The RACGP is undergoing scheduled system maintenance: Tuesday, 23 April 2024 from 8:15PM – 10:15 PM AEST. During the maintenance window, some RACGP services will experience disruptions. We apologise for any inconvenience caused.
Clinical Competency Rubric
Last revised: 04 Mar 2024
The health of Australia’s first peoples is this country’s most pressing and important health priority. Aboriginal and/or Torres Strait Islander peoples are among the most disadvantaged indigenous peoples in the developed world. The available evidence suggests that Aboriginal and Torres Strait Islander peoples continue to suffer a greater burden of ill health than the rest of the population. Overall, Aboriginal and Torres Strait Islander peoples experience lower levels of access to health services than the general population, are more likely than non-Indigenous Australian people to be hospitalised for most diseases and conditions, and are more likely to experience disability and reduced quality of life due to ill health and to die at younger ages than other Australians. Aboriginal and Torres Strait Islander peoples also suffer a higher burden of emotional distress and possible mental illness than is experienced by the wider community. The Aboriginal and Torres Strait Islander health unit of the RACGP curriculum seeks to identify the unique nature and needs of Aboriginal and Torres Strait Islander peoples and their communities and to define the foundation of essential attitudes, skills and knowledge required by all GPs to meet these needs. Attainment of these specific competency based skills will enable GPs to work respectfully, in collaboration with and provide quality care to Aboriginal and Torres Strait Islander peoples and when required, to advocate for individuals and their communities. This section contextualises all the core competency skills and how they are applied to culturally appropriate, safe, effective and holistic Aboriginal and Torres Strait Islander health care delivery as defined by Aboriginal and Torres Strait Islander peoples. This includes demonstrating cultural understanding, having a culturally respectful, non-judgmental and safe communication approach, acknowledging the impact of colonisation, historical and contemporary events and policies, awareness of intergenerational trauma, systemic barriers to health equity and optimising health outcomes. It specifically requires self-reflectiveness and self-awareness to avoid harmful biases, assumptions, stereotyping and rote learned responses that do not consider the individual patient context and value diversity within cultures.
AH1.1.1 Communicate effectively, develop social and cultural competency with Aboriginal and Torres Strait Islander peoples AH1.1.2 Develop effective therapeutic relationships with Aboriginal and Torres Strait Islander peoples AH2.1.1 Optimise health outcomes by early identification and effective management of all health conditions AH2.2.1 Identify and address the social and cultural determinants of health in the local community AH3.1.1 Promote the health and wellbeing of Aboriginal and Torres Strait Islander communities AH4.1.1 Support Aboriginal and Torres Strait Islander health research and education AH5.1.1 Identify and implement effective models of primary healthcare delivery AH5.2.1 Implement appropriate policies and initiatives regarding Aboriginal and Torres Strait Islander health to optimise outcomes
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