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Lessons learnt in the development of a Maori Patient Short Case Assessment.

Lessons learnt in the development of a Maori Patient Short Case Assessment. Tania Huria, Dr Cameron Lacey, Dr Paul Robertson, Suzanne Pitama. LESSON ONE: Consent, consent, consent. Lesson two: Remember that the students may be confronted by senior clinicians.

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Lessons learnt in the development of a Maori Patient Short Case Assessment.

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  1. Lessons learnt in the development of a Maori Patient Short Case Assessment. Tania Huria, Dr Cameron Lacey, Dr Paul Robertson, Suzanne Pitama

  2. LESSON ONE: Consent, consent, consent

  3. Lesson two: Remember that the students may be confronted by senior clinicians

  4. I noticed GPs didn’t really try this approach, one stated that most are westernised anyway…

  5. Lesson three: Interviewing your Maori mates doesn’t count…

  6. Lesson four: No matter how much you teach – they will not believe you…

  7. Mr R was not currently closely connected to the Maori community. Despite this, I learnt that many aspects of Hauora Maori can apply even when patients are not in the traditional Maori setting

  8. I had never heard of whangai before learning about it two weeks before. I was even dubious of its current existence and relevance. Knowledge and understanding of this cultural process helped me understand family issues and I think that Mr H was highly surprised with my knowledge and acceptance of the process

  9. Lesson five: Never underestimate what the patient can teach the student…

  10. He would also jest at my inability to spell Maori words but he was always more than willing to correct me when I was wrong…

  11. I felt bad that I didn’t understand more of the language. I had to keep asking them to translate. I realise from doing this assignment that I want to learn more Te reo so I can I can do better interviews…

  12. Lesson six: Emphasize safety…

  13. Because W lives next door to the clinic I was attending on Wednesday afternoons, for her own comfort and so we could chat for a while we talked at her kainga/home (against given advice I know – sorry!)

  14. I asked questions like “ are you from Christchurch?”, “where is home for you?” “when was the last time you went home, what for?”…these questions elicited a wonderful conversation about her life up North, about her missionary work, about her whakapapa and kaupapa whanau, about Te Kani her great, great…Grandfather and about her leisure pursuits and pet hates”

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