Pediatric Grand Rounds (RECORDING) Honoring the Past & Stepping into the Future: Centering Health Equity in Pediatrics

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice. 

In this session, Dr. Heard-Garris discusses how adversities, such as racism, impede optimal health and strategies to incorporate health equity and social justice in pediatric academic medicine.

  Release Date: April 15, 2022
  Expiration Date: April 14, 2023
  Estimated Time to Complete: 1.0 hours 
  Registration Fee: FREE
 *Originally recorded 02/04/2022.

1. Identify examples of how adverse childhood experiences (ACEs) and racism intersect.
2. Demonstrate the role of ACEs and racism as influencers of health in youth.
3. Explain how to incorporate health equity and social justice in pediatric academic medicine.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
Anderson, A. T., Luartz, L., Heard-Garris, N. J., Widaman, K., & Chung, P. J. (2020). The Detrimental Influence of Racial Discrimination on Child Health in the United States. Journal of the National Medical Association, 112(4), 411–422. https://doi.org/10.1016/j.jnma.2020.04.012

Cohen, A., Ekwueme, P. O., Sacotte, K. A., Bajwa, L., Gilpin, S., & Heard-Garris, N. (2021). "Melanincholy": A Qualitative Exploration of Youth Media Use, Vicarious Racism, and Perceptions of Health. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 69(2), 288–293. https://doi.org/10.1016/j.jadohealth.2020.12.128

Heard-Garris, N. J., Boyd, R., Kan, K., Perez-Cardona, L., Heard, N. J., & Johnson, T. J. (2021). Structuring Poverty: How Racism Shapes Child Poverty and Child and Adolescent Health. Academic pediatrics, 21(8S), S108–S116. https://doi.org/10.1016/j.acap.2021.05.026

Heard-Garris, N., Davis, M. M., Szilagyi, M., & Kan, K. (2018). Childhood adversity and parent perceptions of child resilience. BMC pediatrics, 18(1), 204. https://doi.org/10.1186/s12887-018-1170-3

Heard-Garris, N., Ekwueme, P. O., Gilpin, S., Sacotte, K. A., Perez-Cardona, L., Wong, M., & Cohen, A. (2021). Adolescents' Experiences, Emotions, and Coping Strategies Associated With Exposure to Media-Based Vicarious Racism. JAMA network open, 4(6), e2113522. https://doi.org/10.1001/jamanetworkopen.2021.13522

Heard-Garris, N. J. et al. (2019). Association of Childhood History of Parental Incarceration and Juvenile Justice Involvement With Mental Health in Early Adulthood. JAMA Network Open. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2749232

Heard-Garris, N. J. et al. (2018). Health Care Use and Health Behaviors Among Young With History of Parental Incarceration. Pediatrics, 142(3). https://doi.org/10.1542/peds.2019-0534

Heard-Garris, N. J., Cale, M., Camaj, L., Hamati, M. C., & Dominguez, T. P. (2018). Transmitting Trauma: A systematic review of vicarious racism and child health. Social science & medicine (1982), 199, 230–240.
https://doi.org/10.1016/j.socscimed.2017.04.018

Jindal, M., Heard-Garris, N., Empey, A., Perrin, E. C., Zuckerman, K. E., & Johnson, T. J. (2020). Getting "Our House" in Order: Re-Building Academic Pediatrics by Dismantling the Anti-Black Racist Foundation. Academic pediatrics, 20(8), 1044–1050. https://doi.org/10.1016/j.acap.2020.08.019

Jones C. P. (2000). Levels of racism: a theoretic framework and a gardener’s tale. American Journal of Public Health. 90(8):1212-1215. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446334/

Lee, R. D., Fang, X., Luo, F. (2013). The impact of parental incarceration on the physical and mental health of young adults. Pediatrics, 131(4), e1188–e1195. https://doi.org/10.1542/peds.2012-0627

National Scientific Council on the Developing Child (2010). Persistent Fear and Anxiety Can Affect Young Children’s Learning and Development: Working Paper No. 9. http://www.developingchild.net

Robert Wood Johnson Foundation. Adverse Childhood Experiences (ACEs). Centers for Disease Control and Prevention.

Sanders-Phillips, K., Settles-Reaves, B., Walker, D., & Brownlow, J. (2009). Social inequality and racial discrimination: risk factors for health disparities in children of color. Pediatrics, 124 Suppl 3, S176–S186. https://doi.org/10.1542/peds.2009-1100E

Suglia, S. F., Koenen, K. C., Boynton-Jarrett, R., Chan, P. S., Clark, C. J., Danese, A., Faith, M. S., Goldstein, B. I., Hayman, L. L., Isasi, C. R., Pratt, C. A., Slopen, N., Sumner, J. A., Turer, A., Turer, C. B., Zachariah, J. P., & American Heart Association. (2018). Childhood and Adolescent Adversity and Cardiometabolic Outcomes: A Scientific Statement From the American Heart Association. Circulation, 137(5), e15–e28. https://doi.org/10.1161/CIR.0000000000000536

University of Michigan, School of Public Health. Understanding Epigenomics: How Environmental and Social Factors Affect Our Gene’s ‘Instruction Book’. University of Michigan. https://sph.umich.edu/news/home-releases/understanding-epigenomics-110117.html

Wade, R., Jr, Shea, J. A., Rubin, D., & Wood, J. (2014). Adverse childhood experiences of low-income urban youth. Pediatrics, 134(1), e13–e20. https://doi.org/10.1542/peds.2013-2475

For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Alan R. Schroeder, MD
Clinical Professor
Stanford University

Course Director and Reviewer

Nothing to disclose

Nia J Heard-Garris, MD, MS
Assistant Professor of Pediatrics
Ann & Robert H. Lurie Children's Hospital of Chicago

Faculty

Ownership-XNY Genes, LLC

Debra Babcock, MD
Stanford Childrens (PCHA)

Planner

Nothing to disclose

Caitlin Billingham, MD, MPH
Chief Resident
Stanford Pediatrics

Planner

Nothing to disclose

Lisa Jo Chamberlain, MD
Professor of Pediatrics – General Pediatrics
Stanford Children's Health

Planner

Nothing to disclose

Olivera Marsenic Couloures, MD
LPCH

Planner

Nothing to disclose

Lane Donnelly, MD
University of North Carolina

Planner

Nothing to disclose

Baraka Dechelle Floyd, MD
Clinical Assistant Professor and Associate Chair for Diversity, Equity, and Inclusion
Stanford University School of Medicine

Planner

Nothing to disclose

Ingrid Garnica, Other
Stanford Pediatrics

Planner

Nothing to disclose

Charles Gawad, MD, PhD
Associate Professor
Stanford

Planner

Ownership-BioSkryb Genomics

Allison Guerin, EdD
Stanford

Planner

Nothing to disclose

Mary Beth Leonard, MSCE, MD, MSCE
Arline and Pete Harman Professor and Chair, Department of Pediatrics
Stanford University

Planner

Nothing to disclose

Stephen J Roth, MPH, MD
Attending, Cardiovascular ICU
Lucile Packard Children's Hospital Stanford

Planner

Nothing to disclose

Sarina Tom, BA
Education Operations Manager
Stanford Pediatrics

Planner

Nothing to disclose

Ke-You Zhang, MD
Stanford University

Planner

Nothing to disclose