Pediatric Grand Rounds (RECORDING) Health Equity Rounds Revisited: Successes and Future Work

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 panel presentation describes the journey of implementing Health Equity Rounds (HER) as part of the Stanford Pediatrics HEAL (Health Equity Advanced through Learning) Initiative. The session summarizes the successes of implementing HER in the Department of Pediatrics and LPCH and spotlight the division of Neonatal & Developmental Medicine as a notable example of how to implement HER and subsequent health equity interventions. The panel concludes with a call to action on future work needed to improve health equity across our organization.

  Release Date: March 23, 2023
  Expiration Date: March 22, 2024
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 02/03/2023.

1. Describe the current and future state of health equity rounds in the Department of Pediatrics.
2. Utilize health equity rounds structure to understand and implement individual and local level improvements that can advance health equity.
3. Plan unit-level health equity rounds and subsequent improvement work utilizing available institutional resources.

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

 Associated Press, The. (2022). AP’s top 2022 photos capture a planet bursting at the seams. AP News. https://apnews.com/article/2022-photos-of-the-year-928cfe1089c6969527941c1310ad932a

Cox, K., & Edwards, K. (2022). Black Americans Have a Clear Vision for Reducing Racism but Little Hope It Will Happen. Pew Research Center. https://www.pewresearch.org/race-ethnicity/2022/08/30/black-americans-have-a-clear-vision-for-reducing-racism-but-little-hope-it-will-happen/

McSpedon C. (2022). The Top Social Justice Stories of 2021. The American journal of nursing, 122(1), 16–17. https://doi.org/10.1097/01.NAJ.0000815400.46043.3f

Neela-Stock, S., & DiBenedetto, C. (2021). 22 memorable moments of 2021 when people stood up for the least powerful among us. Mashable. https://mashable.com/article/activism-2021

Perdomo, J., Tolliver, D., Hsu, H., He, Y., Nash, K. A., Donatelli, S., Mateo, C., Akagbosu, C., Alizadeh, F., Power-Hays, A., Rainer, T., Zheng, D. J., Kistin, C. J., Vinci, R. J., & Michelson, C. D. (2019). Health Equity Rounds: An Interdisciplinary Case Conference to Address Implicit Bias and Structural Racism for Faculty and Trainees. MedEdPORTAL : the journal of teaching and learning resources, 15, 10858. https://doi.org/10.15766/mep_2374-8265.10858

Sigurdson, K., Morton, C., Mitchell, B., & Profit, J. (2018). Disparities in NICU quality of care: a qualitative study of family and clinician accounts. Journal of perinatology : official journal of the California Perinatal Association, 38(5), 600–607. https://doi.org/10.1038/s41372-018-0057-3

Wong, R. (2023). What if Diversity Trainings Are Doing More Harm Than Good? The New York Times. https://www.nytimes.com/2023/01/17/opinion/dei-trainings-effective.html

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

Elizabeth Morey Blecharczyk, MD
Stanford University

Faculty

Nothing to disclose

Rebecca Kameny, MD
Assistant Professor
Stanford Children's Health

Faculty

Nothing to disclose

Shamita Punjabi, MD
Clinical Instructor
Stanford University School of Medicine

Faculty

Nothing to disclose

Amit Tej Singh, MD, MS
Stanford University

Faculty

Nothing to disclose

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

Faculty, Planner

Nothing to disclose

Allison Guerin, EdD
Stanford

Faculty, Planner

Nothing to disclose

Debra Babcock, MD
Stanford Childrens (PCHA)

Planner

Nothing to disclose

Charles Gawad, MD, PhD
Associate Professor
Stanford

Planner

Ownership-BioSkryb Genomics

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

Nothing to disclose