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Pediatric Grand Rounds (RECORDING) Good trouble: The pursuit of health equity in pediatric subspecialty care


Pediatric Grand Rounds (RECORDING) Good trouble: The pursuit of health equity in pediatric subspecialty care Banner

  • Overview
  • Faculty
  • Begin


Date & Location
Wednesday, June 15, 2022, 12:00 AM - Wednesday, June 14, 2023, 11:59 PM

Overview

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. 

Pediatric health inequities have become more apparent as more data has been collected over time. Many of these pediatric populations have chronic diseases, and are cared by both primary care and subspecialty pediatricians. Traditionally, the role of advocacy and awareness of public health and the social determinants of health in caring for pediatric populations has defaulted to the general pediatrician. In this session, we discuss the background of the development of some of these health inequities, and the role that subspecialty pediatricians can play in improving outcomes for pediatric chronic disease populations.


Registration

  Release Date: June 15, 2022
  Expiration Date: June 14, 2023
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 03/18/2022


Credits
AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience
Specialties - Pediatrics
Professions - Fellow/Resident, Non-Physician, Physician, Student

Objectives
At the conclusion of this activity, participants should be able to:

  1. Discuss the history of health inequities terms and medical mistrust in communities of color.
  2. Learn Lessons from Subspecialty Pediatric Equity Leaders.
  3. Describe health equity research in subspecialty pediatrics to impact pediatric chronic disease populations.
  4. Learn to translate your voice into health policies that reduce pediatric health inequities.

Accreditation

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 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Additional Information

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 accommodations, 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

Acevedo, N. (2021). Latinos are twice more likely than whites to want a Covid vaccine, but cite fears, barriers. NBC News. https://www.nbcnews.com/news/latino/latinos-are-twice more-likely-whites-want-covidvaccine-cite-n1267461

Alliance. Social Determinants of Health Issue Brief. Alliance for Strong Families and Communities. https://alliance1.org/web/resources/pubs/social-determinants-health-issue-brief.aspx

American Academy of Pediatrics. (2021). Declaration of a National Emergency in Child and Adolescent Mental Health. American Academy of Pediatrics.
https://www.aap.org/en/advocacy/child-and-adolescent-healthy-mental-development/aapaacap-cha-declaration-of-a-national-emergency-in-child-and-adolescent-mental-health/

Amutah, C. (2021). Misrepresenting Race: The Role of Medical Schools in Propagating Physician Bias. The New England Journal of Medicine 384:872-878. https://www.nejm.org/doi/full/10.1056/nejmms2025768

Blakemore, E. (2019). The First Birth Control Pill Used Puerto Rican Women as Guinea Pigs. History Newsletter. https://www.history.com/news/birth-control-pill-history-puerto-rico-enovid

Bona, K. (2020). Poverty and Targeted Immunotherapy: Survival in Children’s Oncology Group Clinical Trials for High-Risk Neuroblastoma. Journal of the National Cancer Institute, vol. 113 (3). https://doi.org/10.1093/jnci/djaa107

Boyd, R. (2021). Black People Need Better Vaccine Access, Not Better Vaccine Attitudes. The New York Times, Opinion. https://www.nytimes.com/2021/03/05/opinion/us-covid-black-people.html

Burnette, K. (2019). Belonging: A Conversation about Equity, Diversity, and Inclusion. Medium. https://medium.com/@krysburnette/its-2019-and-we-are-still-talking-about-equity-diversi ty-and-inclusion-dd00c9a66113

Centers for Disease Control and Prevention. (2021). The U.S. Public Health Service Syphilis Study at Tuskegee. Centers for Disease Control and Prevention. https://www.cdc.gov/tuskegee/index.html

Chowdhury, D. (2021). Health Care Policy and Congenital Heart Disease: 2020 Focus on Our 2030 Future. Journal of the American Heart Association. https://doi.org/10.1161/JAHA.120.020605

Dembosky, A. (2021). No, the Tuskegee Study Is Not the Top Reason Some Black Americans Question the COVID-19 Vaccine. KQED News. https://www.kqed.org/news/11861810/no-the-tuskegee-study-is-not-the-top-reason-someblack-americans-question-the-covid-19-vaccine

Domonoske, C. (2018). ‘Father of Gynecology,’ Who Experimented On Slaves, No Longer On
Pedestal In NYC. National Public Radio. https://www.npr.org/sections/thetwo-way/2018/04/17/603163394/-father-of-gynecologywho-experimented-on-slaves-no-longer-on pedestal-in-nyc

Donnelly, B. A short history of redlining. Smartcitiesdive. https://www.smartcitiesdive.com/ex/sustainablecitiescollective/short-history-redlining/1162160/

Dremann, S. (2012). East Palo Alto’s health challenges greater than county’s. Palo Alto Online, Palo Alto Weekly. https://www.paloaltoonline.com/news/2012/08/31/east-palo-altos-health-challenges-great er-than-countys

Gill, J. (2021). Why this Houston-made COVID shot is a major win for vaccine equity. Houston Chronicle. https://www.houstonchronicle.com/news/houstontexas/health/article/Houston-made-COVID-shot-to-be-authorized-in-India-16689187.php

Ko, L. (2016). Unwanted Sterilization and Eugenics Programs in the United States. Public Broadcasting Service. https://www.pbs.org/independentlens/blog/unwanted-sterilization-and-eugenics-programs-in-the-united-states/

Kraft, C. (2018). AAP Statement Opposing Separation of Children and Parents at the Border. American Academy of Pediatrics. https://docs.house.gov/meetings/IF/IF14/20180719/108572/HHRG-115-IF14-20180719-SD004.pdf

Kranjac, A. W., Boyd, C., Kimbro, R. T., Moffett, B. S., & Lopez, K. N. (2021). Neighborhoods matter; but for whom? Heterogeneity of neighborhood disadvantage on child obesity by sex. Health & place, 68, 102534. https://doi.org/10.1016/j.healthplace.2021.102534

Kranjac, A. W., Kimbro, R. T., Denney, J. T., Osiecki, K. M., Moffett, B. S., & Lopez, K. N. (2017). Comprehensive neighborhood portraits and child asthma disparities. Maternal and Child Health Journal, 21(7), 1552–1562. https://doi.org/10.1007/s10995-017-2286-z

Krishnan, A. et al. (2021). Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries. Circulation vol. 143 (21). https://doi.org/10.1161/CIRCULATIONAHA.120.053062

Kuo, A. A, Thomas, P. A., Chilton, L. A., et al. Pediatricians and Public Health: Optimizing the Health and Well-Being of the Nation's Children. Pediatrics, 141(2):e20173848. https://doi.org/10.1542/peds.2017-3848

Lodeiro-Jordan, C. A., et al. (2022). Obesity in Pediatric Congenital Heart Disease: The Role of Age, Disease Severity, and Sociodemographic Factors. American Academy of Pediatrics 149 1:352. https://publications.aap.org/pediatrics/article/149/1%20Meeting%20Abstracts%20Februa ry%202022/352/186089/Obesity-in-Pediatric-Congenital-Heart-Disease-The autologinch eck=redirected

Lopez, K. N. et al. (2020). US Mortality Attributable to Congenital Heart Disease Across the Lifespan From 1999 Through 2017 Exposes Persistent Racial/Ethnic Disparities. Circulation. https://doi.org/10.1161/CIRCULATIONAHA.120.046822

McCabe, K. (2020). The Remarkable Story of Vivien Thomas, the Black Man Who Helped Invent Heart Surgery. Washingtonian. https://www.washingtonian.com/2020/06/19/the remarkable-story-of-vivien-thomas-theblack-man-who-helped-invent-heart-surgery/

McCormack, J. (2020). Report: ICE Allegedly Gives Detained Immigrants Hysterectomies Without Full Consent. Salud América!. https://salud-america.org/report-ice-allegedly-gives detained-immigrants-hysterectomieswithout-full-consent/

Miles, J. (2021). ‘Move us out or buy us out’ Alarming study finds cancer cluster involving children in Fifth Ward, Kashmere Gardens. KHOU 11 Local News. https://www.khou.com/article/news/local/move-us-out-or-buy-us-out-new-reaction-to-sec ond-cancer-cluster-discovered-in-fifth-ward-kashmere-gardens-area/285-bee44645-0b7e-
49e2-bf97-df8e962b1f98

Murdza, K. (2020). Women in ICE Detention Given Hysterectomies Without Their Consent. Immigration Impact. https://immigrationimpact.com/2020/09/15/ice-hysterectomy/

NYU Langone Health. (2019). Large Life Expectancy Gaps in U.S. Cities Linked to Racial & Ethnic Segregation by Neighborhood. NYU Langone Health News Hub. https://nyulangone.org/news/large-life-expectancy-gaps-us-cities-linked-racial-ethnic-seg regation-neighborhood#:~:text=Washington%2C%20DC%20had%20a%20life,500%20ci ties%20in%20the%20Dashboard.

Olivares, J., & Washington, J. (2021). ICE Detention Center Shuttered Following Repeated Allegations of Medical Misconduct. The Intercept. https://theintercept.com/2021/05/20/ice-irwin-hysterectomies-medical/

Peyvandi, S., Baer, R. J., Moon-Grady, A. J., Oltman, S. P., Chambers, C. D., Norton, M. E.,

Rajagopal, S., Ryckman, K. K., Jelliffe-Pawlowski, L. L., & Steurer, M. A. (2018). Socioeconomic Mediators of Racial and Ethnic Disparities in Congenital Heart Disease Outcomes: A Population-Based Study in California. Journal of the American Heart Association, 7(20), e010342. https://doi.org/10.1161/JAHA.118.010342

Rymer, J. A. et al. (2021). Evaluation of Women and Underrepresented Racial and Ethnic Group Representation in a General Cardiology Fellowship After a Systematic Recruitment Initiative. The Journal of the American Medical Association, 4(1):e2030832. https://doi.org/10.1001/jamanetworkopen.2020.30832

The University of North Carolina at Chapel Hill. (2020). What Racism Looks Like. UNC Frank Porter Graham Child Development Institute.
https://fpg.unc.edu/about-fpg/our-cores/equity-diversity-and-inclusion-office

Trent, M. et al. (2019). The Impact of Racism on Child and Adolescent Health. American Academy of Pediatrics 144 (2): e20191765. https://doi.org/10.1542/peds.2019-1765

Umaretiya, P. J., Revette, A., Seo, A., Flamand, Y., Ilcisin, L., Zheng, D. J., Bhatia, S., Wolfe, J., & Bona, K. (2021). PediCARE: Development of a poverty-targeted intervention for pediatric cancer. Pediatric blood & cancer, 68(10), e29195. https://doi.org/10.1002/pbc.29195

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
Co-Course Director and Reviewer
Nothing to disclose
Keila Lopez, MD, MPH
Associate Professor
Baylor College of Medicine
Faculty
Nothing to disclose
Debra Babcock, MD
Stanford Childrens (PCHA)
Planner
Nothing to disclose
Caitlin Billingham, MD, MPH
Chief Resident
Stanford Pediatrics
Planner
Nothing to disclose
Faculty Photos
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
Faculty Photos
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
Faculty Photos
Allison Guerin, EdD
Stanford
Planner
Nothing to disclose
Faculty Photos
Mary Beth Leonard, 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

Good trouble: The pursuit of health equity in pediatric subspecialty care
INSTRUCTIONS:  Click the Launch Video button to watch the video on YouTube. Next, click the Attestation button. Attest to your participation, view results, and complete the evaluation. After successful completion, your credit transcript will be available to view and download immediately in MY CE portal. 

Can’t find the evaluation? Click the MY CE button and select the Evaluation and Certificates tile. Select the Complete Evaluation button associated with the activity. 
Launch Video

 

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