Evaluating in Person Curriculum for Educating Obstetrical Residents on Better Caring for 2 Spirit Metis Patients Using and AI Assisted OSCE

Two‐Spirit (2S) Métis people experience systemic discrimination, exclusion, andculturally unsafe care, particularly in reproductive, perinatal, and gender‐affirminghealthcare contexts. In response to the Truth and Reconciliation Commission's Call toAction #24, this study introduces an innovative educational model integrating artificialintelligence, Indigenous governance, and culturally specific evaluation frameworks tostrengthen resident physician competency.The AI system serves two primary functions: 1. Co‐developing culturally grounded assessment rubrics in collaboration with 2S MétisElders, Knowledge Keepers, and community members. 2. Standardizing patient portrayal during OSCE clinical encounters to ensureconsistency, eliminate human actor variability, and avoid the emotional burdenassociated with repeated standardized patient portrayals.Study Design & Methods: Ob/Gyn residents (PGY1‐PGY5) across three participatinguniversities will undergo 1:1 prospective randomization: ‐ Intervention Arm: 2S Métis Academic Half Day (AHD) + AI‐assisted OSCE evaluation. ‐ Control Arm: Standard institutional anti‐racism and Indigenous cultural safetytraining + AI‐assisted OSCE evaluation.AI Encounter Flow: Participants undergo a 5‐minute pre‐encounter briefing, a 15‐20 minutereal‐time interaction with the AI‐simulated 2S Métis patient, and a 5‐minutepost‐encounter reflection. Recorded encounters will be independently scored by twoblinded raters (including at least one 2S Métis community member) using the co‐developedstructured rubric.Ethics and Data Sovereignty: All algorithms, datasets, and cultural representations aregoverned by principles of Indigenous Data Sovereignty (OCAP®) and UNDRIP, ensuringcommunity oversight and authority over cultural content, rubric criteria, and dataownership