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


Veno-venous Extracorporeal Membrane Oxygenation for COVID-19: A Call For System-Wide Checks to Ensure Equitable Delivery For All

Anna Condella, MD, Edwin G. Lindo, JD, Jenelle Badulak, MD, Nicholas J. Johnson, MD, Rebecca Maine, MD, MPH, Samuel Mandell, MD, MPH,James A. Town, MD, Andrew M. Luks, MD, Shelby Elizaga, ARNP, Eileen M. Bulger, MD, and Barclay T. Stewart, MD, PhD

From National Institute of Health; National Library of Medicine: Extracorporeal membrane oxygenation (ECMO) has emerged in the COVID-19 pandemic as a potentially beneficial yet scarce resource for treating critically ill patients, with variable allocation across the United States. The existing literature has not addressed barriers patients may face in access to ECMO as a result of healthcare inequity. Read the full article here.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949367/


A Rubric to Center Equity in Obstetrics and Gynecology Research

Batman, Samantha MD, MPH; Rivlin, Katherine MD; Robinson, Whitney PhD; Brown, Oluwateniola MD; Carter, Ebony B. MD, MPH; Lindo, Edwin JD

From Obstetrics & Gynecology: 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. Read the full article here.

https://journals.lww.com/greenjournal/fulltext/2023/10000/a_rubric_to_center_equity_in_obstetrics_and.4.aspx


How to Make It Safe for People to Speak Up at Work

From The Greater Good Science Center: If we reward people for speaking their truth, we can create better and more productive workplaces. When people are afraid that something bad will happen to them because of their decision to speak up, in most cases, they won’t do it. And can we really blame them? This is, seemingly, leadership’s failure to foster the type of culture that encourages and rewards people for speaking up.

Read more at: https://greatergood.berkeley.edu/article/item/how_to_make_it_safe_for_people_to_speak_up_at_work


Meet the Office of Healthcare Equity Peer Trainers

From the UW Medicine Huddle:

In 2019, the Office of Healthcare Equity (OHCE) began providing antiracism training, with the goal of reaching every member of the UW Medicine community.

By bringing together subject matter experts in five core equity, diversity and inclusion areas, the small team rolled out training first to leadership groups and then to teams, departments and offices across the system.

“It quickly became apparent that to reach the whole UW Medicine community, we needed more trainers,” says Lee Davis, lead trainer for OHCE.


Get to Know: Yvonne Simpson, Senior Director of Language Access and Cultural Advocacy

From the UW Medicine: The Huddle

Reducing barriers to care is a key priority for Interpreter Services at UW Medicine. And that’s just what Yvonne Simpson does every day — working to ensure that interpreter services are used consistently and effectively across our locations.

Simpson has been a Spanish interpreter at Harborview since 2014 and has led the department for more than three years. On July 1, 2023, she began a systemwide position as senior director of Language Access and Cultural Advocacy.


Advancing health equity with Illustrate Change

From Deloitte Digital: Currently, less than 5% of medical images show dark skin. Only 8% of medical illustrators identify as people of color. The Illustrate Change digital library, made possible by a grant from the Johnson & Johnson “Our Race to Health Equity” commitment, will house a collection of diverse medical illustrations across a range of health conditions. The library will continue to grow and evolve, reflecting a more representative patient population. The initial 25 images will represent 23 conditions across dermatology, maternal health, eye disease, oncology, general health, orthopedics, and hematology.

Read more at the original article here: https://www.deloittedigital.com/us/en/blog-list/2023/illustrate-change.html