The Aboriginal and Torres Strait Islander Cultural and Health Training Framework 19 As a principles-based Framework, it is a ‘lens’ through which all parts of the Training Program are considered. Through the principles, a structure is provided that can be used to interrogate our underlying assumptions and existing approaches. The Framework, through the process of decolonisation, requires emphasising critical thinking and reflexivity skills to challenge existing western/scientific/bio medical assumptions and constructs about Aboriginal and Torres Strait Islander Peoples, culture, and knowledge plus the underlying pedagogy of teaching and learning. The RACGP recognises the rights of Aboriginal and Torres Strait Islander Peoples to sovereignty and selfdetermination, and by embedding Aboriginal and Torres Strait Islander governance, aims to use this Framework to ensure the Indigenisation of the training program. This is an RACGP-wide change process. Which works towards acknowledging and incorporating Aboriginal and Torres Strait Islander knowledge systems, cultures, values, interests, aspirations, and epistemologies (Rigney, 2017). The key distinction with a process of Indigenisation is that it is focused on ‘learning from’ Aboriginal and Torres Strait Islander Peoples, rather than only ‘learning about’ Aboriginal and Torres Strait Islander Peoples (Guerzoni, 2020). Aboriginal and Torres Strait Islander People engaged in this work have all endured the impact of colonisation. This impact is reflected in the dismal health statistics often quoted, literature and media - and in the ongoing negative interactions that Aboriginal and Torres Strait Islander People continue to experience. The impact of this sits very close to the surface at all times. There is an urgent need to shift the burden of addressing the impact of colonisation from just those most affected, to making it a responsibility for all. This Framework is a core pillar of the RACGP education governance structure. It sits alongside the Educational Framework, Progressive Capability Profile of the General Practitioner, Curriculum, Syllabus, policies and training standards. The Framework is a guiding instrument for all who are involved in the training journey including: registrars, supervisors, medical educators, cultural educators, and cultural mentors, as well as the RACGP staff supporting this work. The Framework itself is dynamic and will continue to evolve throughout its implementation, application, and evaluation, ensuring it enhances training and remains cognisant of Aboriginal and Torres Strait islander values and needs.
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