26 The Aboriginal and Torres Strait Islander Cultural and Health Training Framework Aboriginal and Torres Strait Islander Values, and Ways of Knowing, Being and Doing Many cultural capability frameworks use the three domains of knowing, being and doing to underpin them and engender the process of continuous and progressive learning. These concepts are derived from Aboriginal and Torres Strait Islander values systems where everything is inter-connected and evolving at the same time, requiring deep learning and re-evaluation. Aboriginal and Torres Strait Islander cultures are diverse, but share common epistemological threads such as sovereignty, collectivism, sustainability and relationality, which will be used as foundations for this Framework and its initiatives. In the Framework, RACGP foregrounds values like dadirri (deep listening), seeing ‘twoways’ (considering both sides simultaneously), Meriam Peoples’ Malo’s Law (keeping to your own path), kanyini (interconnectedness through stewardship), ngapartji ngapartji (reciprocity), and ganma (new knowledge from intersecting Indigenous and western knowledge), emphasising a holistic worldview and connection to Country and kinship. Indigenous Data Sovereignty Indigenous data sovereignty and governance enable Aboriginal and Torres Strait Islander Peoples to control their representation and accurately reflect their stories, countering statistical representations that lack context and history (Walter, 2016). Exercising this sovereignty allows for effective decision-making to support their communities. In view of this the RACGP Framework should include a data governance policy that focuses on the needs and supports accurate data generation for Aboriginal and Torres Strait Islander Peoples. Trauma-informed Approaches For Aboriginal and Torres Strait Islander People, trauma-informed care involves understanding the widespread impact of trauma and recognises potential paths for recovery. It identifies signs and symptoms of trauma in patients, families, and staff, and integrates this knowledge into policies, procedures, and practices to enhance patient engagement and outcomes. It also requires taking active steps to avoid re-traumatisation during care delivery. Trauma-Informed approaches acknowledge and respond to the pervasive nature of trauma. The cumulative effect of historical and intergenerational trauma that severely reduces the capacity of Aboriginal and Torres Strait Islander Peoples to fully and positively participate in their lives and communities, leading to widespread disadvantage (healingfoundation.org.au). Embedding trauma-informed approaches in teaching and learning will support Aboriginal and Torres Strait Islander trainees and staff. Providing trauma-informed care education to trainees and GPs will enhance capacity for culturally responsive care and improve health outcomes for Aboriginal and Torres Strait Islander Peoples.
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