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Grand Rounds: Health Equity for All

01-06-2023

By Allison Becker, MD , Fellow, Akron Children's Hospital, Akron, OH


Objectives (Educational Content) :

1. Summarize current trends in graduate medical education related to health equity curriculums. 2. Describe the health equity curriculum for the pediatric emergency medicine fellowship and pediatric residency programs at Akron Children’s Hospital. 3. Evaluate ways to improve the education of trainees at Akron Children’s Hospital .

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Improvements in fellowship and residency education at Akron Children’s Hospital.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

01-05-2024

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The speaker, Allison Becker, MD, has returned the disclosure form indicating there are no relevant financial or other relationships with any commercial interests.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

American College of Physicians. Racial and ethnic disparities in health care, Updated 2010. Philadelphia: American College of Physicians; 2010. Policy Paper (Available from American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106).

Axelson, D., Stull, M., & Coates, W., (2018, January). Social Determinants of Health: A Missing Link in Emergency Medicine Training. Society for Academic Emergency Medicine¸2 (1), 66-68. Retrieved July 12, 2018. https://onlinelibrary.wiley.com/doi/pdf/10.1002/aet2.10056

Becker, A., Aggarwal, P., Ebrahim, M., Crusco, R., Joseph, M., & Kondamudi, N., (2019, October). Identification of Social Determinants of Health in a Pediatric Emergency Department. American College of Emergency Physicians Presentation

Becker, A., Harris, M., Bakir, M., & Katz, C., (2017, May). Should I Mind My Own Businness? Impact of an Educational Intervention and Standardized Screening Tool Address Social Determinants of Health during Well Child Visits, Mount Sinai Research Day

Centers for Disease Control and Prevention. (2016, June). Social Determinants of Health: Know What Affects Health. Retrieved July 12, 2016. http://www.cdc.gov/socialdeterminants/

Cheng, T.L., Emmanuel, M.A.; Levy, D.J., & Jenkins, R.R. (2015, December). Child Health Disparities: What Can a Clinician Do? Pediatrics, 136 (5), 961-968. Retrieved June 24, 2016 http://pediatrics.aappublications.org/content/early/2015/10/06/peds.2014-4126

Chung, E. K., Siegel, B. S., Garg, A., Conroy, K., Gross, R. S., Long, D. A., Fierman, A. H. (2016, May). Screening for Social Determinants of Health Among Children and Families Living in Poverty: A Guide for Clinicians. Current Problems in Pediatric and Adolescent Health Care, 46(5), 135-153. Retrieved June 24, 2016 http://www.cppah.com/article/S1538-5442(16)00034-1/abstract

Elliott TC. How Do We Move the Needle?: Building a Framework for Diversity, Equity, and Inclusion Within Graduate Medical Education. Fam Med. 2021;53(7):556-558. https://doi.org/10.22454/FamMed.2021.199007.

Garg, A. (October 28, 2013). Screening for Social Needs & Strategies to Support Children in Poverty in Urban Practice Settings. Retrieved July 12, 2016 https://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/Council-on-Community-Pediatrics/Documents/Garg_ScreeningSocialNeeds_NCE.pdf

Maldonado, Maria E., et al. "The role that graduate medical education must play in ensuring health equity and eliminating health care disparities." Annals of the American Thoracic Society 11.4 (2014): 603-607.

Park, A., Anderson, A., Nguyen, J., Saltzman, D., Kastetter, B., Winsauer, L., Philips, C., & Capp, R. (2015, October). Assessing Economic and Health Care Access-Social Determinants of Health in the Emergency Department Annals of Emergency Medicine 66(4), S65. Retrieved July 12, 2018. https://doi.org/10.1016/j.annemergmed.2015.07.214

Sims, A. (2021, June). Health Equities Presentation to Medical Board

Smith WR, Betancourt JR, Wynia MK, Bussey-Jones J, Stone VE, Phillips CO, Fernandez A, Jacobs E, Bowles J. Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med 2007;147:654–665.

Smedley BD, Stith AY, Nelson AR, editors. Unequal treatment: confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press; 2002.

Staton LJ, Estrada C, Panda M, Ortiz D, Roddy D. A multimethod approach for cross-cultural training in an internal medicine residency program. Med Educ Online 2013;18:20352.

Victorino, C. C., & Gauthier, A. H. (2009). The social determinants of child health: Variations across health outcomes – a population-based cross-sectional analysis. BMC Pediatrics, 9(1). Retrieved June 24, 2016 http://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-9-51

Weissman JS, Betancourt JR, Campbell EG, Park ER, Kim M, Clarridge B, Blumenthal D, Lee KC, Maina AW. Resident physicians’ preparedness to provide cross-cultural care. JAMA2005;294:1058–1067.

https://www.google.com/maps

https://www.akronmetro.org

https://www.uber.com/global/en/price-estimate/

https://www.snaptohealth.org/snap/the-real-benefits-of-the-snap-program/

https://www.fns.usda.gov/snap/supplemental-nutrition-assistance-program

https://ablconnect.harvard.edu/book/hunger-challenge-living-snap

https://goo.gl/UBZ3J

https://www.mghdisparitiessolutions.org/phec

https://www.abp.org/sites/public/files/pdf/gen_peds_epa_14.pdf

https://www.academicpeds.org/publications-resources/apa-anti-racism-equity-toolkit/

https://cccm.thinkculturalhealth.hhs.gov

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