Table.

Objectives, Materials, and Experiential Opportunities for Developing American Indian and Alaska Native (AI/AN) Graduate Medical Education Curricula^a

Topic	Curricular Objectives	Example Developing Curricular Materials and Experiences
Understand AI/AN health care delivery systems	1. Describe the administration and provision of health care to AI/AN communities through a NAHC 2. Gain insight into practice-based learning and improvement in a geographically isolated setting 3. Identify how quality improvement occurs in a NAHC	Curricular materials Rotation primer: the rotation's context within existing care delivery structures Case study: historical context of care delivery and health outcomes on a reservation Experiences Outpatient/inpatient supervised care at a local NAHC Supervised care provision within the public health outreach system and off-site clinic at a tribal correctional facility Expected participation in care conferences, committee meetings
Recognize AI/AN community–specific social determinants of health	1. Examine the prominent social determinants of health that contribute to morbidity and mortality in the community 2. Learn how to leverage patient care through collaboration with community outreach and community-based programs	Curricular materials Readings: local culture, history, and language Readings: AI/AN perspectives on health and community, historical trauma Experiences Local health leader–directed and –developed community visits Participation in longitudinal health programs for education and mentorship at a correctional facility, in local schools, or with community organizations
Gain appreciation for cross-sectorial, community-driven solutions on AI/AN reservations	1. Demonstrate cultural humility and actively seek opportunities to engage with the community to foster trusting relationships 2. Gain insight into how grassroots, community-based organizations function in AI/AN communities	Curricular materials Readings and papers: best practice approaches to mitigating AI/AN health disparities Booklet: local programs focused on health and economic development Readings: Understanding traditional healing practices Experiences Planned visits to local government and nongovernmental programs Participation in local health practices, such as inipi (sweats), and community health events, as appropriate
Build motivation for a career addressing AI/AN health disparities	1. Explore multiple ways to direct a career working in partnership with AI/AN communities toward improved health equity	Curricular materials Prerotational, midway, and postrotational meetings with program staff to discuss resident-formalized learning goals, debriefing related to specific rotational needs, personal needs, and postrotational professional goals Encouraged reflection time Engagement and connection with local community social events

Abbreviation: NAHC, Native American Health Center.

Note: Reading and viewing materials are organized and available to trainees online.

^aCurriculum is in partnership with the Sicangu Lakota Oyate of the Rosebud Sioux Reservation and the Indian Health Service in South Dakota.