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Vision 20:20 and Indigenous Health Workforce Development: Institutional Strategies and Initiatives to Attract Underrepresented Students into Elite Courses

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Achieving Equity and Quality in Higher Education

Abstract

Widening access to highly competitive and restricted health professional programmes of study such as medicine, pharmacy and optometry remains a challenge for many tertiary institutions. Understanding the role that tertiary institutions can play to increase access for indigenous students remains important. This chapter explores the Vision 20:20 initiative based at the Faculty of Medical and Health Sciences (FMHS) at the University of Auckland, Aotearoa, New Zealand. Based on research findings and programme experience, twelve effective practices for tertiary institutional action are presented within the areas of: recruitment; admission; bridging/foundation education; and, retention. Tertiary institutions can (and should) support indigenous health workforce development via a commitment to tertiary interventions that are aligned to a widening participation and social justice agenda.

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References

  • Airini, Curtis, E., Townsend, S., Rakena, T., Brown, D., Sauni, P., … Johnson, O. (2011). Teaching for student success: Promising practices in university teaching. Pacific-Asian Education, 23(1), 71–90.

    Google Scholar 

  • Anderson, I. (2011). Indigenous pathways into the professions. Melbourne: University of Melbourne.

    Google Scholar 

  • Australian Indigenous Doctors Association. (2005). Healthy futures: Defining best practice in the recruitment and retention of Indigenous medical students. Canberra: Australian Government: Department of Health and Aging.

    Google Scholar 

  • Biggs, J. (1999). What the student does: Teaching for enhanced learning. Higher Education Research & Development, 18(1), 57–75.

    Article  Google Scholar 

  • Biggs, J. (2014). Constructive alignment in university teaching. HERDSA Review of Higher Education, 1, 5–22.

    Google Scholar 

  • Brunson, W., Jackson, D., Sinkford, J., & Valachovic, R. (2010). Components of effective outreach and recruitment programs for underrepresented minority and low-income dental students. Journal of Dental Education, 74(Suppl. 10), S74–S86.

    Google Scholar 

  • Chauvel, F., & Rean, J. (2012). Doing better for Māori in tertiary settings. Wellington: Tertiary Education Commission.

    Google Scholar 

  • Crampton, P., Weaver, N., & Howard, A. (2012). Holding a mirror to society? The sociodemographic characteristics of the University of Otago’s health professional students. New Zealand Medical Journal, 125(1361), 12–28.

    Google Scholar 

  • Curtis, E. (2016). Kohi Maramara. The effect of tertiary recruitment, admission, bridging/foundation education and retention on indigenous health workforce development (Doctor of Medicine). University of Auckland, Auckland.

    Google Scholar 

  • Curtis, E., & Reid, P. (2013). Indigenous health workforce development: Challenges and successes of the vision 20:20 programme. Australian & New Zealand Journal of Surgery, 83(1–2), 49–54.

    Article  Google Scholar 

  • Curtis, E., Townsend, S., & Airini. (2012a). Improving indigenous and ethnic minority student success in foundation health study. Teaching in Higher Education, 17(5), 1–14. https://doi.org/10.1080/13562517.2012.658559.

    Article  Google Scholar 

  • Curtis, E., Wikaire, E., Stokes, K., & Reid, P. (2012b). Addressing indigenous health workforce inequities: A literature review exploring ‘best’ practice for recruitment into tertiary health programmes. International Journal for Equity in Health, 11(13), 1–15.

    Google Scholar 

  • Curtis, E., Reid, P., & Jones, R. (2014a). Decolonising the academy: The process of re-presenting indigenous health in tertiary teaching and learning. In F. Cram, H. Phillips, P. Sauni, & C. Tuagalu (Eds.), Māori and Pasifika higher education horizons (Vol. 15, pp. 147–166). Bingley: Emerald Group.

    Chapter  Google Scholar 

  • Curtis, E., Wikaire, E., Kool, B., Honey, M., Kelly, F., Poole, P., … Reid, P. (2014b). What helps and hinders indigenous student success in higher education health programmes: A qualitative study using the Critical Incident Technique. Higher Education Research & Development, 34(3), 486–500. https://doi.org/10.1080/07294360.2014.973378.

    Article  Google Scholar 

  • Curtis, E., Stokes, K., Wikaire, E., & Reid, P. (2015). Recruiting via Hui-ā-Rohe: How the Whakapiki Ake Project has increased engagement with Māori students, their whānau (families) and communities. In O. Mazel & C. Ryan (Eds.), LIME good practice case studies (Vol. 3, pp. 16–23). Melbourne: University of Melbourne.

    Google Scholar 

  • Curtis, E., Wikaire, E., Jiang, Y., McMillan, L., Loto, R., Airini, & Reid, P. (2015a). Quantitative analysis of a Māori and Pacific admission process on first-year health study. BMC Medical Education, 15(196), 1–17.

    Google Scholar 

  • Curtis, E., Wikaire, E., Jiang, Y., McMillan, L., Loto, R., Airini, & Reid, P. (2015b). A tertiary approach to improving equity in health: Quantitative analysis of the Māori and Pacific Admission Scheme (MAPAS) process, 2008–2012. International Journal for Equity in Health, 14(7), 1–15. https://doi.org/10.1186/s12939-015-0133-7.

    Article  Google Scholar 

  • Curtis, E., Wikaire, E., Jiang, Y., McMillan, L., Loto, R., Poole, P., … Reid, P. (2017). Examining the predictors of academic outcomes for indigenous Māori, Pacific and rural students admitted into medicine via two equity pathways: A retrospective observational study at the University of Auckland, Aotearoa New Zealand. BMJ Open, 7(8), e017276.

    Article  Google Scholar 

  • Dental Council of New Zealand. (2010). Dental council workforce analysis 2009. Wellington: Author.

    Google Scholar 

  • DeSouza, R. (2008). Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand. Journal of Research in Nursing, 13(2), 125–135.

    Article  Google Scholar 

  • Eva, K., Rosenfeld, J., Reiter, H., & Norman, G. (2004). An admissions OSCE: The multiple mini-interview. Medical Education, 38, 314–326.

    Article  Google Scholar 

  • Eva, K., Reiter, H., Trinh, K., Wasi, P., Rosenfeld, J., & Norman, G. (2009). Predictive validity of the multiple mini-interview for selecting medical trainees. Medical Education, 43(8), 767–775.

    Article  Google Scholar 

  • Gorinski, R., & Abernathy, G. (2007). Māori student retention and success: Curriculum, pedagogy and relationships. In T. Townsend & R. Bates (Eds.), Handbook of teacher education: Globalization, standards and professionalism in times of change (pp. 229–240). Dordrecht: Springer.

    Chapter  Google Scholar 

  • Greenwood, J., & Te Aika, L. (2008). Hei Tauira: Teaching and learning for success for Māori in tertiary settings. Wellington: Ako Aotearoa.

    Google Scholar 

  • Hollow, W., Patterson, D., Olsen, P., & Baldwin, L. (2006). American Indians and Alaska natives: How do they find their path to medical school? Academic Medicine, 81(Suppl. 10), S65–S69.

    Article  Google Scholar 

  • James, R. (2007). Social equity in a mass, globalised higher education environment: The unresolved issue of widening access to university. Melbourne: Centre for the Study of Higher Education. Retrieved from http://cshe.unimelb.edu.au/people/james_docs/Richard%20James%20Dean's%20Lecture%20Series%20Sept2007.pdf

  • Lawson, K., Armstrong, R., & Van Der Weyden, M. (2007). Training indigenous doctors for Australia: Shooting for goal. Medical Journal of Australia, 186(10), 547–550.

    Google Scholar 

  • Mackean, T., Mokak, R., Carmichael, A., Phillips, G., Prideaux, D., & Walters, T. (2007). Reform in Australian medical schools: A collaborative approach to realising indigenous health potential. Medical Journal of Australia, 186(10), 544–546.

    Google Scholar 

  • Madjar, I., McKinley, E., Jenssen, S., & Van Der Merwe, A. (2009). Towards university: Navigating NCEA course choices in low-mid decile schools. Auckland: Starpath Project, The University of Auckland.

    Google Scholar 

  • Malnarich, G. (2005). Learning communities and curricular reform: “Academic apprenticeships” for developmental students. New Directions for Community Colleges, 129(Spring), 51–62.

    Article  Google Scholar 

  • Mayeda, D., Keil, M., Dutton, H., & 'Ofamo'oni, I. (2014). “You’ve gotta set a precedent”. Māori and Pacific voices on student success in higher education. AlterNative, 10(2), 165–179.

    Article  Google Scholar 

  • Middleton, S. (2008, July). Beating the filters of failure: Engaging with the disengaged in higher education. Paper presented at the Higher Education Research & Development Society Association (HERDSA) 2008 International Conference, Rotorua, New Zealand. Retrieved from http://www.herdsa.org.au/wp-content/uploads/conference/2008/media/Stuart%20Middleton.pdf

  • Ministry of Education. (2015a). Education counts. Retrieved September 4, 2015, from http://www.educationcounts.govt.nz/indicators

  • Ministry of Education. (2015b). Education counts. Retrieved November 25, 2015, from http://www.education.govt.nz/school/running-a-school/resourcing/operational-funding/school-decile-ratings/

  • Ministry of Education. (2015c). School rolls. Retrieved November 25, 2015, from https://www.educationcounts.govt.nz/statistics/schooling/student-numbers/6028

  • Ministry of Health. (2011). Monitoring the regulated Māori health workforce. Wellington, New Zealand: Author. Retrieved from http://www.health.govt.nz/publications/monitoring-regulated-maori-health-workforce

  • Ministry of Health. (2014). Health of the health workforce 2013 to 2014: A report by health workforce New Zealand. Wellington: Author.

    Google Scholar 

  • Pharmacy Council of New Zealand. (2014). Pharmacy Council of New Zealand workforce demographics as at 30 June 2014. Wellington: Author.

    Google Scholar 

  • Powis, D., Hamilton, J., & McManus, I. (2007). Widening access by changing the criteria for selecting medical students. Teaching and Teacher Education, 23(8), 1235–1245.

    Article  Google Scholar 

  • Ratima, M., Brown, R., Garrett, N., Wikaire, E., Ngawati, R., Aspin, C., & Potaka, U. (2007a). Rauringa Raupa: Recruitment and retention of Māori in the health and disability workforce. Auckland: Taupua Waiora: Division of Public Health and Psychosocial Studies, Faculty of Health and Environmental Sciences, AUT University.

    Google Scholar 

  • Ratima, M., Brown, R., Garrett, N., Wikaire, E., Ngawati, R., Aspin, C., & Potaka, U. (2007b). Strengthening Māori participation in the New Zealand health and disability workforce. Medical Journal of Australia, 186(10), 541–543.

    Google Scholar 

  • Siu, E., & Reiter, H. (2009). Overview: What’s worked and what hasn’t as a guide towards predictive admissions tool development. Advances in Health Sciences Education, 14, 759–775.

    Article  Google Scholar 

  • The Sullivan Commission. (2004). Missing persons: Minorities in the health professions. A report of the Sullivan Commission on diversity in the healthcare workforce. Atlanta: The Sullivan Commission.

    Google Scholar 

  • The University of Auckland. (2013). 2014 Faculty of Medical and Health Sciences undergraduate prospectus. Auckland: Author.

    Google Scholar 

  • The University of Auckland. (2015). University of Auckland key statistics 2010–2014. Retrieved September 9, 2015, from https://cdn.auckland.ac.nz/assets/central/about/the-university/documents/Website%20Key%20stats%20Pdf-%20EFTS%20&%20FTE%20-2010-2014.pdf

  • Trewartha, R. (2008). Innovations in bridging and foundation education in a tertiary institution. Australian Journal of Adult Learning, 48(1), 30–49.

    Google Scholar 

  • University of Auckland. (2015). University of Auckland equity profile 2014. Compiled by the staistical consulting centre for the equity office – Te Ara Tautika. Auckland: University of Auckland.

    Google Scholar 

  • Wheelan, L. (2009). Do educational pathways contribute to equity in tertiary education in Australia? Critical Studies in Education, 50(3), 261–275.

    Article  Google Scholar 

  • Whitehead, G., Shah, M., & Nair, C. (2013). Equity and excellence are not mutually exclusive: A discussion of academic standards in an era of widening participation. Quality Assurance in Education, 21(3), 196.

    Google Scholar 

  • Zepke, N., & Leach, L. (2005). Integration and adaptation. Active Learning in Higher Education, 6(1), 46–59.

    Article  Google Scholar 

  • Zepke, N., Leach, L., Prebble, T., Campbell, A., Coltman, D., Dewart, B., … Wilson, S. (2005). Improving tertiary student outcomes in their first year of study. Wellington: Teaching and Learning Research Initiative.

    Google Scholar 

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Author information

Authors and Affiliations

  1. University of Auckland, Auckland, New Zealand

    Elana Taipapaki Curtis

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  1. Elana Taipapaki Curtis
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Correspondence to Elana Taipapaki Curtis .

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Editors and Affiliations

  1. Central Queensland University, Rockhampton, Queensland, Australia

    Mahsood Shah

  2. Deakin University, Burwood, Victoria, Australia

    Jade McKay

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Curtis, E.T. (2018). Vision 20:20 and Indigenous Health Workforce Development: Institutional Strategies and Initiatives to Attract Underrepresented Students into Elite Courses. In: Shah, M., McKay, J. (eds) Achieving Equity and Quality in Higher Education. Palgrave Studies in Excellence and Equity in Global Education. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-78316-1_6

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  • DOI: https://doi.org/10.1007/978-3-319-78316-1_6

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  • Publisher Name: Palgrave Macmillan, Cham

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  • Online ISBN: 978-3-319-78316-1

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