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Dr. Nathan Chomilo Profile picture
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4 Oct, 5 tweets, 5 min read
Speaking at #AAP2020 Rev @CornellWBrooks starts by illustrating that #EmmettTill #TamirRice & #GeorgeFloyd are the recognized victims of police violence but that the trauma of over overpolicing is felt by whole communities & generations of children.
.@AmerAcadPeds section on Minority Health Equity & Inclusion Chair @DrHeardGarris has described this even more broadly as “vicarious racism”

Similar to secondhand smoke, vicarious racism has real impacts on child health

sciencedirect.com/science/articl…

#aap2020
#BlackLivesMatter
Pediatricians have a place to help frame the story around racism & police violence’s impact on child health. @CornellWBrooks cites the impact pediatric providers had on the Supreme Court’s Brown v Board of Education decision.

#AAP2020
Shout out to @MonaHannaA as an example of how we can communicate the science in a narrative form to illustrate not just the harm of action but of inaction 🙌🏾

#AAP2020
Rev @CornellWBrooks call to action for #AAP2020:

🔹Take a Do No Harm approach to policing
🔹#SDOH correlates w/SDO crime
🔹Disrupt school to prison pipeline
🔹Recognize suspects as patients
🔹Healing requires advocating
🔹Help shape narrative around overpolicing & health
🙌🏾🙏🏾

• • •

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More from @ChomiloMD

Dr. Nathan Chomilo Profile picture
5 Oct
“When we fight to change children’s circumstances, THAT is when we keep children healthy. THAT is Socially-Responsive Pediatrics”

@DrOmolara opening up the final #AAP2020 plenary with powerful perspective
.@DrOmolara breaks down common frameworks:

Cultural competency doesn’t deliver justice

Structural competency doesn’t dismantle structural inequity

We need to move to Social responsiveness to deliver justice & dismantle structures of oppression

YES🙌🏾🙌🏾
#AAP2020 ImageImage
.@DrOmolara’s approach: bring care to the communities instead of working to fit communities into care settings w/historical trauma

Her practice has been setup next to community based organizations. In collaboration, no hierarchy

#AAP2020
Read 4 tweets
Dr. Nathan Chomilo Profile picture
4 Oct
Appreciate @AMLandryMD opening the #AAP2020 Minority Health Equity & Inclusion program by sharing his “origin story”

A patient asked him why all the black patients in his ED were put in the hallway

He studied that ? & found the patient’s observation to be true. His path was set
This strikes me as a particularly powerful example of why community needs to be at the table as we work to address structural racism in medicine.

They will see problems & solutions even the most antiracist of physicians, policy makers & researchers simply can’t.

#AAP2020
Next up is Joel Teitelbaum, JD talking about the intersection of policy, law & racism

First point: Structural Racism is our Nation’s Key Pre-Existing Condition

#AAP2020
Read 8 tweets
Dr. Nathan Chomilo Profile picture
4 Oct
Looking forward to this talk by @BioethxMark on access to care for undocumented children in the US.
#AAP2020

There are ~2 million undocumented children in the US
6 states + D.C. provide healthcare coverage for undocumented children (props to CA, NY, IL, MA, OR, WA)

#Medicaid is available for children w/special healthcare needs

33% have no healthcare access

#AAP2020
Current options undocumented families have to access care for children:
🔹ER
🔹FQHCs
🔹Charity Care
🔹Donated Care Networks
🔹Safety Net Hospitals

#AAP2020
Read 5 tweets
Dr. Nathan Chomilo Profile picture
26 Sep
Dr. David Jones did a fantastic job laying out the history, harm & questions race-based medicine presents & @bcunningMDPHD w/a wonderful job covering how cognitive dissonance plays into the barriers we face addressing this w/our colleagues

#mnmed20
For those ready to address the use of race-based medicine I highly recommend this fantastic piece by @RheaBoydMD, @EdwinLindo, @Lachelle_Dawn & @mclemoremr 🙌🏾

#mnmed20

healthaffairs.org/do/10.1377/hbl…
Thanks to @uche_blackstock for recognizing what many of us are carrying this week in the wake of Breonna Taylor & her family not receiving justice or accountability 🙏🏾

#mnmed20
#BlackLivesMatter
Read 5 tweets
Dr. Nathan Chomilo Profile picture
2 Sep
Committed to ending racial health inequities?

You need to be talking to your patients about their civic health.

Voting and health inequities are closely linked.

Thread.
#MedTwitter
#MedStudentTwitter
#MedEd

(1/)
Families separated at the border
Another school shooting
#COVID19’s racist impact
The ongoing fight for #Medicaid
#ClimateChange

All impact the health of our communities. Outcomes that are heavily influenced by participation in, or lack of, voting.
#VoteHealth #VoteKids (2/)
Although we know policies directly impact health we see gaps in opportunity not only for access to resources but to the ballot box where many of our communities’ decision makers are selected.
(3/)
#VoteHealth #VoteKids

tcf.org/content/report…
Read 21 tweets
Dr. Nathan Chomilo Profile picture
19 Aug
Excited to report that the @AmerAcadPeds resolution, Prohibit the Use of Race-Based Medicine, I submitted & adapted from my MN colleagues @dr_okah & @AndreaWestbyMD’s groundbreaking work, not only passed but was a Top 10 selection!!
#MedTwitter #MedEd

aappublications.org/news/2020/08/1… Image
This resolution calls for:

1️⃣ the Academy to end the practice of using race as a proxy for biology or genetics in all their educational events & literature, &
2️⃣ require race be explicitly characterized as a social construct when describing risk factors for disease with all presentations at AAP sponsored conferences including a slide certifying their content does not teach race-based medicine
Read 5 tweets

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