A5019833898- Indigenous Health, Education, and Rights
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Food Security and Health in Diverse Populations
- Cultural Competency in Health Care
- Innovations in Medical Education
- Global Health Workforce Issues
- Public Health Policies and Education
- Indigenous Studies and Ecology
- Mental Health and Patient Involvement
- Diabetes Management and Education
- Cervical Cancer and HPV Research
- Interpreting and Communication in Healthcare
- Hepatitis B Virus Studies
- Opioid Use Disorder Treatment
- Community Health and Development
- Homelessness and Social Issues
- Obesity and Health Practices
- Migration, Health and Trauma
- Empathy and Medical Education
- Pharmacology and Obesity Treatment
- HIV, Drug Use, Sexual Risk
- Diet and metabolism studies
- Healthcare Policy and Management
- Child Abuse and Trauma
University of Calgary
2015-2024
NOSM University
2017-2023
Alberta Health Services
2023
Health Foundation
2023
University of Alberta
2023
Health Research Council of New Zealand
2018
Laurentian University
2017
Queen's University
2017
University of British Columbia
2017
Walker (United States)
2017
KEY POINTS Obesity is a complex chronic disease in which abnormal or excess body fat (adiposity) impairs health, increases the risk of long-term medical complications and reduces lifespan.[1][1] Epidemiologic studies define obesity using mass index (BMI; weight/height2), can stratify
Indigenous social determinants of health, including the ongoing impacts colonization, contribute to increased rates chronic disease and a health equity gap for people. We sought examine care experiences people with type 2 diabetes understand how such are embodied enacted during clinical encounters.Sequential focus groups interviews were conducted in 5 communities. Focus occurred over sessions at 4 sites; 3 participants interviewed 5th site. Participants self-identified as Indigenous, more...
Abstract Background Primary care, and its transformation into Health Care (PHC), has become an area of intense policy interest around the world. As part this trend Alberta, Canada, implemented Networks (PCNs). These are decentralized organizations, mandated with supporting delivery PHC, funded through capitation, operating as partnerships between province’s healthcare administration system family physicians. This paper provides implementation history PCNs, giving a detailed account how...
In Canada, Indigenous people have higher human papillomavirus (HPV) infection rates, lower screening rates for cervical cancer, and of invasive leading to worse cancer-related outcomes than observed in non-Indigenous Canadian women. Lingering harms from European colonization drive these health inequities create public challenges. Policy guidance is needed optimize HPV vaccination and, thereby, decrease the burden HPV-related illness, including high-morbidity surgical procedures...
Phenomenon: Indigenous and non-Indigenous scholars have called for mentorship as a viable approach to supporting the retention professional development of students in health sciences. In context Canadian reconciliation efforts with Peoples, we developed an model that details behavioral themes are distinct or unique from mentorship.Approach: We used Flanagan's Critical Incidents Technique derive behaviors literature, focus groups faculty sciences associated AIM-HI network funded by Institutes...
Despite relatively higher rates of dementia among Indigenous populations internationally, research into drivers disparities in brain health and cognitive function has tended to focus on modifiable risk factors over cultural understandings contextual determinants. By seeking characterize social that shape cognition populations, this mini scoping review expands prevailing schools thought include knowledge systems. This reveals important gaps culturally aligned care. It also reclaims horizons...
ObjectivesThe perspectives of physicians caring for Indigenous patients with diabetes offer important insights into the provision health-care services. The purpose this study was to describe Canadian physicians' on care patients, a preliminary step in developing continuing medical education intervention described elsewhere.MethodsThrough in-depth semistructured interviews, family and specialists sizeable proportions clientele shared their experiences working who have type 2 diabetes....
Addressing systemic barriers experienced by low-income and minority students to accessing medical school, the University of Calgary's Cumming School Medicine has spearheaded a year-round, mini-med school outreach initiative for Aboriginal students.Junior senior high youth generally attend half-day program in classes or camps 15-25, breaking into small groups multisession activities. Undergraduate education mentor stations offering experiential lessons physical examination, reading x-rays,...
Health education about Indigenous populations in Canada (First Nations, Inuit, and Métis people) is one approach to enable health services mitigate disparities faced by peoples related a history of colonization ongoing social inequities. This evaluation continuing medical workshop, enhance family physicians' clinical including cultural dimensions within diabetes management, was conducted determine whether participation the workshop improved self-reported knowledge, skills, confidence working...
Through art and storytelling, Indigenous youth highlight continuity between recent experiences in child welfare systems Canada's residential schools of the twentieth century. Between mid‐2014 mid‐2015, twenty collaborators (eighteen to twenty‐nine years) Calgary, Canada critiqued how become complicit with assimilationism, perpetuate gendered violence, contribute dispossession land resources. Their perspectives demonstrate settler colonialism continues shape lives (dis)placements.
For Indigenous people worldwide, accessing Primary Health Care (PHC) services responsive to socio-cultural realities is challenging, with institutional inequities in healthcare and jurisdictional barriers encumbering patients, providers, decision-makers. In the Canadian province of Alberta, appropriate health promotion, disease prevention, primary care are needed, though policy reform hindered by complex networks competing interests between: federal/provincial funders; reserve/urban...
Abstract Background Arthritis is a highly prevalent disease and leading cause of disability in the Indigenous population. A novel model care consisting rheumatology outreach clinic an on-reserve primary healthcare center has provided service to community Southern Alberta since 2010. Despite quality assessments suggesting this improves accessibility effective meeting treatment targets, substantial improvements patient-reported outcomes have not been realized. Therefore, objective study was...
In 2015, the Truth and Reconciliation Commission of Canada released its Final Report with 94 Calls to Action, several which called upon health care sector reform based on principles reconciliation. province Alberta, Canada, numerous initiatives have arisen address legacy yet there is no formal mechanism connect them all. As such, these resulted in limited improvements overall. Recognizing need for clear leadership, responsibility, dedicated funding, stakeholders from across Alberta were...
From conceptualization to application and evaluation, research is conducted in a context of increasing complexity disciplines, goals, communities, partnerships. Researchers often are challenged demonstrate the rigor their methods results audiences with diverse backgrounds disciplinary expertise. This article illustrates benefits using mixed approaches designed address issues complex projects. It outlines implementation private, public, academic partnership, where scientific merit was...
Abstract Background Current literature has established that adverse childhood experiences (ACEs) are associated with the onset of a variety physical, mental, and behavioural illnesses. However, there few studies have thoroughly examined this association in low-income or marginalized groups. Methods To address knowledge gap, study used self-reported data on adult health outcomes sample 91 Indigenous persons experiencing homelessness. While primary focus was to assess relationship between ACEs...
With the 2015 publication of Truth and Reconciliation Commission Canada's calls to action, health professional schools are left grappling with how increase recruitment success Indigenous learners. Efforts diversify trainee pools have long looked quota-based approaches recruit students from underserved communities, though such pose dilemmas around meaningfully dismantling structural barriers education. Lessons shared here developing one multi-layered admissions strategy highlight importance...
Medical educators face a dilemma in countries like Canada, where policy makers and strategic planners have prioritized highly qualified personnel expanded recruitment of advanced trainees at time when early-career specialists prolonged job insecurity as they transition to professional employment. The University Calgary Cumming School Medicine hatched the Mock Academic Faculty Position competition test school's existing capacity address pressing career development needs trained graduates.The...