{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T03:58:49Z","timestamp":1762142329708,"version":"build-2065373602"},"reference-count":17,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":2925,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,18]]},"abstract":"<jats:p>Aboriginal and Torres Strait Islander peoples continue to be pathologised in medical curriculum, leaving graduates feeling unequipped to effectively work cross-culturally. These factors create barriers to culturally safe health care for Aboriginal and Torres Strait Islander peoples. In this pilot pre-post study, the learning experiences of seven medical students and four medical registrars undertaking clinical placements at an urban Aboriginal and Torres Strait Islander primary healthcare service in 2014 were followed. Through analysis and comparison of pre- and post-placement responses to a paper-based case study of a fictitious Aboriginal patient, four learning principles for medical professionalism were identified: student exposure to nuanced, complex and positive representations of Aboriginal peoples; positive practitioner role modelling; interpersonal skills that build trust and minimise patient\u2013practitioner relational power imbalances; and knowledge, understanding and skills for providing patient-centred, holistic care. Though not exhaustive, these principles can increase the capacity of practitioners to foster culturally safe and optimal health care for Aboriginal peoples. Furthermore, competence and effectiveness in Aboriginal health care is an essential component of medical professionalism.<\/jats:p>","DOI":"10.1071\/py16145","type":"journal-article","created":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T20:36:02Z","timestamp":1502742962000},"page":"446-450","source":"Crossref","is-referenced-by-count":8,"title":["Understanding practitioner professionalism in Aboriginal and Torres Strait Islander health: lessons from student and registrar placements at an urban Aboriginal and Torres Strait Islander primary healthcare service"],"prefix":"10.1071","volume":"23","author":[{"given":"Deborah A.","family":"Askew","sequence":"first","affiliation":[{"name":"ASouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Metro South Health, Qld 4077, Australia."},{"name":"BDiscipline of General Practice, University of Queensland, Qld 4029, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian J.","family":"Lyall","sequence":"additional","affiliation":[{"name":"ASouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Metro South Health, Qld 4077, Australia."},{"name":"FCorresponding author. Email: vivian.lyall@health.qld.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaun C.","family":"Ewen","sequence":"additional","affiliation":[{"name":"CMelbourne Poche Centre for Indigenous Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Vic. 3010, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Paul","sequence":"additional","affiliation":[{"name":"DAboriginal Health, School of Medicine Fremantle, University of Notre Dame, WA 6959, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Wheeler","sequence":"additional","affiliation":[{"name":"ECentre for Ethical Leadership, University of Melbourne, Vic. 3010, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2017,8,15]]},"reference":[{"key":"2025110218222903800_R1"},{"key":"2025110218222903800_R2","unstructured":"Australian Medical Council (2012) Standards for assessment and accreditation of primary medical programs by the Australian Medical Council 2012. (Australian Medical Council: Canberra, ACT, Australia) Available at http:\/\/www.amc.org.au\/files\/d0ffcecda9608cf49c66c93a79a4ad549638bea0_original.pdf [Verified 27 June 2017]"},{"issue":"82","key":"2025110218222903800_R3","first-page":"269","article-title":"The possibilities of patient-centered medicine.","volume":"17","author":"Balint","year":"1969","journal-title":"The Journal of the Royal College of General Practitioners"},{"issue":"1","key":"2025110218222903800_R4","doi-asserted-by":"publisher","first-page":"47","DOI":"10.3109\/0142159X.2014.850154","article-title":"Defining professionalism in medical education: a systematic review.","volume":"36","author":"Birden","year":"2014","journal-title":"Medical Teacher"},{"issue":"Suppl 1","key":"2025110218222903800_R5","doi-asserted-by":"publisher","first-page":"S89","DOI":"10.1111\/1753-6405.12422","article-title":"\u2018It puts a human face on the researched\u2019 \u2013 a qualitative evaluation of an Indigenous health research governance model.","volume":"40","author":"Bond","year":"2016","journal-title":"Australian and New Zealand Journal of Public Health"},{"issue":"10","key":"2025110218222903800_R6","doi-asserted-by":"crossref","first-page":"466","DOI":"10.5694\/j.1326-5377.2002.tb04517.x","article-title":"Sharing the true stories: improving communication between Aboriginal patients and healthcare workers.","volume":"176","author":"Cass","year":"2002","journal-title":"The Medical Journal of Australia"},{"issue":"2","key":"2025110218222903800_R7","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1001\/jama.287.2.226","article-title":"Defining and assessing professional competence.","volume":"287","author":"Epstein","year":"2002","journal-title":"Journal of the American Medical Association"},{"key":"2025110218222903800_R8","doi-asserted-by":"publisher","first-page":"311","DOI":"10.2147\/AMEP.S107334","article-title":"\u2018Unwell while Aboriginal\u2019: iatrogenesis in Australian medical education and clinical case management.","volume":"7","author":"Ewen","year":"2016","journal-title":"Advances in Medical Education and Practice"},{"issue":"8","key":"2025110218222903800_R9","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1111\/imj.12800","article-title":"When a patient\u2019s ethnicity is declared, medical students\u2019 decision-making processes are affected.","volume":"45","author":"Ewen","year":"2015","journal-title":"Internal Medicine Journal"},{"issue":"11","key":"2025110218222903800_R10","doi-asserted-by":"publisher","first-page":"623","DOI":"10.5694\/mja14.00766","article-title":"From vision to reality: a centre of excellence for Aboriginal and Torres Strait Islander primary health care.","volume":"200","author":"Hayman","year":"2014","journal-title":"The Medical Journal of Australia"},{"issue":"1","key":"2025110218222903800_R11","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/08998280.2007.11928225","article-title":"Professionalism in medicine: definitions and considerations for teaching.","volume":"20","author":"Kirk","year":"2007","journal-title":"Baylor University Medical Center Proceedings"},{"issue":"10","key":"2025110218222903800_R12","doi-asserted-by":"publisher","first-page":"653","DOI":"10.5694\/mja11.11473","article-title":"Medical schools as agents of change: socially accountable medical education.","volume":"196","author":"Murray","year":"2012","journal-title":"The Medical Journal of Australia"},{"issue":"5","key":"2025110218222903800_R13","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1007\/s10459-014-9497-5","article-title":"Cultural competence in medical education: aligning the formal, informal and hidden curricula.","volume":"19","author":"Paul","year":"2014","journal-title":"Advances in Health Sciences Education \u2013 Theory and Practice"},{"issue":"9","key":"2025110218222903800_R14","doi-asserted-by":"publisher","first-page":"825","DOI":"10.3109\/0142159X.2015.1044955","article-title":"Challenges to professionalism: social accountability and global environmental change.","volume":"37","author":"Pearson","year":"2015","journal-title":"Medical Teacher"},{"issue":"10","key":"2025110218222903800_R15","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1111\/medu.12770","article-title":"The mixed impact of medical school on medical students\u2019 implicit and explicit weight bias.","volume":"49","author":"Phelan","year":"2015","journal-title":"Medical Education"},{"issue":"12","key":"2025110218222903800_R16","doi-asserted-by":"publisher","first-page":"1748","DOI":"10.1007\/s11606-015-3447-7","article-title":"Medical school experiences associated with change in implicit racial bias among 3547 students: a medical student CHANGES study report.","volume":"30","author":"van Ryn","year":"2015","journal-title":"Journal of General Internal Medicine"},{"issue":"9","key":"2025110218222903800_R17","doi-asserted-by":"publisher","first-page":"1058","DOI":"10.1001\/jama.294.9.1058","article-title":"Resident physicians\u2019 preparedness to provide cross-cultural care.","volume":"294","author":"Weissman","year":"2005","journal-title":"Journal of the American Medical Association"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/23\/5\/446\/842016\/py16145.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/23\/5\/446\/842016\/py16145.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T23:22:32Z","timestamp":1762125752000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/23\/5\/446\/106500\/Understanding-practitioner-professionalism-in"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,15]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,10,18]]}},"URL":"https:\/\/doi.org\/10.1071\/py16145","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"type":"print","value":"1448-7527"},{"type":"electronic","value":"1836-7399"}],"subject":[],"published":{"date-parts":[[2017,8,15]]}}}