Question

A 26-year-old emergency medicine resident notices that a 40-year-old Cree man repeatedly misses follow-up appointments for diabetes education. When asked, he describes feeling dismissed in previous encounters and worries he will be judged. According to the Truth and Reconciliation Commission health Calls to Action and CanMEDS roles, what is the most appropriate initial response?

Accepted Answer

Acknowledge his experiences, explore barriers to care, and offer to involve an Indigenous health liaison or Elder if he wishes

Answer

Explain that missed appointments are unacceptable and warn him about discharge from the practice

Answer

Ignore his concerns and focus solely on adjusting his medications

Answer

Refer him immediately to psychiatry for suspected non-adherence

Answer

Transfer his care to another provider without discussion

Practice question