Question

A 54-year-old Cree man living in a remote community has poorly controlled type 2 diabetes (HbA1c 9.5 percent) and early nephropathy. He reports difficulty attending appointments due to travel and previous experiences of discrimination at urban hospitals. As his primary care physician, which approach best reflects the CanMEDS Health Advocate and Collaborator roles?

Accepted Answer

Work with him, his family, and community health workers to develop a culturally safe, community-based diabetes management plan, including telehealth specialist input

Answer

Insist that he attend urban specialist clinics regardless of his concerns

Answer

Dismiss his concerns about discrimination as anecdotal

Answer

Tell him diabetes complications are inevitable and there is little to do

Answer

Transfer his care entirely to specialists in the city

Practice question