First Nations Consultations For the Australian Human Rights Commission
the inextricably linked elements of clinical and cultural safety. Consideration of culture is now part
of registration standards and the enforcement of professional conduct.
In November 2023 the new provisions were enforced for the first time with a doctor in the ACT
being disqualified for a year and prohibited to provide any medical services after it was found by
the ACT Civil and Administrative tribunal that the GP made racist comments in an email to an
Aboriginal Medical Specialist (NITV, 2023). While the Australian Medical Board says the ruling is a
step towards “dismantling all forms of racism in Australia’s healthcare system”, the Australian
Health Practitioner Regulation Agency’s Aboriginal and Torres Strait Islander Health Strategy Unit
(HSU) urged there to be further legislative reform to address the institutional racism evident in
Australia's healthcare system (NITV, 2023).
The Australasian Council of Dental Schools (ACODS) commissioned the development of a Dental
Aboriginal and Torres Strait Islander Cultural Safety Curriculum to inform educational preparation
of dental practitioners with reference to Standard 6.3, Australian Dental Council Accreditation
Standards, 2021 (Satur et al., 2021). The purpose of cultural safety preparation in dental
practitioners while still at university is to ensure that the health, self-determination and well-being
of First Nations peoples are enabled and supported in all interactions with health practitioners,
and experiences of health care. While Indigenising the oral health and dental curriculums of
Dental Schools nationally is a good start, some dental schools have struggled to implement the
changes and to Indigenise their curriculum. There appears to be limited resourcing to involve
expert external assistance from First Nations experts and or community members in the process.
Working in partnership with First Nations people is critical part of embedding the critical role of
culture into health services and practice. This is imperative given the recognition that culture is a
determinant of health and progress towards this is supported by the good practice examples in
the 2nd Edition of the National Safety and Quality Service Standards as well as enforcement of the
health professional conduct provisions under National Law. AHPRA acknowledges that there is still
more work to be done, including the development of an anti-racism policy for the organisation
and the development of continuing professional development courses in cultural safety for all
registered health practitioners.
References
•
Parter, C.; Gwynn, J.; Wilson, S.; Skinner, J.C.; Rix, E.; Hartz, D. Putting Indigenous Cultures and
Indigenous Knowledges Front and Centre to Clinical Practice: Katherine Hospital Case
Example. Int. J. Environ. Res. Public Health 2024, 21, 3. https://
doi.org/10.3390/ijerph21010003
•
Respecting the Difference - Aboriginal workforce in NSW Health
•
Australian Health Practitioner Regulation Agency - Major milestone towards eliminating racism
in healthcare (ahpra.gov.au)
•
An ACT doctor has been disqualified over racism | SBS NITV
•
Satur J, Forsyth C, Bolton J (2021) Joining the dots: A dental Aboriginal and Torres Strait
Islander cultural safety curriculum, The University of Melbourne Dental School for the
Australasian Council of Dental Schools.
An Anti-Racism Framework: Voices of First Nations Peoples
Page 65