Research

Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial

Jonathan W. Kanter, Daniel C. Rosen, Katherine E. Manbeck, Heather M. L. Branstetter, Adam M. Kuczynski, Mariah D. Corey, Daniel W. M. Maitland & Monnica T. Williams

From BMC Medical Education: Racial bias in medical care is a significant public health issue, with increased focus on microaggressions and the quality of patient-provider interactions. Innovations in training interventions are needed to decrease microaggressions and improve provider communication and rapport with patients of color during medical encounters. Read the full article here.

https://link.springer.com/article/10.1186/s12909-020-02004-9

Examining the Primary Care Experiences of Refugee Communities

Washington state and King County continue to be top resettlement destinations for refugees in the United States; however, newly arrived refugees experience many challenges and barriers when accessing health services after resettlement.

Taylor N. Erickson, MPH

Read the summary: Examining the Primary Care Experiences of Refugee Communities in King County:
Recommendations for EthnoMed’s Primary Care Provider Toolkit – EthnoMed  

Read the full report: Microsoft Word – Examining the Primary Care Experiences of Refugee Communities in King County.docx (ethnomed.org) 

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A Rubric to Center Equity in Obstetrics and Gynecology Research

The Steering Committee for the Obstetrics & Gynecology special edition titled “Racism in Reproductive Health: Lighting a Path to Health Equity” formed a working group to create an equity rubric. The goal was to provide a tool to help researchers systematically center health equity as they conceptualize, design, analyze, interpret, and evaluate research in obstetrics and gynecology. This commentary reviews the rationale, iterative process, and literature guiding the creation of the equity rubric.

Batman, Samantha MD, MPH; Rivlin, Katherine MD; Robinson, Whitney PhD; Brown, Oluwateniola MD; Carter, Ebony B. MD, MPH; Lindo, Edwin JD. A Rubric to Center Equity in Obstetrics and Gynecology Research. Obstetrics & Gynecology 142(4):p 772-778, October 2023. | DOI: 10.1097/AOG.0000000000005336

Read the article here: https://journals.lww.com/greenjournal/fulltext/2023/10000/a_rubric_to_center_equity_in_obstetrics_and.4.aspx

Endometrial Cancer and Reproductive Justice

Endometrial cancer (EC) is the most common gynecologic cancer in the United States. Black individuals with EC have had a more than 90% higher 5-year mortality risk than White people while being subject to lower quality care across the entire disease process. In this commentary, I offer the perspective that EC is part of the reproductive justice movement, as a representation of threat to reproductive health independent of childbearing. With this work, I want to place EC squarely among the discursive arguments that reproductive justice makes in the interconnectedness of fertility, reproductive health, parenthood, and, ultimately, life.

Doll, Kemi M. MD, MSCR. Endometrial Cancer and Reproductive Justice. Obstetrics & Gynecology 142(3):p 477-480, September 2023. | DOI: 10.1097/AOG.0000000000005305

Read the article here: https://journals.lww.com/greenjournal/abstract/2023/09000/endometrial_cancer_and_reproductive_justice.6.aspx

On Racism: A New Standard For Publishing On Racial Health Inequities

Rhea W Boyd, Edwin G Lindo, Lachelle D Weeks, Monica R McLemore

From Health Affairs Forefront: …despite racism’s alarming impact on health and the wealth of scholarship that outlines its ill effects, preeminent scholars and the journals that publish them routinely fail to interrogate racism as a critical driver of racial health inequities. As a consequence, the bar to publish on racial health inequities has become exceedingly low. Read the full article here.

https://www.healthaffairs.org/content/forefront/racism-new-standard-publishing-racial-health-inequities

The Case for Health Reparations

Derek Ross Soled, Avik Chatterjee, Daniele Olveczky, Edwin G Lindo

From Frontiers in Public Health: The disproportionate impact of COVID-19 on racially marginalized communities has again raised the issue of what justice in healthcare looks like. Indeed, it is impossible to analyze the meaning of the word justice in the medical context without first discussing the central role of racism in the American scientific and healthcare systems. Read the full article here.

https://www.frontiersin.org/articles/10.3389/fpubh.2021.664783/full

Seeing the Window, Finding the Spider: Applying Critical Race Theory to Medical Education to Make Up Where Biomedical Models and Social Determinants of Health Curricula Fall Short

Jennifer Tsai, Edwin Lindo, Khiara Bridges

From Frontiers in Public Health: A professional and moral medical education should equip trainees with the knowledge and skills necessary to effectively advance health equity. In this Perspective, we argue that critical theoretical frameworks should be taught to physicians so they can interrogate structural sources of racial inequities and achieve this goal. Read the full article here.

https://www.frontiersin.org/articles/10.3389/fpubh.2021.653643/full

Calculating estimated glomerular filtration rate without the race correction factor: Observations at a large academic medical system

Junyan Shi, Edwin G Lindo, Geoffrey S Baird, Bessie Young, Michael Ryan, J Ashley Jefferson, Rajnish Mehrotra, Patrick C Mathias, Andrew N Hoofnagle

From Science Direct: Changing from MDRD to CKD-EPINoRace could lead to a lower referral rate to nephrology. The distributions of creatinine and eGFR calculated with CKD-EPINoRace were not meaningfully different in Black and non-Black patients. Read the full article here.

https://www.sciencedirect.com/science/article/abs/pii/S0009898121001789

Elimination of Race-based Medicine: A Call to Action

Shaquita Bell, Olanrewaju Falusi, Edwin Lindo

In a recently published American Academy of Pediatrics (AAP) policy statement on eliminating race-based medicine, the authors write about “…the elimination of race-based medicine as part of a broader commitment to dismantle the structural and systemic inequities that lead to racial health disparities”. In this, we hear a cry for action. Read the full article here.

https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(22)00166-3/fulltext

Use of Race in Pediatric Clinical Practice Guidelines

CA Gilliam, EG Lindo, S Cannon, LO Kennedy, TE Jewell, JS Tieder, JAMA pediatrics

In this systematic review of US-based pediatric CPGs, race was frequently used in ways that could negatively affect health care inequities. Many opportunities exist for national medical organizations to improve the use of race in CPGs to positively affect health care, particularly for racial and ethnic minoritized communities. Read the full article here.

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2792739