In July, 2020, the two of us met for the first time as inaugural co-directors of the University of California, Riverside, School of Medicine’s new Health Equity, Social Justice, and Anti-Racism (HESJAR) curricular initiative.The school handed us those six words.The rest was up to us.
We started by looking and listening.We looked at what other medical schools had done.While we found some useful ideas, this strategy had built-in limitations.No other medical school that we encountered had triangulated those three intersecting but disparate ideas: health equity; social justice; and anti-racism.We had to address all three and integrate them into a coherent curriculum. Continue reading Diversity and Speech Part 23: Health Equity – by Carlos E. Cortés and Adwoa Osei→
Why create an Arts in Health program for Mother’s Day? According to the CDC, women caregivers have a greater risk for poor physical and mental health, including depression and anxiety. Mothers have held such heavy weights this last year: from grieving losses to taking on more responsibilities such as managing work from home, additional hours for childcare, homeschooling, at-home nursing, coaching, offering tech support and much more. The presence of art and music in healthcare enhances the overall experience. It allows us to remove ourselves from whatever we’re battling to be motivated and inspired.
Diverse partners joined together in Chattanooga, Tennessee, to inspire and support women and female artists for Mother’s Day and, most importantly, promote health and well-being through the Arts. The program included artwork by Alex Paul Loza, music by Shane Morrow and a presentation of new work from poet Erika Roberts in partnership with multiple organizations that will resonate with communities across the country.
They are traditionally marginalized across all social systems, but it’s more apparent today than ever due to the devastating effects of COVID-19 on BIPOC communities.In 2020, BIPOC account for 27.3% of the U.S. population (Census.gov, 2020), yet BIPOC account for 58.1% percent of all COVID-19 cases to-date (CDC.gov, 2020).Researchers and social scientists point to structural disparities as the main cause of the disproportionate COVID-19 infection rate among BIPOC (Cantos & Rebolledo, 2020; Valenzuela et al., 2020).The data shows that a consequential proportion of the BIPOC communities are essential or service-related workers with limited or no access to health care, lower socioeconomic and education status, overcrowded housing with limited ability to social distance, and limited or no access to personal protective equipment.These realities have created conditions where COVID-19 affects every aspect of the BIPOC social constructs.
Health disparities, i.e., differences in outcomes from disease experiences, are well-described and documented. The statistics that tell us of the incidence and prevalence of diseases within our populations (epidemiology) are readily available. In large measure, the prevalence (the number of cases within a population at any given time of measurement) of heart disease/high blood pressure, cerebrovascular diseases, diabetes, cancer, infectious diseases (influenza, pneumonia) are all among the top ten causes of death for all population subgroups (source: Statistica.com).
Completing her second year as a pediatrics professor at the University of California, Riverside, Adwoa was focused on providing clinical training for her medical students. A retired UCR history professor, Carlos had no way of imagining that he would soon be joining the staff of a medical school..
Then the UCR School of Medicine decided to establish a new required curricular thread on Health Equity, Social Justice, and Anti-Racism.Shortly after that, the School asked Adwoa and Carlos to become co-directors of the thread in order to get it started.
It was decision time for the two of us.Still at an early stage of her medical teaching career, Adwoa had numerous obligations.Experienced in health care cultural competence training, Carlos had been giving annual workshops on that topic to UCR’s incoming medical students.But establishing an entire curricular thread?That was a challenge.But also an opportunity.We couldn’t turn it down.Continue reading Diversity and Speech Part 14: Health Equity – by Carlos Cortés, Adwoa Osei→
It was the first day of the new academic term and our batch was bubbling with excitement. Our surgery posting had finally dawned. Now was our chance to step into the operation theatre and watch first hand as surgeons washed up and dutifully, saved lives. When most medical students envision medicine as a career, prior to entering medical school, they more often than not dream about wearing scrubs and operating to the rhythmic beats of all the life support and monitoring machines. Without doubt, the first visit to the operation theatre is one of the most cherished memories of any medical student.
We were assigned to our units and were very warmly received by our senior consultants. Cases were allotted for observation and by rotation, we were even allowed to wash up and assist in the procedures. It was a thrilling experience as we got to take incisions and operate laparoscopic instruments under expert supervision and this led to the birth of an unextinguishable spark that caused many of my colleagues to decide upon surgery as a future career choice.
Presenters for this Black-Jewish Dialogue session included Beverly Coulter, Pastor William Hicks, and Dr. Frank Miller with facilitators: Rabbi Craig Lewis of Mizpah Congregation and Deborah Levine, ADR Editor. The discussion included descriptions of the healthcare challenges facing the African-American community and the Jewish community, as well as mutual challenges in the COVID-19 era.
Alicia Mitchell, owner of The Smoothie Patch in Oak Ridge, TN, is helping communities understand how eating real food can by healthy: restore and maintain health.
Over the last 5 decades, Americans have had ill-fated food options that have become sources for obesity, diabetes, heart disease, and non-alcoholic Fatty Liver disease (NASH), to name a few.
The Chinese curse “May you live in interesting times,” seems to be active today, activating our anxiety. Globally. The news sounds more and more like the most alarming drum roll. In the past few weeks, the world has been gripped by reports of terrorist plots and attacks in the US, in France, in Bangladesh, in Istanbul, in Baghdad, in Munich. Refugees from Syria are drowning by the hundreds as they desperately seek a safe foothold. Everywhere the number of the dead mounts.
To achieve organizational cultural competence within the health care leadership and workforce, it is important to maximize diversity. This may be accomplished through:
• Establishing programs for minority health care leadership development and strengthening existing programs. The desired result is a core of professionals who may assume influential positions in academia, government, and private industry.
• Hiring and promoting minorities in the health care workforce.
• Involving community representatives in the health care organization’s planning and quality improvement meetings.
Alicia Mitchell, owner of The Smoothie Patch in Oak Ridge, TN, is helping communities understand how eating real food can by healthy: restore and maintain health.