BUILDING RESILIENCY: PROMOTING INDIGENOUS KNOWLEDGE AND INSPIRING INDIGENOUS SCHOLARSHIP AND LEADERSHIP

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1 BUILDING RESILIENCY: PROMOTING INDIGENOUS KNOWLEDGE AND INSPIRING INDIGENOUS SCHOLARSHIP AND LEADERSHIP Association of American Indian Physicians Conference Santa Clara, CA August 4, 2013

2 Teshia G. Arambula Solomon, PhD Associate Professor, Dept. of Family and Community Medicine Director, Native American Research and Training Center Special Research Advisor in Health Disparities Research, Division of Cancer Control and Population Sciences, NCI

3 My Relations Great granddaughter of Forbes and Lila Manning original enrollees of the Choctaw Nation of OK Grandaughter of Vera Manning Braudrick of Durant, OK Daughter of Jerry Braudrick Arambula of Durant, OK Granddaughter of Trinidad and Rosa Arambula of Durango, MX Daughter to Louis Arambula of Oklahoma City Great Aunt of Leighton Ann Scott

4 Objective Describe strategies and solutions in workforce development to produce new innovation and science for public health that incorporates Indigenous values.

5 Programs Number Dental 56 Medicine 151 Optometry 17 Pharmacy 102 Podiatry 8 Nursing 850 RN 709 BSN or higher Public Health 40 AI Studies 95 ~ 4500 institutions (public & private) Undergraduate (4 yrs) Professional/ Graduate Programs (2+ yrs.) US HIGHER EDUCATION

6 INDIGENOUS SCIENTISTS AIAN degree holders only comprise 0.3% Comparatively, AIAN make up 1.6% of the population. NH are embedded in API 29,854 S&E doctorates in American Indian/Alaska Native (0.17%)!"#$%&'()*+,'-+').%+/%01/')2%$('034)5667)!"# $"# $"# %&"# '&"# ()(*# +,-./0,1# 23/14# (-,/056)# 78,9:# Source: National Science Foundation, Division of Science Resources Statistics, Survey of Doctorate Recipients, 2001 and US Census Bureau

7 GROW & SUPPORT INDIGENOUS SCIENTISTS 2010 ASPH Data Report Number Applications Accepted Graduated AIAN NHPI TOTAL 38,014 24, TOTAL NHPI AIAN

8 BARRIERS TO SUCCESS Up to 17 Years to grow a scientist from UG to R01 College Retention Rates are poor Nearly half of NA students fail to graduate First year retention rates range 45-54% 6 years to completion Grad school completion Entering graduate school later in life

9 BARRIERS TO SUCCESS Inadequate K-12 training Poor math, science, writing Financial difficulties Familial issues Weathering failure Sexual harassment Discrimination

10 FACILITATORS OF SUCCESS Cohort models: academic, cultural & familial Role models Apprenticeship Academic support Tutoring in math, writing, science Financial Aid through the career span Flexibility but create boundaries with clear expectations Manage expectations Empirical Research Still Needed

11 THE BIG PICTURE 1. The next generation of Indigenous thinkers. 2. Expand Indigenous models of science 3. Further develop methods that are acceptable to Indigenous communities. 4. Build bridges to state and federal agencies

12 Trans-NIH Training Opportunities

13 PROGRAMS TO INCREASE MINORITY/ NATIVE HEALTH & SCIENCE WORKFORCE

14 OTHER PROGRAMS Foundation/Federal RWJF New Connections Nursing initiative Gates Millennium program Barbara Jordan Health Scholars program Insurance company foundations: United/Aetna Tribal Health Profession Opportunity Grants Professional Organizations SACNAS biomed science AISES science & engineering NRN research AAIP medicine APHA public health

15 NARTC PROGRAMS Summer Research Internships Summer Institute Research Exchange Doctoral Student Papers Undergrad/Grad Program Internships Projects/Papers/ Presentations Education seminars/year Faculty Program Projects Writing Training Opps Papers/Presentations Equipment/Resources

16 Table 1: NARTC SPONSORED RESEARCH * Activities Total Engaged Funding Source AIRCH Faculty/Researcher Fellows 13 ITCA/NIGMS Research Exchange 23 NCI Spring/Fall Internships 10 ITCA/NIGMS/Workstudy NACP Summer Institute 94 NCI Summer Research Internships 35 NCI/ITCA/NIGMS/ Pharmacy/McNair Research Funding/Diversity supplement 12 NCI/ITCA/NIGMS Winter Institute 143 ITCA/NIGMS NPAIHB Summer Institute 40 NPAIHB Diabetes Research Pre-conference workshops 18 AMGEN Brown Bag Seminars (1-2 hour lectures) 127 AIRCH Public Health Education Professionals Training 3 HRSA

17 CIPHER Competencies 1. Describe Indigenous people s health in an historical context and analyze the impact of colonial processes on health outcomes; 2. Analyze key comparative health indicators and social determinants of health for Indigenous people; 3. Critically evaluate Indigenous public health policy and programs; 4. Apply the principles of economic evaluation to Indigenous programs with a particular focus on the allocation of resources relative to need; 5. Demonstrate a reflexive public health practice for Indigenous people s health context; 6. Demonstrate a disease prevention strategy that values and incorporates Indigenous people s traditional knowledge. Dr. Maile Taualii University of Hawaii, Public Health Program

18 CONCEPTUAL MODEL FOR INDIGENOUS HEALTH EDUCATION COURSEWORK Dr. Jamie Boyd Pathways out of Poverty Windward Community College Consensus Leadership Respect for Elders Respect for Earth Integration of Traditional Ways with Western Science Aloha, Service to Your Community Self Determination Kumu/Mentorship Ohana/Family

19 If we cannot feed ourselves, if we depend on others for our foods, how can we truly be sovereign nations? Tristan Reader, Co-Founder, Co-Director TOCA Food systems & wellness Traditional foods TOCA Farms Desert Rain Café & School cafeteria Cultural Revitalization Ceremonies Basketry & art classes Traditional games & athletics Traditional singing & dancing Winter storytelling Cooking classes

20 Integrating models, AIAN values, traditional methods, weaving in western science Experiential in nature Elders/Healers as curriculum developers & faculty Using tribal language when possible Telling story Making space that tells the story as well, with artwork, ceremony, celebration and gatherings. Courses that include community

21 PROJECTS UNDERWAY: NCI IPA with NCI 1. Review current NCI portfolio Gaps & opportunities Elements of sustainability Elements of success 2. Assess Researcher Success Numbers, Key elements Programs that work Develop Products 1. Presentations for AIAN research opportunities, mechanisms, protocols 2. Presentation for NCI 3. Concept papers on novel approaches

22 PROJECTS UNDERWAY: CDC In collaboration with AAIP Public health in medical schools AIAN focus

23 Grow scientists across the life-span Do the math Sustainability of programs

24 THANK YOU!

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