Learn about the Office of Healthcare Equity's vision, strategic blueprint, and the team driving positive change in healthcare education and delivery at UW Medicine.
Access training, assessment tools, and resources designed to build a more equitable healthcare environment. Find practical solutions for implementing equity, diversity, and inclusion in your work.
Explore our specialized centers and research initiatives dedicated to addressing health disparities and advancing equity-focused innovation in healthcare delivery and education.
Learn how we partner with diverse communities to create inclusive, culturally responsive healthcare services and meaningful engagement opportunities for patients and community members.
Find meaningful ways to contribute to healthcare equity through learning, volunteering, advocacy, and philanthropy. Everyone can make a difference—discover how you can help.
Access news, events, publications, and practical tools to support your healthcare equity work. Whether you're a provider, educator, or advocate, find the resources you need to advance equity.
Indigenous Health Series – Join us for a three-part series on Indigenous health this November. This series will span sessions on historical trauma and indigenous health policy to the current state of Indigenous health and decolonizing medicine. We will end the event with a panel to better understand different perspectives on being Indigenous here at UW Medicine.
In this powerful and deeply personal talk, Dr. Uché Blackstock explores the legacies that have shaped her journey—both personal and institutional. She reflects on following in her mother’s footsteps to medical school, a path that made Dr. Blackstock and her twin sister the first Black mother-daughter legacy at the institution.
She also confronts a broader, systemic legacy—the entrenched racism woven into every aspect of the medical field. From disparities in medical education to the safety and well-being of BIPOC practitioners, Dr. Blackstock sheds light on the urgent need for change within healthcare institutions.
Join the University of Washington Office of Public Lectures, the School of Medicine, and The Graduate school at this valuable event.
In this powerful and deeply personal talk, Dr. Uché Blackstock explores the legacies that have shaped her journey—both personal and institutional. She reflects on following in her mother’s footsteps to medical school, a path that made Dr. Blackstock and her twin sister the first Black mother-daughter legacy at the institution.
She also confronts a broader, systemic legacy—the entrenched racism woven into every aspect of the medical field. From disparities in medical education to the safety and well-being of BIPOC practitioners, Dr. Blackstock sheds light on the urgent need for change within healthcare institutions.
UW Assistant Professor, Dr. Breana “Bre” Taylor, a vascular neurologist and clinician educator, will be joining the UW School of Medicine medical student education program as the new Seattle Foundations dean. She begins her new position on July 1, 2025.
After completing a residency in neurology (achieving chief resident status), and a fellowship in vascular neurology, both at UW, Dr. Taylor joined the UW Department of Neurology in 2019 where she provided support for students in clinical skills development, coaching, and mentoring in the Colleges program and the Underserved Pathway. She has also been a recurrent lecturer and small group instructor in several of the Foundations Phase courses.
“As the Seattle Foundations dean, I hope to continue to build meaningful connections and community with and between Seattle Foundations students and support them to be successful during medical school and as future physicians,” said Dr. Taylor. “I look forward to bringing the knowledge and experience that I’ve gained as a College faculty and College head to this new role.”
Written by Jonathan Kanter, Director of EDI Training and Education
Medical mistrust can take different forms. A young Black patient may be worried that her concerns are not being fully heard by her doctor but is afraid to complain in fear that it will make things worse. Another Black patient, 4 months pregnant, is scared she’s having a miscarriage. She is unsure if she should call for help, knowing she’ll end up in our Emergency Department.
There is a long history of medical mistrust among Black Americans. Often, this mistrust is attributed to the lasting impact of historical and inhumane mistreatments, such as the U.S. Public Health Study at Tuskegee, as well as the broad pattern of segregated and unequal medical care that has plagued our country since its beginnings. According to recent Pew Research Center research, half of Black Americans say that the U.S. health care system was designed to hold Black people back.[1]
There is increasing recognition that mistrust is not just a function of the past. It may be even more related to ongoing medical experiences. Pew Research also finds that the majority of Black Americans have had recent negative experiences with health care providers.[2] This is especially the case for younger Black women. However, we know very little about how medical mistrust is experienced, impacts care, and develops among younger Black Americans, such as children and adolescents. The above Pew Research surveys, for example, were not open to participants under 18 years of age.
A High School Medical Mistrust Researcher
Meet Federal Way High School student Sienna Mayo. For her AP Research class, she partnered with UW Medicine’s Office of Healthcare Equity to study medical mistrust in Black children and adolescents. Her findings are important for our whole community to understand.
“I’ve never really seen a study this sophisticated from a high school student before,” commented Dr. Leo Morales, UW Medicine’s Associate Dean for Quality Improvement. “It is pretty impressive.”
Sienna, who is Black, partnered with several elementary, middle, and high schools in South King County, ultimately recruiting 55 Black participants (ages 8 to 18) into her study. Given the levels of mistrust Sienna expected, she knew that recruitment would not be easy. It took several months. Once participants and their caregivers consented, the participants completed either an online survey or a qualitative interview with Sienna, depending on their age.
Sienna’s first finding was that, as expected, medical mistrust increased with age. But only slightly. More notably, even the youngest participants in her study (ages 8, 9 and 10) reported some mistrust of the medical system.
Sienna’s findings suggest that this mistrust does not appear to be a function of direct negative encounters with health professionals. These youth haven’t had any bad experiences yet. Nor is it due to parents vilifying doctors to their children or talking with them extensively about the history of medical racism.
“My study doesn’t put the onus on Black parenting for medical mistrust in their children,” Sienna reported. “Most parents are helping their children understand that doctors are here to help them and in general are trustworthy,” she explained. “But it is important to choose your providers carefully.”
So why, then, do Black children and adolescents develop higher levels of mistrust? Sienna explained: “Medical mistrust shouldn’t be treated like a syndrome. I advocate for the interpretation of medical mistrust as a value, one that is learned and taught within a group over time. It is a belief, not exactly a lack of trust in doctors, but an awareness of the possibility of poor or inequitable treatment.”
“As many of us at UW Medicine know, this possibility is real,” explained Dr. Morales, who teaches one of OHCE’s foundational courses on this topic. “Many health and health care disparities exist, and Black people continue to get blamed for these health conditions when the true causes are in social conditions. These social conditions are in turn produced by structural racism.”
In addition, although most Black patients and families report receiving quality care here at UW Medicine, some continue to report experiences of personal mistreatment and subtle racism from providers and care teams. These direct and vicarious experiences, combined with well-known ongoing structural inequities and the historical factors, are enough to keep beliefs to be cautious and concerned about medical care alive in Black communities. These beliefs may be picked up and internalized by children as young as 8 years old.
What Can We Do?
As an emerging research talent, Sienna first points out that more research is needed. “This topic needs to be better funded so future studies can utilize improved methods and produce more generalizable results,” she noted.
Still, there are things we can and should do now. Most importantly, Sienna wants to raise awareness. “This is not an issue of a culture averse to modern medicine but of one currently and continuously isolated by it,” she concludes in her paper. In other words, the responsibility for change is on the medical community. The problem is not that Black people mistrust medicine; it is that medicine has not yet earned the trust of Black people.
While larger structural and societal changes are ultimately necessary, and this is a long-term problem, every individual relationship matters now. OHCE encourages every member of our UW Medicine community to reflect on their patient interactions. When you are interacting with patients of color, are you working thoughtfully to build trust?
Small things matter, like how well you listen to someone, how patient you are with them, and how willing you are to discuss difficult topics like exposure to racism and social conditions. How willing are you to even discuss the elephant in the room – that the patient before you, even a child, may have well-earned caution about how their healthcare needs will be met, here at UW Medicine?
Students like Sienna Mayo should give us all a glimmer of hope. And Sienna is not alone. This last summer, UW Medicine hosted dozens of high school and college students in programs designed to support their growth and interest in healthcare, biomedical science, and related professions. Sienna’s study may be the first to have an impact on this important problem, but it will not be the last.
Students at the UW School of Medicine, with guidance from Edwin Lindo, JD, associate dean for Social and Health Justice in the Office of Healthcare Equity, raised concerns about the use of race in medical case studies, sparking a multi-year reflection within the Department of Ophthalmology. Questioning race as a diagnostic criterion, these students initiated a shift in how it is addressed in medical education. The department engaged in deep discussions, training, and research. As a result, they removed race from case studies. This effort highlights the ongoing journey to challenge outdated medical assumptions and promote more equitable healthcare.
A recent study published in JAMA Pediatrics reveals that suicide rates among young Asian Americans vary significantly across different ethnic subpopulations, with some groups experiencing notably higher rates than others. The findings highlight the need for targeted mental health interventions that consider cultural and community-specific factors.
“Every aspect of health care is lacking in the valley,” Yakima Herald-Republic health reporter Santiago Ochoa tells me. In interview after interview, Yakima Valley residents and health care workers sketch in the details of a dire landscape.
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
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
