TEDTalks: Priscilla Pemu—A Personal Health Coach for Those Living with Chronic Diseases
There's no shortage of resources to help people change their health behaviors -- but far too often, these resources aren't accessible in underserved communities, says physician Priscilla Pemu. Enter "culturally congruent coaching," a program Pemu and her team developed to help patients with chronic diseases monitor their health with the assistance of a coach from their community. Learn more about how this approach transcends language and cultural barriers -- and could potentially transform health care in America.
Summary: Victoria, 25, has autism spectrum disorder but does everything she can to hide it from potential employers. Gabe, 31, has Tourette Syndrome. He's had a tic in almost every part of his body - even his eyes.
There’s Food… It’s Just Not Real Food: Inside America's Hunger Capital
In the 'food deserts' of Memphis, Tennessee, dominated by fast food outlets and convenience stores, locals lack what seems a basic human right in the richer half of the city: a supermarket. With a big gap in life expectancy, are these Americans doomed to die younger than their neighbours – or can they fight for their right to nutrition?
This documentary sits at the intersection of two important and timely topics of social justice: conditions in the US prison system and the injustices that befall transgender people encountering the law. The film explores why so many transgender people encounter the police, how those encounters often lead to discriminatory treatment, and the inhumane conditions that transgender people all too frequently experience.
TEDTalks: Kristie Overstreet—What Doctors Should Know About Gender Identity
Kristie Overstreet is on a mission to ensure that the transgender community gets their health care needs met. In this informative, myth-busting talk, she provides a primer for understanding gender identity and invites us to shift how we view transgender health care -- so that everyone gets the respect and dignity they deserve when they go to a doctor.
Transgender Health—Second Opinion
While many media outlets sensationalize and politicize issues surrounding transgender youth, this program looks at the issue from a truly medical perspective. Along with medical experts who specialize in working with families, Jennifer and Josselynn Surridge describe what it is like to come to terms with being a transgender person, and with being a mother of a transgender child. This story will help every viewer understand the issue in a way that is rarely explored elsewhere.
Against the Odds: Inspiring Stories of Disability
Meet record-breaking Paralympians achieving the impossible, discover cutting-edge medical procedures that are changing lives, and marvel at the power of the human spirit to overcome some of the world’s rarest conditions. This heart-warming and inspirational series follows extraordinary people refusing to be defeated by their disabilities.
The four-hour series crisscrosses the nation uncovering startling new findings that suggest there is much more to our health than bad habits, health care, or unlucky genes. The social circumstances in which we are born, live, and work can actually get under our skin and disrupt our physiology as much as germs and viruses.
Sherick Hughes Discusses Autoethnography
Dr. Sherick Andre Hughes explains autoethnography as a form of critical self-reflexivity that is particularly useful in helping people see how they are complicit in systems of oppression. He discusses his own experiences using and teaching the method, as well as the ethical issues that surround it.
How our Unconscious Biases toward Racial and Sexual Minorities are Affecting Clients and What to do
Dr. Whitney Howzell helps viewers examine the implicit bias and behaviors that they bring into the clinical setting that could negatively promote healthcare disparities. Viewers learn how to self-evaluate and how to implement best practices to avoid and correct any biased treatment of their patients. Dr. Howzell presents historical and contemporary examples of bias and discusses microaggression and overt discrimination.
TedTalk: Wendy Knight: From the Inside Out: Diversity, Inclusion & Belonging
The issue of inclusion and diversity is on the minds of leaders everywhere. As we work toward understanding how to create a maintain truly inclusive cultures, comprised of diverse groups of people, the focus has been on what we can do for others. Wendy offers insight into diversity from the inside out, what it means, how to become conscious of it, and how we can move forward on the path to true acceptance.
Women in Pediatrics: Progress, Barriers, and Opportunities for Equity, Diversity, and Inclusion
Despite progress to date, the resolution of gender equity will require data, metrics, strategic interventions, tracking, and reporting in a climate of transparency and accountability.
Webinars:
I can do this. “It was a challenge from the start.. there are really high expectations for maintaining your classwork, doing well, and performing. I had some setbacks, and I think those setbacks helped me get to where I am today. I believe that experiencing failure helps in being brought to a level where you need to truly discover what your style of learning is. You learn a lot of self-discipline techniques. For me, it wasn’t something that came right away.”
A network of support, staying the course. “I’ve wanted to be a doctor since I was 5 years old. Many great mentors, from my pastor to my mom’s colleague and beyond, have supported me in staying the course and getting to A.T. Still University. Through them, I learned to discipline myself and develop time management skills. Building your network is important, along with sharing what you learn with others, and never forgetting where you came from.”
Overcoming obstacles, gaining life experiences. “I’ve faced obstacles, like every student, but it’s about confronting your fears and working harder. It’s not just about the medical knowledge you gain but also the life experiences you have that help you become a better doctor. At A.T. Still University, I always look at how to improve patient communication and be the light for each patient. Volunteering early and often helps you gain perspective.”
The impact of cultural diversity, the decision to attend. “Meeting alumni from A.T. Still University pretty much molded my decision to attend. It is a good experience meeting people from other cultures. Prior to getting to ATSU, one huge challenge I had to overcome was meeting medical professionals who looked like me. I made the extra effort to reach out to physicians of color to pick their brain. Now, I want to share with others what I’ve learned.”
Stepping ahead, giving back. “If you see something wrong, do something to try to make it better. There were a lot of underserved people in my area growing up, but not a lot of people who made it anywhere. I want to give back to that community so more can make it, and in this way I hope to be the light for others. A.T. Still University is a step ahead in clinical skills development, which will help me be that much more prepared.”
To see more Diversity & Inclusion Webinars, visit their Webinars Archive
Recommended:
Microaggressions in Everyday Life
Bestselling author Derald Wing Sue explains what a microaggression is, how it manifests itself, how it impacts people, and what can be done to address it.
TLC 2021 Spring Seminar Series: "Building Community in Your Classes" - Updates will be made as they are sent by the TLC
There is evidence that when students feel cared about, they are more likely to achieve in the classroom. Helping students feel cared about starts with creating a community in your classes. In the spirit of Building Community in Your Classes, the TLC 2021 Spring Seminar Series will offer a series of presentations related to how you can help students feel connected in your classes. The first presentation is about understanding culture in an effort to better relate to students. Stay tuned for an email invitation.
Part I: "Culture… it’s not just about skin color"
Feb. 10th, Noon - 1:00 p.m. MT / 1:00 - 2:00 p.m. CT
Presenter: Dr. Patricia Sexton, MS, DHEd, FNAOME
View the presentation on the TLC Youtube Channel
Presentation Description: In today’s world, we are called to seek to understand those different from ourselves if we wish to make a difference in preparing our students. Cultures are vast and varied and there is no way to know all about even one. In this interactive session, we will discuss the breadth of culture (it’s not just about skin color!) and the role of self-awareness in the journey toward understanding others.
Part II: "Difference, disability, and access within ATSU learning communities"
March 24th at Noon - 1:00 p.m. MT / 2:00 - 3:00 p.m. CT
Presenters: Jennifer McNeely, Director of the Learning & Disability Resources and
Marty Allison, Disability Resources Advisor
Presentation Description: Student differences, including disabilities, increase diversity at ATSU. Welcoming those differences and providing resources for equal access to learning builds community. Learning & Disability Resources will present scenarios of students who could be present in your classroom and discuss resources available to them.
View the presentation on the TLC Youtube Channel
Part III: "Inclusive Teaching: Strategies to facilitate diverse perspectives and build an inclusive class community."
April 14th at Noon - 1:00 p.m. MT / 2:00 - 3:00 p.m. CT
Presenter: Dr. Barbara Maxwell, PT, PhD, DPT, MSc, Cert THE
Presentation Description: Have you ever wondered why some students participate more frequently in class or seem to learn more easily than others? Have you considered how cultural assumptions may shape your interactions with students, or how student identities, ideologies, and backgrounds may influence their level of engagement?
Inclusive teaching is an approach to ensuring all students can fully participate in the learning process, regardless of background, belief, or learning preference.
In this session, we will begin to explore these questions, by examining the evidence and reflecting on your own experiences as a teacher and learner. This session will provide you with practical strategies that can assist in modifying your course design and/or delivery to encourage fuller participation, increased accessibility for all students, and build community.
View the presentation on the TLC Youtube Channel
Disparities in health care exist because of socioeconomic factors, structural racism, and implicit bias. Panelists will identify the problems and discuss what solutions are in place that could improve health disparities such as medical education, more training for underrepresented minority physicians, more funding for research, and fast-tracking publication of research. Furthermore, panelists will explore how the field of dermatology and other medical specialties can address these issues.
Implicit bias and structural racism play a central role in the development of health care disparities. One of the critically important areas in medicine is the misdiagnosis of disease in people with darker skin types due to implicit bias and the lack of awareness among physicians in recognizing the disease pattern. Clinicians in primary care, emergency medicine, hospital medicine, surgery, pediatrics, and other medical specialties can deliver improved care if they can recognize and diagnose medical conditions based on skin findings in patients of color. This four-part series aims to improve diagnosis in people of color, describe pathogenesis and treatment of diseases, develop cultural competency, and impact change in health care policy so more is done to reduce racial bias in medical practice and medical research. Providing this education, in turn, will ultimately help reduce health disparities and improve the lives of underrepresented minority populations.
Panelists will define and discuss hair disorders in people of color. External and systemic diseases can cause hair loss. Misdiagnosis often occurs when hair loss is considered cosmetic and not a medical problem. Ethnicity affects the significance and cultural meaning of hair loss, and physicians need to know how each patient is being affected. Hair disorders constitute a significant health problem and affect health care access because of the length and complexity of the visits.
Pigmentary disorders and keloids can be signs of systemic disease and can cause significant psychological impact and social ramifications. Panelists will discuss the breadth of pigmentary disorders, including vitiligo, melasma, and post-inflammatory hyperpigmentation, and utilize global scientific literature to update the audience on newer therapeutic options.
Panelists will focus on the challenges physicians face in recognizing systemic diseases in melanin-rich skin types. There can be delays and misdiagnosis of life-threatening diseases when color changes related to the disease are not recognized. The skin signs of Covid-19 comorbidities (i.e., diabetes and pulmonary disease) will be discussed in adults and children
Other sources of information shared during the webinar:
Moran-Thomas A. How a Popular Medical Device Encodes Racial Bias. Boston Review. http://bostonreview.net/science-nature-race/amy-moran-thomas-how-popular-medical-device-encodes-racial-bias
“Practical Dermoscopy” by Sima Jain, MD on Next Steps in Derm: https://nextstepsinderm.com/derm-topics/practical-dermoscopy-with-sima-jain-md/
Andina D, et al. Chilblains in children in the setting of COVID-19 pandemic. Pediatr Dermatol. 2020 May. PMID: 32386460
Andina D, et al. Skin manifestations of COVID-19 in children: Part 1. Clin Exp Dermatol. 2020 Nov. PMID 33180982
Andina D, et al. Skin manifestations of COVID-19 in children: Part 2. Clinical and Experimental Dermatology. 2020 Nov. PMID: 33166429
Bandi S et al. African American children are at higher risk of COVID-19 Infection. Pediatric Allergy and Immunology. 2020. PMID: 32469426
Castagnoli R et al. Acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children and adolescents: a systematic review. JAMA Pediatrics 2020. PMID: 32320004
Colonna C, et al. Chilblain-like lesions in children following suspected COVID-19. Pediatr Dermatol. 2020 May. PMID: 32374033
De Fiorgi V, et al. Cutaneous manifestations related to coronavirus disease 2019 (COVID-19): a prospective study from China and Italy. J Am Acad Dermatol. 2020 May. PMID: 32442696
Ehsani AH et al. Pityriasis rosea as a cutaneous manifestation of COVID-19 infection. J Eur Acad Dermatol Venereol 2020. PMID: 32359180
El Hachem M, et al. A clinical, histopathological and laboratory study of 19 consecutive Italian paediatric patients with chilblain-like lesions. J Eur Acad Dermatol Venereol. 2020 May. PMID: 32474947
Fiscella K et al. Racial and ethnic disparities in the quality of health care. Annu Rev Public Health 2016. PMID: 26789384
Galván Casas C, et al. Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases. Br J Dermatol. 2020 Apr. PMID: 32348545
Garcia-Lara G, et al. Chilblain-like lesions in pediatrics dermatological outpatients during the COVID-19 outbreak. Dermatol Ther. 2020 May. PMID: 32378284
Genovese G, et al. Varicella-like exanthem associated with COVID-19 in an 8-year-old girl; a diagnostic clue? Pediatr Dermatol. 2020 Apr. PMID: 32315079
Harman et al. Ethnicity and COVID-19 in children with comorbidities. Lancet child adolescent 2020. PMID: 32473663
Joob B et al. COVID-19 can present with a rash and be mistaken for Dengue. J Am Acad Dermatol 2020. PMID: 32213305
Mahé A et al. Histology of skin lesions establishes that the vesicular rash associated with COVID-19 is not ‘varicella-like’. J Eur Acad Dermatol Venereol 2020. PMID: 32500642
Martineau AR et al. Vit D supplementation to prevent acute respiratory tract infections. BMJ 2017. PMID: 28202713
Morey-Olive M, et al. Cutaneous manifestations in the current pandemic of coronavirus infection disease (COVID 2019). An Pediatr (Engl Ed). 2020 Apr. PMID: 32341944
Nguyen a et al. HLA suscept map for SARS-Co-V2. J Virol 2020. PMID: 32303592
Recalcati S, et al. Acral cutaneous lesions in the time of COVID-19. J Eur Acad Dermatol Venere. 2020 Aug. PMID: 32330324
Romaní J, et al. Chilblain and acral purpuric lesions in Spain during COVID confinement: retrospective analysis of 12 cases. Actas Dermosifiliogr. 2020 Jun. PMID: 32402369
Wollina U, et al. Cutaneous signs in COVID-19 patients: a review. Dermatol Ther. 2020 May. PMID: 32390279
The Impact of Skin Color and Ethnicity on Clinical Diagnosis and Research: https://specialevents.nejm.org/impact-of-skin-color-and-ethnicity-on-clinical-diagnosis-and-research/
Skin of Color Society: https://skinofcolorsociety.org
Skin of Color Society Resources, Educational Videos – Skin Diseases, Research Awards, and Grants:https://skinofcolorsociety.org/dermatology-resources/
New England Journal of Medicine: Race and Medicine – A collection of articles and interviews: https://www.nejm.org/race-and-medicine
Catalyst commentaries on organizational and leadership responses to bias in health care: https://catalyst.nejm.org/topic/broad-topics/culture-of-health
VisualDx Resources on Skin of Color: https://www.visualdx.com/diversity
Patient Resources from VisualDx:
North American Hair Research Society: https://www.nahrs.org
Cicatricial Alopecia Research Foundation: https://www.carfintl.org
National Alopecia Areata Foundation: https://www.naaf.org
The Race and Medicine collection reflects NEJM’s commitment to understanding and combating racism as a public health and human rights crisis. Our commitment to antiracism includes efforts to educate the medical community about systemic racism, to support physicians and aspiring physicians who are Black, Indigenous, and people of color, and ultimately to improve the care and lives of patients who are Black, Indigenous, and people of color.
Case Study:
The article presents a case study of a 60-year-old unemployed, uninsured black woman who was misdiagnosed with infection instead of the actual breast cancer. It expresses the wide gap between the mortality of black women and white women due to breast cancer, how this is led to action by physicians, community leaders to look into the cause of it.
See Also: NEJM Catalyst Culture of Health
Cultivating good health and well-being is as important to patients as it is within health care organizations. Building a culture of health depends on the collaboration between communities, businesses, and health care organizations.
Presentation slides (PDF): Camara Jones Part 1, Amani Allen, Camara Jones Part 2
Webinar transcript (PDF)
This kick-off webinar of APHA's Advancing Racial Equity series examined racism and its historic and present-day impact on health and well-being. Presenters:
APHA recommends viewing webinars from the 2015 series The Impact of Racism on the Health and Well-Being of the Nation in advance of the 2020 webinar series.
Alarming disparities within the COVID-19 pandemic — such as higher hospitalizations and death rates among African Americans — are sadly predictable and highlight the urgent need to address the root causes of health inequities. APHA is hosting this webinar series to give an in-depth look at racism as a driving force of the social determinants of health and equity.
This series explores efforts to address systems, policies and practices designed to limit and shape opportunities for people of color. Our presenters highlight collective and individual actions we can take to advance racial equity and justice.
Presentation slides (PDF): Ndidiamaka Amutah-Onukagha, Elizabeth Howell, Joia-Crear Perry
Webinar transcript (PDF)
The second webinar in APHA's Advancing Racial Equity series covered reproductive racial disparities. Presenters:
Presenters' slides (PDF): Daniel Webster, Keon Gilbert, Rashawn Ray, Kanwarpal Dhaliwal, Omid Bagheri Grakani
Webinar transcript (PDF)
The third webinar in APHA's Advancing Racial Equity series:
The fourth webinar in APHA's Advancing Racial Equity series covered racial healing as essential for dismantling racism and advancing racial equity.
Webinar transcript (PDF)
Presenters' slides (PDF): Paulina Sosa and Ernesto Quintero, Gail Christopher
Presenters:
The fifth webinar in APHA's Advancing Racial Equity series covered structural racism in housing.
Webinar transcript (PDF)
Presenters' slides (PDF): Kamillah Wood, Kim Johnson, Amelie Ramirez, Amina Kirk
Presenters:
The final webinar in APHA's Advancing Racial Equity series raised awareness of the ongoing impact of environmental racism on the health and well-being of Black, Indigenous and people of color in the U.S.
Presenter slides (PDF): Donele Wilkins
Presenters:
Now more than ever, it's important to look boldly at the reality of race and gender bias -- and understand how the two can combine to create even more harm. Kimberlé Crenshaw uses the term "intersectionality" to describe this phenomenon; as she says, if you're standing in the path of multiple forms of exclusion, you're likely to get hit by both. In this moving talk, she calls on us to bear witness to this reality and speak up for victims of prejudice.
A few weeks before his release from prison, Jarrell Daniels took a class where incarcerated men learned alongside prosecutors. By simply sitting together and talking, they uncovered surprising truths about the criminal justice system and ideas for how real change happens. Now a scholar and activist, Daniels reflects on how collaborative education could transform the justice system and unlock solutions to social problems.
We need a more considered approach to using social media for social justice, says writer and activist Ione Wells. After she was the victim of an assault in London, Wells published a letter to her attacker in a student newspaper that went viral and sparked the #NotGuilty campaign against sexual violence and victim-blaming. In this moving talk, she describes how sharing her personal story gave hope to others and delivers a powerful message against the culture of online shaming.
Conceptual artist and TED Fellow Sanford Biggers uses painting, sculpture, video and performance to spark challenging conversations about the history and trauma of black America. Join him as he details two compelling works and shares the motivation behind his art. "Only through more thoughtful dialogue about history and race can we evolve as individuals and society," Biggers says.
Born out of a social media post, the Black Lives Matter movement has sparked discussion about race and inequality across the world. In this spirited conversation with Mia Birdsong, the movement's three founders share what they've learned about leadership and what provides them with hope and inspiration in the face of painful realities. Their advice on how to participate in ensuring freedom for everybody: join something, start something and "sharpen each other, so that we all can rise."
Racism makes our economy worse -- and not just in ways that harm people of color, says public policy expert Heather C. McGhee. From her research and travels across the US, McGhee shares startling insights into how racism fuels bad policymaking and drains our economic potential -- and offers a crucial rethink on what we can do to create a more prosperous nation for all. "Our fates are linked," she says. "It costs us so much to remain divided."