The changing health care marketplace requires new graduates to be familiar with complex health systems. Since 1999 the Oregon Health & Science University internal medicine residency program has offered a seminar-based health systems curriculum, but residents lacked an opportunity to actively apply learned concepts. To achieve this goal, the authors developed a second curricular component, the Health Systems Independent Study Project (HSISP). The HSISP is a self-directed assessment of a health care system or delivery issue residents complete in their third year. The curriculum was implemented in 2001 with goals of gaining a focused understanding of a health systems concept and building related skills. Residents present their study projects to all curriculum participants. Topics addressed so far include adherence to coronary artery disease guidelines in a defined population, screening strategies for lung cancer, resident burnout, and many others. Residents have found that these projects enhance their systems knowledge, help them link systems-based-practice concepts to clinical practice, and foster opportunities for networking and early career development.
The long history of Asian contact with Australian Aborigines began with the early links with seafarers, Makassan trepang gatherers and even Chinese contact, which occurred in northern Australia. Later contact through the pearling industry in the Northern Territory and Kimberley, Western Australia, involved Filipinos (Manilamen), Malays, Indonesians, Chinese and Japanese. Europeans on the coastal areas of northern Australia depended on the work of indentured Asians and local Aborigines for the development and success of these industries. The birth of the Australian Federation also marked the beginning of the “White Australia Policy” designed to keep non-Europeans from settling in Australia. The presence of Asians in the north had a significant impact on state legislation controlling Aborigines in Western Australia in the first half of the 20th century, with implications to the present. Oral and archival evidence bears testimony to the brutality with which this legislation was pursued and its impact on the lives of Aboriginal people.
This p ap er is an edited version of the subm ission w hich I m ade to the H um an Rights and Equal O p portunity C om m ission's (HREOC) Inquiry into the Separation of Aborig inal and Torres Strait Islander C hildren from their families. In particular it addressed Term of Reference (a): 'Trace the past law s, practices and policies w hich resulted in the separation of A boriginal and Torres Strait Islander C hildren from their families by com pulsion, duress or unique influence, and the effects of those laws, practices and poli cies'. I drew on the research I had u n d ertak en for a doctoral thesis: 'A boriginal Women on Catholic M issions in the Kimberley, W estern A ustralia, 1900-1950', University of W estern Australia. In ad dition to this w ritten subm ission I m ade a verbal subm ission at the HREOC hearing in Broome am ong the descendants of the children w ho had originally been rem oved to Beagle Bay Mission. My subm ission and the contents of m y PhD thesis w ere m ade available to the Broome A boriginal com m unity as a contribution to their ow n preparation the Inquiry. This w as a practical w ay in w hich the historical research could be used by the Broome com m unity for their ow n purposes. 3 Choo 1995. 4 M anilam en was the common name used to refer to Filipinos.
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