Medication use in Indigenous communities

Issue: BCMJ, vol. 60 , No. 7 , September 2018 , Pages 350 News

Coyote’s Food MedicinesAn Indigenous storytelling project called Coyote’s Food Medicines was launched in front of an audience of 4000 Elders at the BC Elders Gathering in July to encourage conversations about wellness and how to manage medications for a healthy life. Secwepemc Elders created the Coyote’s Food Medicines story using a traditional approach to share knowledge and humor to raise awareness of the issue of multiple medications and their potential impact on health.

Shared Care’s Polypharmacy Risk Reduction Initiative (a partnership of Doctors of BC and the BC government), the First Nations Health Authority, and Interior Health worked with Elders, initiating conversations that led to the creation of the Coyote story. In describing the challenges concerning medication use in First Nations communities, Elder Jean William said, “In the past, our Elders didn’t take lots of medication, mostly just Aspirin. But now, cupboards look like pharmacy shelves.”

The Coyote’s Food Medicines project promotes healthy conversations between patients and providers, such as doctors, nurses, and pharmacists, in an effort to prevent side effects and adverse events, such as falls and injuries, from polypharmacy.

Dr Keith White, physician lead for the Polypharmacy Risk Reduction Initiative, says, “We feel this story can provide a platform for discussions among First Nations families and their health care providers, to help initiate regular medication reviews and find options that optimize health and minimize risks of multiple medications.”

Copies of the book are available online at www.coyotestory.ca, along with materials to help track medications, and tips on how to talk about medications with health providers.

Elders of Northern Secwepemc: Clara Camille, Jean William, and Cecelia de Rose

Elders of Northern Secwepemc: Clara Camille, Jean William, and Cecelia de Rose

. Medication use in Indigenous communities. BCMJ, Vol. 60, No. 7, September, 2018, Page(s) 350 - News.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.


For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org

BCMJ Guidelines for Authors

Leave a Reply