Question

A 19-year-old Indigenous woman discloses past residential school trauma and mistrust of health services. She is reluctant to accept care for depression. As her family physician, which initial approach best reflects the CanMEDS Communicator and Health Advocate roles?

Accepted Answer

Acknowledge historical trauma, explore her priorities and offer collaborative, culturally safe care including involvement of Indigenous supports if she wishes

Answer

Insist she start medication immediately

Answer

Tell her trauma is irrelevant to current treatment

Answer

Refer to psychiatry without discussion

Answer

Avoid discussing colonial history to prevent distress

Practice question

A 19-year-old Indigenous woman discloses past residential school trauma and mistrust of health services. She is reluctant to accept care for depression. As her family physician, which initial approach best reflects the CanMEDS Communicator and Health Advocate roles?