This framework is intended to embed Aboriginal and Torres Strait Islander values, ways of thinking and approaches to learning into Royal Australian College of General Practitioners (RACGP) education and training. It asserts there is an essential need to shift the burden of change from the people impacted to structural change and the responsibility of all.

The Framework puts Aboriginal and Torres Strait Islander sovereignty and self-determination at the forefront of approaches to general practice training. This broadens the Aboriginal and Torres Strait Islander health discourse by paying attention to historical and political determinants of health and well-being, as well as the social and cultural determinants.

There are four elements to the framework: cultural and health education and training, cultural safety, Aboriginal and Torres Strait Islander health workforce development, and Aboriginal and Torres Strait Islander GP training pipeline. Each element is described in terms of the Framework's 12 guiding principles and includes a list of outcomes, strategies and indicators.  

Key recommendations

• All processes, programs or policies that are specifically aimed at Aboriginal and Torres Strait Islander Peoples must be led by Aboriginal and Torres Strait Islander Peoples. There is a need to co-create from the beginning and create an alternate space and way of doing things. 
• Aboriginal and Torres Strait Islander input and perspectives must be required for matters beyond Aboriginal and Torres Strait Islander health. An Aboriginal and Torres Strait Islander lens and perspective across all key issues and how it may impact is required.
• Aboriginal and Torres Strait Islander governance and the Framework principles must be embedded into the systems and structures of the College to reduce the ongoing burden of cultural leadership repeatedly. 
• RACGP‘s commitment to Aboriginal and Torres Strait Islander health, equity and sovereignty must be formalised in key governance and strategic documents and should be explicit within organisational vision, mission statements, organisational values, strategic priorities, policies, processes, and budgeting systems.