Question

A 3-year-old status First Nations child is brought to the emergency department with fever and cough. The caregiver expresses concern about previous experiences where family members' symptoms were dismissed. As the ED physician, which behaviour best aligns with Indigenous cultural safety and the CanMEDS Collaborator role?

Accepted Answer

Invite the caregiver to share their concerns, involve them actively in decisions and, if appropriate, include an Indigenous liaison worker in the care team

Answer

Focus solely on biomedical questions and end the visit quickly

Answer

Ask the caregiver to leave to reduce crowding

Answer

Document that the family is difficult for challenging prior care

Answer

Assume non-adherence and threaten to call child protection unless they agree with your plan

Practice question