FINAL REPORT Moving beyond the front line: A 20-year retrospective cohort study of career trajectories from the Indigenous Health Program at the University of Queensland Chelsea BondA Mark BroughB Jon WillisA Janet StajicA Bryan MukandiD Condy CanutoA Shannon SpringerC Deborah AskewD Nell AngusA Tara LewisA Institutes AThe University of Queensland Poche Centre for Indigenous Health BQueensland University of Technology CBond University DFaculty of Medicine, The University of Queensland Contents Executive Summary............................................................................................................................... .......7 Research Approach ..................................................................................................................... 7 Findings....................................................................................................................................... 7 Building leaders through building confidence .......................................................................... 8 Building leaders through building capabilities ......................................................................... 8 Transformative Learning Through Supportive Relationships .................................................... 8 Transformative Learning Through Innovating Indigenous Health ............................................. 8 A Different Kind of Health Professional in a not so different Health System .......................... 9 A different kind of leadership ................................................................................................ 9 Conclusion ................................................................................................................................ 9 Background to the Indigenous Health Program .......................................................................................... 10 Literature Review ....................................................................................................................................... 11 The Aboriginal Health Worker ................................................................................................... 12 Indigenous People in the Health Professions .............................................................................13 Beyond the Pipeline .................................................................................................................. 15 Methodology ............................................................................................................................................. 17 Phase One: Recruitment ........................................................................................................... 17 Research Participants ............................................................................................................ 17 IHP Symposium ..................................................................................................................... 18 Phase Two: Data collection and analysis.................................................................................... 19 Phase Three: Knowledge Translation ......................................................................................... 21 National Conference on Indigenous Health Workforce Leadership ........................................ 21 Herston Workshop ................................................................................................................ 24 Policy Brief ............................................................................................................................ 24 Ethics ........................................................................................................................................ 25 Demographic Data .................................................................................................................... 26 Findings ..................................................................................................................................................... 31 Building leaders through building confidence ........................................................................ 31 Building leaders through building on Indigenous capabilities................................................. 33 Transformative Learning Through Supportive Relationships .................................................. 35 Transformative Learning Through Innovating Indigenous Health..................................... ...... .39 A Different Kind of Health Professional in a not so different Health System .......................... 43 A Different Kind of Leadership............................................................................................... .48 Discussion............................................................................................................................... ................... 53 Conclusion............................................................................................................................... .................. 56 Appendices................................................................................................................................ ................ 57 2 Appendix A – IHP Symposium Flyer........................................................................................... 57 Appendix B – IHP Symposium Schedule .................................................................................... 58 Appendix C – IHP Symposium Twitter Activity........................................................................... 59 Appendix D – UQ Indigenous alumni close the gap as leaders, The University of Queensland, Faculty of Health and Behavioural Sciences, 2 March 2018 ....................................................... 61 Appendix E – National Conference on Indigenous Health Workforce Leadership Flyer.............. 62 Appendix F – National Conference on Indigenous Health Workforce Leadership Program ........ 63 Appendix G – IndigenousX Articles............................................................................................ 65 Appendix H – Croakey Article................................... ................................................................. 66 Appendix I – National Conference Twitter ................................................................................ 67 Appendix J – Vodcasts .............................................................................................................. 68 Bibliography............................................................................................................................... ................ 69 3 Index of Figures Figure 1 - Aboriginal and Torres Strait Islander registered health practitioners as a percentage of their respective professions, 2013-2016 ..…………………………………………….………………………………….. 14 Figure 2 – Total population – Interview Participants …………………………………………………………………………. 26 Figure 3a – IHP Alumni – Indigenous Identification ……………………………………………………………………………. 27 Figure 3b – Educators/staff – Indigenous Identification …………………………………………………………………….. 27 Figure 4a – IHP Alumni – Gender ………………………………………………………………………………………………………. 28 Figure 4b – Educators/staff – Gender ………………………………………………………………………………………………… 28 Figure 5 – IHP Alumni – Currently working in sector ………………………………………………………………………….. 29 Figure 6 – IHP Alumni – Graduated ……………………………………………………………………………………………………. 29 Figure 7 - IHP Alumni – First in family (to go to university) ………………………………………………………………… 30 Figure 8 – IHP Alumni – Highest level of education achieved ……………………………………………………………… 30 4 Acknowledgements The authors would like to acknowledge and thank The Lowitja Institute for its support in funding this project. The authors would also like to thank the University of Queensland (UQ), UQ Poche Centre for Indigenous Health, Bond University, and Queensland University of Technology (QUT) for their support of this project. The authors would like to further acknowledge and thank the Melbourne Poche Centre for Indigenous Health as well as the Leaders in Indigenous Medical Education (LIME) Network for their support and involvement in the National Conference on Indigenous Health Workforce Leadership. Finally, the authors would like to express their gratitude to all the alumni, staff and stakeholders of the Indigenous Health Program who inspired and informed this project and who each demonstrate through their own work and lived experiences, the depth and scope of Indigenous workforce leadership in health. Acronyms AHW Aboriginal Health Worker IHP Indigenous Health Program LIME Network Leaders in Indigenous Medical Education Network PBL Problem Based Learning QUT Queensland University of Technology UQ University of Queensland 5 In honour of Bachelor of Applied Health Science (Indigenous Primary Health Care) The University of Queensland, 1994-2005. Artist: Aunty Iris “Bubby” Smith, 1994 6 Executive Summary This report examines critical success factors for enabling Aboriginal and Torres Strait Islander leadership across the health system as demonstrated by alumni of the University of Queensland (UQ) Indigenous Health Program (IHP) (1994–2005) who today work in various leadership roles throughout the country. This report maps the career trajectories of a multidisciplinary cohort of Aboriginal and Torres Strait Islander graduates of the UQ IHP. It determines the enablers of professional success of these health leaders in various facets of the health system and investigates the