Understanding surgical disease and care for Māori in Aotearoa: protocol for a scoping review

Rahiri, Jamie‐Lee; Tuhoe, Jason; Harwood, Matire; Koea, Jonathan

doi:10.1136/bmjopen-2021-058784

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…21,22 The lack of M aori surgeons, a culturally responsive workforce, and Kaupapa M aori (KM) research in surgical literature likely contribute to ethnic disparities in surgical care, and is the topic of a scoping review yet to be published. 9 Consideration should be given to selection criteria that attracts prospective trainees to the surgical workforce.…”

Section: Discussionmentioning

confidence: 99%

“…Indigenous trainees may be discouraged by surgical specialties where the genuine inclusion of Indigenous Peoples knowledge, languages, aspirations, and interests are not promoted 21,22 . The lack of Māori surgeons, a culturally responsive workforce, and Kaupapa Māori (KM) research in surgical literature likely contribute to ethnic disparities in surgical care, and is the topic of a scoping review yet to be published 9 . Consideration should be given to selection criteria that attracts prospective trainees to the surgical workforce.…”

Section: Discussionmentioning

confidence: 99%

“…8 In addition to this, RACS made a commitment to cultural safety and competence by incorporating it as a core competency. 8,9 Te Rautaki M aori 2020-2023 is the most recent iteration and sets the future direction towards achieving the vision of M aori health equity and a culturally safe and competent surgical workforce that may alleviate systemic racism and discrimination in surgery. 10 Te Rautaki M aori includes six priority areas that form the foundation of this direction and includes Ng a Hononga (Partnerships) outlining the prioritization of partnering with RACS Specialty Training Boards to advance surgical health equity for M aori.…”

Section: Introductionmentioning

confidence: 99%

“…The 2016–2018 plan specified RACS would, ‘develop SET selection criteria which recognise and provide credit to applicants who identify as Māori and demonstrate competence in Māori health issues’ 8 . In addition to this, RACS made a commitment to cultural safety and competence by incorporating it as a core competency 8,9 . Te Rautaki Māori 2020–2023 is the most recent iteration and sets the future direction towards achieving the vision of Māori health equity and a culturally safe and competent surgical workforce that may alleviate systemic racism and discrimination in surgery 10 .…”

Section: Introductionmentioning

confidence: 99%

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Review of Māori equity in surgical trainee selection

Fisher,

Bird,

McCombie

et al. 2024

ANZ Journal of Surgery

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BackgroundThe Royal Australasian College of Surgeons (RACS) aims to achieve Māori health equity and cultural safety within the surgical workforce. The RACS Māori Health Strategy and Action Plans encourage Surgical Education and Training (SET) selection criteria that recognizes and credit applicants who identify as Māori or demonstrate competence in Māori health issues. This study investigates the current SET selection criteria for Māori entering surgical specialties.MethodsThe selection criteria for each surgical speciality for the proposed 2024 intake were examined through a documentary analysis. Criteria were reviewed for applicability to Māori identification and/or cultural competency.ResultsCriteria related to Māori identification and/or cultural competency make up 6%, 2%, and 1.5% of Otolaryngology and Head and Neck, General, and Vascular Surgery total SET selection score respectively. Criteria related to Māori identification and/or cultural competency make up 9% and 0.1% of Orthopaedic and Plastics and Reconstructive Surgery ranking scores for interview eligibility respectively. Cardiothoracic Surgery, Paediatric Surgery, Neurosurgery and Urology specialties do not incorporate any criteria appertaining to Māori. Allocation of research‐related points determined by authorship may disincentivize Māori trainees.ConclusionsSome surgical specialties fail to recognize or credit Māori identification and cultural competency in SET selection criteria. There is a need for regular auditing to ensure SET criteria align with the RACS aspirations for Māori health equity and cultural safety within the surgical workforce.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Review of Māori equity in surgical trainee selection

Fisher,

Bird,

McCombie

et al. 2024

ANZ Journal of Surgery

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“…17 As such, health outcomes for the people of Te Tairāwhiti reflect some of the poorest in Aotearoa New Zealand with minimal understanding of equity in access to surgical services in Te Tairāwhiti. 18,19 The Department of Surgery of Te Whatu Ora Tairāwhiti is based at Gisborne Hospital, a rural hospital of 110 beds, providing General Surgical, Orthopaedics and Otorhinolaryngology (Ear, Nose and Throat) surgical services. With no vascular surgeons in Te Tairāwhiti, minimal vascular surgical services are able to be provided in Te Tairāwhiti.…”

Section: Contextmentioning

confidence: 99%

A retrospective cohort study of incidental abdominal aortic aneurysms on routine abdominal computed tomography scans in Te Tairāwhiti (2018–2019)

Kee,

Clifford,

Maloney

et al. 2024

NZMJ

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aim: Ruptured abdominal aortic aneurysm (rAAA) is associated with a high mortality rate which is especially significant in rural and provincial regions. In Aotearoa New Zealand, Māori experience higher rates of AAA and worse overall medium-term survival following AAA repair. This study aimed to understand the prevalence of incidental AAA on routine abdominal CT scans over 12 months. method: A retrospective review of all abdominal CT scans performed on patients ≥50 years at Gisborne Hospital between 1 December 2018–1 December 2019 was performed. results: A total of 811 scans were reviewed, with 42 incidental AAA detected (5.2%). The majority of incidental AAA were in males aged ≥65 (65.8%), with a higher prevalence for Māori compared to New Zealand European (NZE) (16.2% vs 8.1%, p=0.052). This pattern was also seen in females, aged ≥65 (10.9% in Māori vs 3.8% in NZE, p=0.047). conclusion: The detection of AAA on routine abdominal CT scans appears to be a useful adjunct in lieu of targeted AAA screening in our region. A high prevalence of incidental AAA (5.2%) over 12 months, with a significantly higher prevalence noted in Māori males and females ≥65 years (16.2% and 10.9%) was observed.

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