Learning Objectives
Using self-assessment and discussions with peers:
- Apply diversity, equity, inclusion (DEI) and anti-racism concepts and definitions to daily work;
- Recognize barriers to, and develop strategies for, increasing health equity for patients in your practice;
- Develop an individual SMARTIE aim for improving health equity.
Documents and Resources
Before Session #1:
- Watch “The Origin of Race in the USA” from PBS (10 minutes)
- Watch “Boarding School Healing” from Native American Rights Fund (6 minutes)
- Read Use of Race in Pediatric Clinical Practice Guidelines: A Systematic Review (JAMA Pediatrics)
- Read Association Between Parent Comfort With English and Adverse Events Among Hospitalized Children (JAMA Pediatrics)
- Read Recognizing and Reacting to Microaggressions in Medicine and Surgery (JAMA Surgery)
- Read Impact of Racism on Child and Adolescent Health (AAP)
- Watch “Struggle for Black and Latino mortgage applicants suggests modern-day redlining” from PBS NewsHour (11 minutes)
- Review materials about SMARTIE aims (10 minutes):
- Create a SMARTIE aim prior to the first session and be prepared to discuss (15 minutes)
Before Session #2:
- Watch Kimberlé Crenshaw: The urgency of intersectionality (TED Talks, 18 minutes)
- Read Association of the COVID-19 Pandemic with Routine Childhood Vaccination Rates and Proportion Up to Date with Vaccinations Across 8 US Health Systems in the Vaccine Safety Datalink (JAMA Pediatrics)
- Watch part of RWJF Book Talks: Necessary Conversations (8 minutes: watch from 20:25 to 28: 54)
- Watch Vaccine inequity in Milwaukee (PBS.org, 3 minutes)
- Read Communication Skills for Bridging Inequity (VITAL Talk)
- Review SMARTIE worksheet
Before Session #3:
- Watch/listen “The High Cost of Mental Health Care for One Family” (Frontline PBS, 23 minutes)
- Read ED Visits and Readmissions After Follow-up for Mental Health Hospitalization (Pediatrics)
- Read Effects of the COVID-19 Pandemic on Mental Health and Brain Maturation in Adolescents: Implications for Analyzing Longitudinal Data (Elsevier Inc.)
- Read Disparities in Pediatric Mental and Behavioral Health Conditions (Pediatrics)
- Edit your SMARTIE Aim based on the feedback you received – Smart, Measurable, Attainable, Relevant, Time-bound, Equitable and Inclusive.
- Self-directed website with resources to reference SMARTIE AIM[AS6]
Additional educational resources to review:
- Center for Diversity and Health Equity
- Recognizing and Reacting to Microaggressions in Medicine and Surgery (JAMA Surgery)
- Health Equity Challenges and CMS Resources to Help Address Them
Additional Learning Opportunities
The American Academy of Pediatrics has compiled a series of educational videos based on the “Pediatrics for the 21st Century (Peds 21)” program at the 2020 AAP National Conference. “Fighting Racism to Advance Child Health Equity” explores what these concepts mean for pediatricians in our practices, institutions, and communities, and how we can promote health equity by applying an anti-racist lens to the systems shaping health and medicine. MOC Part 2 credit will be awarded after completion of the activity and a review of the required opportunity for self-reflection.
The American Board of Pediatrics is also offering a free course to members as a way for board-certified pediatricians to claim MOC Part 2 credit for diversity, equity, and inclusion-related (DEI) learning. Through the application in your ABP Portfolio, you will be asked to share the DEI-educational topic and type of learning activity (e.g., lecture, workshop, podcast) and answer two questions about lessons learned and application to practice. After reviewing your responses, they will then award MOC Part 2 credit to your ABP Portfolio based on the number of hours you claim.
Additional Resources
- Eliminating Race-Based Medicine (AAP Policy Statement 2022)
- Using rising tides to lift all boats: Equity-focused quality improvement as a tool to reduce neonatal health disparities
- The Impact of Racism on Child and Adolescent Health (AAP Policy Statement 2019)
- Caring for American Indian and Alaska Native Children and Adolescents
- White Privilege: Unpacking the Invisible Knapsack
- Them and Me — The Care and Treatment of Black Boys in America
- Forty Years since “Taking Care of the Hateful Patient”
- Anti-Racism and Race Literacy: A Primer and Toolkit for Medical Educators
- How Medical Education is Missing the Bull’s-eye
- Changing How Race Is Portrayed in Medical Education: Recommendations From Medical Students
- Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms
- 5 Things Health Systems are Doing to Address Social Determinants of Health
- Association of Race/Ethnicity and Sex With Differences in Health Care Use and Treatment for Acne
- Our Opioid Crisis Reveals Deep Racial Bias In Addiction Treatment
- Racial/Ethnic Bias in Pediatric Care and the Criminalization of Poverty and Race/Ethnicity—Seek and Ye Shall Find
- Identifying Modifiable Health Care Barriers to Improve Health Equity for Hospitalized Children
- Reflections: The Category of Us
- Inequity in Crisis Standards of Care
- Stressful Beginnings with Long-Term Consequences
- Immunizing Against Hate: Overcoming Asian American and Pacific Islander Racism
- Health Equity, Diversity & Inclusion Measures for Hospitals and Health System Dashboards
- Health Equity Challenges and CMS Resources to Help Address Them
- Center for Diversity and Health Equity
- Anti-Racism & Equity – (wcaap.org)
Videos/Podcasts
- Caring for American Indian and Alaska Native Families, Racial Disparities in Breastfeeding (Pediatrics on Call)
- Trabian Shorters: A Cognitive Skill to Magnify Humanity (On Being podcast)
- Dr. Ibram X. Kendi and Alexis Madrigal: Racial Disparities During COVID-19
- Chapter Chat on Diversity, Equity and Inclusion