Pediatric Grand Rounds (RECORDING) Creating Native American Pathways to Diversify the Healthcare Workforce to Address Health Inequities

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. This session discusses pathways to support American Indians and Alaska Natives in their journey to becoming physicians.

  Release Date: December 16, 2022
  Expiration Date: December 15, 2023
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 11/18/2022.

1. Review the health inequities that exist for AI/AN.
2. Compare Indian Health Service to other health care systems and the current state of vacancies.
3. Describe current efforts and pathways to increase the number of American Indians/Alaska Natives going into 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 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

Association of American Medical Colleges, The. (2019). Diversity in Medicine: Facts and
Figures 2019. AAMC.
https://www.aamc.org/data-reports/workforce/interactive-data/figure-18-percentage-all-active-physicians-race/ethnicity-2018

Brave Heart M. Y. (1999). Gender differences in the historical trauma response among
the Lakota. Journal of health & social policy, 10(4), 1–21.
https://doi.org/10.1300/J045v10n04_01

Cook, E. C. (2022). Residents prepare to live without running water ahead of a sacred
feast celebrating first foods, as the long-term fix for a crumbling system remains unclear.
OPB News.
https://www.opb.org/article/2022/03/21/warm-springs-reservation-clean-water-outage-root-feast/

Degroot, H. (1884-86). Native American students at Chemawa School. Forest Grove
Indian School Collection, Pacific University Archives.
https://heritage.lib.pacificu.edu/s/indian-school/item/119984

Hillis, S. D., Blenkinsop, A., Villaveces, A., Annor, F. B., Liburd, L., Massetti, G. M.,
Demissie, Z., Mercy, J. A., Nelson, C. A., 3rd, Cluver, L., Flaxman, S., Sherr, L.,
Donnelly, C. A., Ratmann, O., & Unwin, H. J. T. (2021). COVID-19-Associated
Orphanhood and Caregiver Death in the United States. Pediatrics, e2021053760.
Advance online publication. https://doi.org/10.1542/peds.2021-053760

Indian Health Service. (2018). Agency Faces Ongoing Challenges Filling Provider
Vacancies. United States Government Accountability Office: Report to Congressional
Requesters. https://www.gao.gov/assets/gao-18-580.pdf

Nixon, R. (1970). President Nixon, Special Message on Indian Affairs July 8, 1970. Public
Papers of the Presidents of the United States: Richard Nixon, 1970, 564-567.
https://www.ncai.org/attachments/Consultation_IJaOfGZqlYSuxpPUqoSSWIaNTkEJEP
XxKLzLcaOikifwWhGOLSA_12%20Nixon%20Self%20Determination%20Policy.pdf

Schoolcraft, H. R. (1857). History of the Indian Tribes of the United States: Their Present
Condition and Prospects, and a Sketch of Their Ancient Status. Image, 486-7.

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

Allison Empey, MD

Faculty

Nothing to disclose

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