{"id":38899,"date":"2025-09-23T15:50:12","date_gmt":"2025-09-23T15:50:12","guid":{"rendered":"https:\/\/www.newsbeep.com\/ie\/38899\/"},"modified":"2025-09-23T15:50:12","modified_gmt":"2025-09-23T15:50:12","slug":"how-indigenous-led-health-education-in-remote-communities-can-make-reconciliation-real","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ie\/38899\/","title":{"rendered":"How Indigenous-led health education in remote communities can make reconciliation real"},"content":{"rendered":"<p>If Canada is serious about reconciliation, it must change how it trains health professionals. Right now, too few Indigenous doctors, nurses and other providers are working <a href=\"https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/241104\/dq241104a-eng.htm\" rel=\"nofollow noopener\" target=\"_blank\">in communities that need them most<\/a>. And too often, <a href=\"https:\/\/doi.org\/10.1186\/s12939-021-01475-6\" rel=\"nofollow noopener\" target=\"_blank\">students learn about Indigenous health<\/a> in ways that are optional, inconsistent or not led by Indigenous educators.<\/p>\n<p>That\u2019s where Indigenous-led health education comes in. When Indigenous communities shape how health professionals are trained, it supports a path toward trust, equity and a <a href=\"https:\/\/theconversation.com\/equitable-medical-education-can-be-achieved-with-efforts-toward-real-change-173186\" rel=\"nofollow noopener\" target=\"_blank\">health system that finally reflects the people it serves<\/a>.<\/p>\n<p>      Read more:<br \/>\n      <a href=\"https:\/\/theconversation.com\/indigenous-community-research-partnerships-can-help-address-health-inequities-152705\" rel=\"nofollow noopener\" target=\"_blank\">Indigenous community research partnerships can help address health inequities<\/a><\/p>\n<p>As an Indigenous physician and medical educator practising in <a href=\"https:\/\/mbq-tmt.org\/\" rel=\"nofollow noopener\" target=\"_blank\">Tyendinaga Mohawk Territory<\/a>, I know firsthand the challenges and the possibilities of this work. I am the first Indigenous woman in Canada to pursue both medicine and a PhD, a journey shaped as much by systemic barriers as by the support of my family and community. <\/p>\n<p>Today, I practise primary care in my home community while <a href=\"https:\/\/www.torontomu.ca\/news-events\/news\/2023\/04\/school-of-medicine-welcomes-indigenous-and-black-health-leads\/\" rel=\"nofollow noopener\" target=\"_blank\">helping to shape health education<\/a> nationally, including via a new Queen\u2019s University partnership program in Western James Bay, Ontario \u2014 the <a href=\"https:\/\/healthsci.queensu.ca\/academics\/weeneebayko-health-education-campus\" rel=\"nofollow noopener\" target=\"_blank\">Queen\u2019s\u2013Weeneebayko Health Education Program<\/a> on the traditional territory of <a href=\"https:\/\/www.moosecree.com\/\" rel=\"nofollow noopener\" target=\"_blank\">the Moose Cree First Nation<\/a> <a href=\"https:\/\/www.rcaanc-cirnac.gc.ca\/eng\/1100100028863\/1581293189896\" rel=\"nofollow noopener\" target=\"_blank\">(Treaty 9)<\/a>. <\/p>\n<p>Seeing the gaps in care in my own clinic, and working with students eager to change the system, informs my commitment to Indigenous-led education as the most direct path to reconciliation in health.<\/p>\n<p>10 years after the TRC: promises vs. reality<\/p>\n<p>It has been a decade since the Truth and Reconciliation Commission (TRC) released its Final Report. The Assembly of First Nations <a href=\"https:\/\/afn.ca\/all-news\/press-releases\/afn-national-chief-calls-on-elected-leaders-and-institutions-to-accelerate-policies-on-anniversary-of-truth-and-reconciliation-commission-94-calls-to-action-pays-tribute-to-justice-sinclair\/\" rel=\"nofollow noopener\" target=\"_blank\">reports<\/a> that of the 94 <a href=\"https:\/\/ehprnh2mwo3.exactdn.com\/wp-content\/uploads\/2021\/01\/Calls_to_Action_English2.pdf\" rel=\"nofollow noopener\" target=\"_blank\">Calls to Action,<\/a> only 14 have been fully implemented. <\/p>\n<p>Two of them, No. 23 and No. 24, speak directly to health care: train and retain more Indigenous health professionals, and make sure all students learn about Indigenous health and the legacy of residential schools.<\/p>\n<p>            <img decoding=\"async\" alt=\"A man speaking at a podium.\" class=\"lazyload\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2025\/09\/file-20250917-56-ic1jx.JPG\"  \/><\/p>\n<p>              Chief Michael Yellowback of Manto Sipi Cree Nation calls on the federal government to address a health-care worker shortage that has led to deaths in his community at a news conference on Parliament Hill in Ottawa in April 2023.<br \/>\n              THE CANADIAN PRESS\/Justin Tang<\/p>\n<p>These aren\u2019t symbolic. They are practical steps that would improve care and save lives. But progress has been slow. Indigenous professionals remain <a href=\"https:\/\/doi.org\/10.1503\/cmaj.231272\" rel=\"nofollow noopener\" target=\"_blank\">underrepresented,<\/a> and cultural safety training is too often <a href=\"https:\/\/ipacamic.ca\/wp-content\/uploads\/2024\/11\/TRC-Report-Card-Summary-2023-2024-new-model-1-1.pdf\" rel=\"nofollow noopener\" target=\"_blank\">patchy or optional<\/a>.<\/p>\n<p>Indigenous-focused health education<\/p>\n<p>A new <a href=\"https:\/\/fsc-ccf.ca\/wp-content\/uploads\/2025\/08\/answering-the-call_full-report_june2025.pdf\" rel=\"nofollow noopener\" target=\"_blank\">national report<\/a> from the Conference Board of Canada confirms what Indigenous leaders have been saying: reconciliation won\u2019t happen unless Indigenous Peoples lead \u2014 in education, governance and workforce planning. Token gestures aren\u2019t enough. <\/p>\n<p>The report, Answering the Call: Strategies to Increase the Number of Indigenous Physicians in Canada, notes that \u201cIndigenous students, especially in rural and remote areas, often lack career guidance and a culturally relevant curriculum, leading to lower graduation rates and fewer pathways to medical education.\u201d<\/p>\n<p>While systemic challenges persist, there are powerful examples across Canada that share the common goal of making sure Indigenous students can succeed in health education, and ensuring communities benefit from culturally safe, long-term providers.  <\/p>\n<p>The Queen\u2019s\u2013Weeneebayko program I\u2019m directing is building a new health sciences Campus in Moosonee, Ont. Students from the Hudson and James Bay region \u2014 including from Moosonee, Fort Albany, Attawapiskat, Moose Factory, Kashechewan and Peawanuck \u2014 will be recruited locally, trained in Moosonee and supported to stay serving their home communities. <\/p>\n<p>            Video about the Queen\u2019s\u2013Weeneebayko Health Education Program.<\/p>\n<p>This partnership, including the <a href=\"https:\/\/www.waha.ca\/\" rel=\"nofollow noopener\" target=\"_blank\">Weeneebayko Area Health Authority<\/a>(WAHA), Queen\u2019s University and the Mastercard Foundation, integrates local Indigenous knowledge and ways of knowing (for example, through Cree language, land-based learning and cultural safety) alongside biomedical science. <\/p>\n<p>Indigenous leadership is embedded at every level \u2014 from community knowledge keepers and local education and health-care champions guiding what is taught and how to WAHA operating governance and mentorship frameworks rooted in local culture. I am the inaugural director.<\/p>\n<p>Fostering culturally safe health care<\/p>\n<p>Other programs across the country share the common goal of making sure Indigenous students can succeed in health education, and ensuring communities benefit from culturally safe, long-term providers. <\/p>\n<p>For example:<\/p>\n<p>At the University of British Columbia, <a href=\"https:\/\/mdprogram.med.ubc.ca\/admissions\/before-you-apply\/pathways-to-medicine\/northern-rural-pathway\/\" rel=\"nofollow noopener\" target=\"_blank\">the Northern and Rural MD Pathway<\/a> is a distinct admissions stream designed to attract applicants with rural, remote northern or Indigenous community connections \u2014 or those passionate about serving such communities \u2014 by incorporating a rural and remote suitability Score (RRSS) and early rural placements to support rural and remote training and practice.<\/p>\n<p>The University of Manitoba\u2019s <a href=\"https:\/\/umanitoba.ca\/nursing\/programs-of-study\/mahkwa-omushki-kiim-pathway-indigenous-nursing-education-pine\" rel=\"nofollow noopener\" target=\"_blank\">Mahkwa omushki kiim: Pathway to Indigenous Nursing Education (PINE)<\/a> supports First Nations, Inuit and M\u00e9tis students from start to finish. By combining academic help with cultural programming and community connection, it has the goal of boosting retention as it prepares more Indigenous nurses for practice.<\/p>\n<p>Programs like these are concerned with helping whole communities gain consistent, trusted health care. And when trust grows, so does the likelihood that people will seek <a href=\"https:\/\/www.canada.ca\/en\/public-health\/programs\/consultation-help-modernize-development-preventive-health-care-guidelines\/way-forward.html\" rel=\"nofollow noopener\" target=\"_blank\">care early \u2014 improving outcomes for everyone<\/a>.<\/p>\n<p>Beyond such programs, system-wide change is needed to ensure Indigenous learners are supported at every stage, and to support viable pathways to medical training in rural and remote areas.<\/p>\n<p>System-wide changes needed<\/p>\n<p>Indigenous students face:<\/p>\n<p>Location also matters. <a href=\"https:\/\/doi.org\/10.1503\/cmaj.231292\" rel=\"nofollow noopener\" target=\"_blank\">Research shows<\/a> that students trained in rural or remote areas are far more likely to practise there after graduation. <\/p>\n<p>For Indigenous students, viable pathways to practising medicine are even stronger when training is grounded in community values and led by Indigenous educators.  <\/p>\n<p>      Read more:<br \/>\n      <a href=\"https:\/\/theconversation.com\/want-to-decolonize-education-where-classes-are-held-matters-165937\" rel=\"nofollow noopener\" target=\"_blank\">Want to decolonize education? Where classes are held matters<\/a><\/p>\n<p>            <img decoding=\"async\" alt=\"The backs of people seen as someone speaks outdoors.\" class=\"lazyload\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2025\/09\/file-20250917-66-j0gkbr.JPG\"  \/><\/p>\n<p>              People including Adrian Dix, former B.C. mealth minister, front left, participate in a groundbreaking ceremony for a new Sts&#8217;ailes Nation primary health-care facility, in Harrison Mills, B.C., in March 2023.<br \/>\n              THE CANADIAN PRESS\/Darryl DyckCP<\/p>\n<p>Why this is reconciliation in action<\/p>\n<p>Reconciliation is not just about apologies or ceremonies. It\u2019s about real, structural change. In health care, that means:<\/p>\n<p>Who delivers the care: building a stronger Indigenous health workforce.<\/p>\n<p>Whose knowledge counts: <a href=\"https:\/\/doi.org\/10.1503\/cmaj.1095919\" rel=\"nofollow noopener\" target=\"_blank\">recognizing<\/a> Indigenous knowledge alongside Western medicine.<\/p>\n<p>Who makes decisions: ensuring Indigenous voices lead the <a href=\"https:\/\/ncime.ca\/wp-content\/uploads\/2024\/06\/The-First-Nations-Inuit-Metis-Health-Core-Competencies-A-Curriculum-Framework-Second-Edition.pdf\" rel=\"nofollow noopener\" target=\"_blank\">design and governance<\/a> of health programs.<\/p>\n<p>Indigenous-led health education tackles all three. It brings reconciliation down from the level of promises and into the day-to-day realities of patients, providers and communities.<\/p>\n<p>The way forward<\/p>\n<p>Ten years after the TRC, Canadians <a href=\"https:\/\/www.reconciliationbarometer.ca\/what-we-have-learned\/\" rel=\"nofollow noopener\" target=\"_blank\">are right to ask<\/a> whether reconciliation is real. The answer depends on whether we support Indigenous-led programs \u2014 not as small pilots, but as long-term, fully resourced commitments.<\/p>\n<p>The initiatives described here show what\u2019s possible. They are different in scope, but each demonstrates that Indigenous self-determination in health education is not only achievable, it\u2019s already happening.<\/p>\n<p>The next step is clear: supporting Indigenous-led education so that reconciliation moves from promise to practice in communities nationwide.<\/p>\n","protected":false},"excerpt":{"rendered":"If Canada is serious about reconciliation, it must change how it trains health professionals. Right now, too few&hellip;\n","protected":false},"author":2,"featured_media":38900,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[103,397,396,61,60],"class_list":{"0":"post-38899","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-health","9":"tag-health-care","10":"tag-healthcare","11":"tag-ie","12":"tag-ireland"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/38899","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/comments?post=38899"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/38899\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media\/38900"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media?parent=38899"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/categories?post=38899"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/tags?post=38899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}