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Native American Student Perspectives on Culturally Integrated Education at a Tribal College of Osteopathic Medicine

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 27. doi: Subito , type of study: qualitative study

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

culturally integrated education [1]
medical students [402]
Native American students [1]
qualitative study [209]

Abstract:

Background: Students’ sense of belonging is linked to positive academic outcomes, increased engagement, self-confidence, and acceptance. The osteopathic tenets of mind, body, spirit connection align closely with Native American (NA) beliefs. Yet, no research has been conducted regarding NA students’ sense of belonging in osteopathic medical school. Objective: To evaluate NA students’ perspectives on self-identity, culture, and tribal affiliation as the inaugural class at Oklahoma State University College of Osteopathic Medicine at Cherokee Nation, the first tribally-affiliated college of medicine in the United States. Methods: A social constructivist approach using mixed methods provided qualitative evaluation. Data included Sense of Belonging surveys and semi-structured interviews. Participants were recruited from inaugural class members identifying as tribally enrolled or tribal descendancy. Sense of belonging surveys were collected and interviews were recorded for transcription with Rev. Thematic analysis was conducted using Braun and Clarke’s six-phase framework. MAXQDA software was used for data management. Results: Seven participants completed the study. Semi-structured interview data were coded into four main themes with subthemes: Psychosocial and Personal Identity, Native Culture and Heritage, Community Perception, and Tribal Affiliation. Sense of belonging survey data was averaged categorically, scoring 4-5/5 in all categories. Conclusion: Our findings suggest that completing medical education under the Indian Health Service’s mission to raise the physical, mental, social, and spiritual health of NAs alongside the nearly identical osteopathic principles and practice of treating the body as a unit of body, mind, and spirit promotes NA students’ sense of belonging. Limitations include overall sample size and potential for self-selection bias. Future research could establish impact on osteopathic medicine academic milestones, such as board exam pass rates, graduation, and residency match rates.


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