Pediatric Grand Rounds (RECORDING) Building a New Framework for Equity in Pediatrics: Addressing Structural Issues and Changing Culture

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, gender equity is discussed, including creating strategies to drive institutional priorities, bridging silos and understanding organizational politics, to assist in building a pathway to equity.

  Release Date: December 16, 2022
  Expiration Date: December 15, 2023
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 09/30/2022.

1. Build a pathway to equity
2. Create strategies to drive institutional equity priorities
3. Align equity efforts with institutional priorities

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 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

Armijo, P. R., Silver, J. K., Larson, A. R., Asante, P., & Shillcutt, S. (2021). Citizenship Tasks
and Women Physicians: Additional Woman Tax in Academic Medicine?. Journal of
women's health (2002), 30(7), 935–943. https://doi.org/10.1089/jwh.2020.8482

Beeler, W. H., Mangurian, C., & Jagsi, R. (2019). Unplugging the Pipeline - A Call for Term
Limits in Academic Medicine. The New England journal of medicine, 381(16),
1508–1511. https://doi.org/10.1056/NEJMp1906832

Eagly, A. H. (2013). Women as leaders: Leadership style versus leaders’ values and
attitudes. Harvard Business School Press: In Gender and work: Challenging
conventional wisdom.

Gaffney, T. (2021). Avoiding a ‘gender recession’: New report details how the pandemic
has impeded women’s STEMM careers. STAT news.
https://www.statnews.com/2021/03/09/eve-higginbotham-pandemic-women-stemm-careers/

Gomez, L. E., & Bernet, P. (2019). Diversity improves performance and outcomes.
Journal of the National Medical Association, 111(4), 383–392.
https://doi.org/10.1016/j.jnma.2019.01.006

Hewlett, S. A. (2013). Why LGBT Employees Need Workplace Allies. Harvard Business
Review: Employee Retention. https://hbr.org/2013/06/the-power-of-out

Jarrett, M. (2017). The 4 Types of Organizational Politics. Harvard Business Review:
Leadership. https://hbr.org/2017/04/the-4-types-of-organizational-politics

Keating, L. A., Heslin, P. A., & Ashford, S. (2017). Good Leaders Are Good Learners.
Harvard Business Review: Leadership and Managing People.
https://hbr.org/2017/08/good-leaders-are-good-learners

Lewiss, R. E., Silver, J. K., Bernstein, C. A., Mills, A. M., Overholser, B., & Spector, N. D.
(2020). Is Academic Medicine Making Mid-Career Women Physicians Invisible?.
Journal of women's health (2002), 29(2), 187–192.
https://doi.org/10.1089/jwh.2019.7732

Lypson, M. (2021). The Time is NOW… For Medical Leadership To Act-- Anti-Racism in
Medicine. CMSS Leadership Summit on Equity and Antiracism
youtube.com/watch?v=DwpLNarj5rk

Melaku, T. M., Beeman, A., Smith, D. G., & Johnson, W. B. (2020). Be a Better Ally. Harvard
Business Review: Managerial Behavior. https://hbr.org/2020/11/be-a-better-ally

Muppala, V. R., Janwadkar, R. S., Rootes, A., & Prakash, N. (2021). Creating a Pipeline for
Minority Physicians: Medical-Student-Led Programming. Cureus, 13(4), e14384.
https://doi.org/10.7759/cureus.14384

National Institutes of Health, the. (2022). Research Grants: Awards by Gender and
Percentage to Women.

Saak, J. C., Mannix, A., Stilley, J., & Sampson, C. (2021). Diversity begets diversity:
Factors contributing to emergency medicine residency gender diversity. AEM education
and training, 5(Suppl 1), S73–S75. https://doi.org/10.1002/aet2.10676

Schoemaker, P. J., Krupp, S., & Howland, S. (2013). Strategic leadership: the essential
skills. Harvard business review, 91(1-2), 131–147.

Spector, N. D., Asante, P. A., Marcelin, J. R., Poorman, J. A., Larson, A. R., Salles, A.,
Oxentenko, A. S., & Silver, J. K. (2019). Women in Pediatrics: Progress, Barriers, and
Opportunities for Equity, Diversity, and Inclusion. Pediatrics, 144(5), e20192149.
https://doi.org/10.1542/peds.2019-2149

Spector, N. D., O’Toole, J. K., & Overholser, B. (2022). Women in Pediatrics: The Past,
Present and Future. Springer Nature.
https://link.springer.com/book/10.1007/978-3-030-98222-5

Viggiano, T. R., & Strobel, H. W. (2009). The Career Management Life Cycle: A Model for
Supporting and Sustaining Faculty Vitality and Wellness In Faculty Health in Academic
Medicine. https://link.springer.com/chapter/10.1007/978-1-60327-451-7_6

Ziegelstein, R. C., & Crews, D. C. (2019). The Majority Subsidy. Annals of internal
medicine, 171(11), 845–846. https://doi.org/10.7326/M19-1923

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

Nothing to disclose

Olivera Marsenic Couloures, MD
LPCH

Course Director and Reviewer

Nothing to disclose

Nancy Spector, MD

Faculty

Ownership-I-PASS Patient Safety Institute|Grant or research support-, and Patient Centered Outcomes Research Institute (PCORI)|Grant or research support-US Department of Health and Human Services (DHHS), Agency for Healthcare Research and Quality (AHRQ)

Debra Babcock, MD
Stanford Childrens (PCHA)

Planner

Nothing to disclose

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

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

Charles Gawad, MD, PhD
Associate Professor
Stanford

Planner

Ownership-BioSkryb Genomics

Allison Guerin, EdD
Stanford

Planner

Nothing to disclose

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

Planner

Nothing to disclose

Ryan Lion, MD, MS
Stanford University

Planner

Nothing to disclose

Lauren E O'Brien, MD
Clinical Assistant Professor
LPCH

Planner

Nothing to disclose

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

Planner

Nothing to disclose

Stephanie Squires, MD
Pediatric Hospital Medicine Fellow
Stanford Health Care/ Stanford Children's Hospital

Planner

Nothing to disclose

Ke-You Zhang, MD
Stanford University

Planner