A Cree elder with advanced COPD reports previous negative experiences of racism in hospital and is reluctant to attend a tertiary respiratory clinic d...

Question

A Cree elder with advanced COPD reports previous negative experiences of racism in hospital and is reluctant to attend a tertiary respiratory clinic despite worsening symptoms. As her family physician, which approach best aligns with Indigenous health values and CanMEDS roles?

Accepted Answer

Explore her prior experiences, involve local Indigenous health workers, and co-develop a plan that may include telehealth specialist input

Answer

Strongly insist she attend the specialist clinic regardless of her concerns

Answer

Document her refusal and take no further action

Answer

Avoid discussing past experiences to prevent retraumatisation

Answer

Refer her to a non-Indigenous social worker without further discussion

ca-mccqe1 MCQ (SBA): Cultural safety and CanMEDS roles

A Cree elder with advanced COPD reports previous negative experiences of racism in hospital and is reluctant to attend a tertiary respiratory clinic despite worsening symptoms. As her family physician, which approach best aligns with Indigenous health values and CanMEDS roles?