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In November 2022, the College of Family Physicians of Canada (CFPC) signed the Declaration of Commitment to Cultural Safety and Humility in Health Services Delivery for First Nations, Inuit, and Métis People in Canada with our partner, the Indigenous Physicians Association of Canada (IPAC).

The Declaration formalizes the CFPC’s commitment to a proactive approach to identify and pursue efforts that will result in addressing the systemic racism experienced by Indigenous people in their interactions with the health care system. These efforts are strongly aligned with the relevant recommendations of the Truth and Reconciliation Commission.

The CFPC has produced the first update to this commitment, the Declaration Action Plan.

Prior to signing the Declaration, the CFPC actively worked toward Indigenous health equity, particularly in Indigenous health medical education. Read the timeline below to learn about our journey toward cultural safety and humility.

Timeline of the CFPC’s work in Indigenous health and cultural safety prior to November 2022

  • November 2022

    Signed the Declaration with IPAC

     

  • October 2022

    Updated the CFPC land acknowledgement guideline to encourage personal reflection and historical/contextual factors

     

  • July 2022

    Co-Sponsored the Pacific Regional Indigenous Doctors Congress (PRIDoC) (intended for 2020 but was postponed due to the pandemic)

     

  • May 2022

    Engaged in consultations on the establishment of the Anti-Racism Task Force during the CFPC’s annual Leaders’ Forum

     

  • February 2022

    Hired a clinician educator for Indigenous health

     

  • January 2022

    Published the Outcomes of Training Project final report, naming Indigenous health as one of the areas specified for curriculum enhancement

     

  • November 2021

    Screened the film of “The Unforgotten” and facilitated a discussion for Family Medicine Forum (FMF) attendees

     

  • November 2021

    The Indigenous Health Committee (IHC) presented at FMF

     

  • September 2021

    Screened of “The Unforgotten” and facilitated a discussion for CFPC staff for the National Day for Truth and Reconciliation

     

  • September 2021

    Screened "The Unforgotten" and facilitated a discussion for family medicine learners and physicians on the National Day for Truth and Reconciliation

     

  • April 2021

    IHC members presented on the Indigenous Health Supplement at the Canadian Association for Health Services and Policy Research Conference

     

  • 2021

    Advocated for Indigenous health in the 2022 federal budget

     

  • January 2021

    Partnered with the Indigenous Physicians Association of Canada, the Medical Council of Canada, and the Royal College of Physicians and Surgeons (Royal College) to establish the National Consortium of Indigenous Medical Education (NCIME) to reform medical education and contribute to delivery of culturally safe care

     

  • November 2020

    The IHC presented at FMF

     

  • November 2020

    Released the CanMEDS–Family Medicine Indigenous Health Supplement, authored by members of the IHC

     

  • October 2020

    Released the statement to acknowledge the preventable death of Joyce Echaquan and the systemic racism in the health care system

     

  • 2020

    Encouraged and reimbursed the CFPC’s staff to complete Coursera’s “Indigenous Canada” course

     

  • 2017–2022

    Prioritized Indigenous health and cultural safety in family medicine within the CFPC Strategic Plan (2017–2022) to make sure that Indigenous health receives greater attention in medical education and training
    • Worked with the IHC to improve coverage of Indigenous health in the new conjoint Accreditation Standards
    • Promoted Indigenous health in the CFPC’s Red Book, the specific standards for family medicine residency training programs
    • Raised the profile of Indigenous health in the CanMEDS-FM framework of competencies
  • 2016–2017

    Learned about Indigenous community needs through visits by the CFPC President, CEO, and Executive Director to communities in Alderville (Ontario), Chisasibi, (Quebec), and Winnipeg (Manitoba)

     

  • 2017

    Launched the Rural Road Map for Action, a plan to enhance equitable access to health care and improve patient outcomes in rural and remote communities in Canada; this includes specific recommendations for increasing the recruitment of Indigenous medical students and enhancing cultural safety training to improve patient care

     

  • March 2017

    Deepened our interorganizational collaboration with IPAC and the Royal College; these groups met at an all-day gathering to discuss ways of extending and embedding this collaboration to deliver real outcomes for Indigenous communities

     

  • 2017

    Established the Indigenous Family Medicine Resident Award

     

  • 2016

    Emphasized the issue of systemic racism in family medicine by producing the fact sheet Health and Health Care Implications of Systemic Racism on Indigenous Peoples in Canada and offered relevant educational sessions at FMF

     

  • 2014

    Established the Indigenous Medical Student Scholarship

     

  • 2012

    Established the Indigenous Health Committee (formerly known as the Aboriginal Health Working Group)

     

  • Declaration of Cultural Safety and Humility Action Plan

    The CFPC’s Declaration Action Plan will be updated every November to reflect feedback from stakeholders and partners, new activities or directions, and completed actions.
    We welcome feedback on these activities. Please send feedback to [email protected].
    Read the action plan.
     

    Work since the implementation of the Declaration

  • November 2023

    FMF event, “Declaration of Commitment: One Year In – Update”

     

  • November 2023

    IHC members Dr. Ojistoh Horn and Dr. Veronica McKinney presented “Breaking the Inertia: Developing characteristics of Indigenous allyship” at FMF

     

  • September 2023

    Launched the Virtual Talking Circle Event Series with “The CFPC’s Declaration of Commitment to Cultural Safety and Humility”

     

  • September 2023

    The CFPC Human Resources team hosted Reconcili-ACTION workshops for staff to learn foundational knowledge about First peoples in Canada

     

  • June 2023

    Released the Indigenous Health Case Study Compendium

     

  • April 2023

    IHC members Dr. Sarah Funnell and Dr. Darlene Kitty presented at the Rural and Remote Medicine conference on Indigenous health and strengths-based approaches to care

     

  • February 2023

    The IHC began collaboration with and the Foundation for Medical Practice Education on a small group problem-based learning module on Indigenous health

     

  • February 2023

    IHC members Dr. Mandy Buss and Dr. Veronica McKinney co-hosted Canadian Family Physician podcast with Dr. Nick Pimlott

     

  • December 2022

    Distributed physical copies of the CanMeds-FM Indigenous Health Supplement to learners across Canada

     

  • November 2022

    The IHC presented ” Two-Eyed Seeing - Competencies, Cases and Collaborations in Indigenous Health” at FMF

     

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