manager in the role of cultural mentor) from an ACCHO in regional Queensland. Data was collected through semi-structured interviews and analysed using inductive thematic analysis.

Results

Three key features were identified within the learning experience of students undertaking an LIC in the ACCHO setting. This study showed it was a safe context for learners to learn about ‘culturally safe practice’, ‘putting relationships at the centre’, and to ‘try new things’, reinforcing ACCHO as an invaluable site for learning.

Conclusion

The extended clinical placement in an ACCHO setting afforded an increase in the number of opportunities to develop students’ cultural safety, communication skills and relationships with patients and the supervisory team, including AHWs and cultural mentors.

KEYWORDS:

• Longitudinal integrated clerkship
• Aboriginal, Community Controlled
• learning environment

Acknowledgments

The research team would like to thank Mrs Sherrilyn Walters for her assistance in arranging the manuscript for submission and Mr William McAskill for his assistance in revising the manuscript.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

Australian Government Rural Health Multidisciplinary Training programme grant supported the salaries of PP, KB and JP during the course of the study.