1/ @AmerMedicalAssn adopted two resolutions we wrote (CC @glass_heff_full @FaithCrittenden + more).

For the first time in AMA history, we have policy to explicitly & actionably fight for #antiracism in #MedEd, health care delivery, research, & practice.

🧵 from the #AMAmtg ImageImage
2/ First, let's be clear: we passed these policies by standing on the shoulders of giants, & especially women of color.

We cited almost 100 references by scholars including @CamaraJones @DorothyERoberts @zinzinator @DrMaryTBassett @RRHDr @tsaiduck77 @AmakaEMD @IHJM_ & others. ImageImageImageImage
3/ By telling the truth & reconciling harms, and by advocating for actionable paths forward, these new policies will foster a brighter future of robust AMA advocacy for #HealthEquity and #Antiracism.

The adopted Resolved clauses (our resolutions are 005 & 010) are as follows: ImageImageImage
4/ These resolutions come at a critical time in medicine's history.

In the short-term, we hope this amplifies calls from @CoryBooker @SenWarren @RonWyden @BLeeForCongress @WaysMeansCmte to address the impacts of racism on health, including race-based clinical algorithms. ImageImage
5/ This meeting, @AMAmedstudents also passed new AMA-MSS and/or AMA policy on policing reform, eviction moratoriums, protections for protestors, immigration reform, and supporting study of racial reparations.

#HealthEquity is the MSS's foremost priority.

ama-assn.org/member-groups-…
6/ Personally, I hope this signals a paradigm shift on the horizon.

To physician & student-activists, especially BIPOC: these conversations are LONG overdue within the AMA.

Run for a delegate seat, and join us in the next fight for our patients, colleagues, & communities. Image
7/ Lastly, I want to highlight our coalition of students & physicians who made this happen.

Many thanks to @luiz_sayha @bukkybee123 @EClevelandMD @DrCaitlinFarre1 @DraytonCHarvey @SarahMaeSmith33 + countless others who refined & advocated for our ideas.
8/ The work doesn't end here. Our AMA has phenomenal leadership from @DrAlethaMaybank @MiaKeeys @fernandodemaio, our Center for Health Equity, and our BOT.

Our team of #antiracism advocates looks forward to ensuring these policies serve as a foundation for a bright future ahead.

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More from @rohankhaz

27 Aug
1/ What do #racism & #redlining have to do with inequities in #HIV outcomes?

Our new study just published in #ClinInfectDis examines neighborhood deprivation, race/ethnicity, and HIV viral suppression. Thread 👇🏾

#MedTwitter #MedStudentTwitter #IDTwitter

doi.org/10.1093/cid/ci… ACCEPTED MANUSCRIPT "Neighborhood Deprivation and Racia
2/ #Redlining in the 1930s involved racialized federal mapping of housing "desirability" (L) --> ⬆️💰 into White/affluent areas + systematic disinvestment in "undesirable" areas.

To this day, HOLC maps of urban areas like Omaha STILL align w/deprivation & racial segregation (R). An official U.S. Home Owners Loan Corporation (HOLC) map of Area Deprivation Index (ADI) map of the Greater Omaha Area, Racial Dot Map of Greater Omaha Area, demonstrating clear pr
3/ Omaha is among the most segregated U.S. cities. Our HIV clinic serves ~50% Black and Latinx pts, who disproportionately live in deprived neighborhoods.

We assessed neighborhood disadvantage using the ADI, outlined by @amyjhkind et al. in @NEJM.

nejm.org/doi/full/10.10…
Read 8 tweets
14 May
1/ In @OWHnews @OWHopinion this morning, @DrJRMarcelin & I call for racial/ethnic #COVID19 data reporting in Nebraska.

We are currently the ONLY state reporting ZERO state-level demographics. Short thread about why this is a #HealthEquity nightmare 🧵👇🏾

omaha.com/opinion/midlan…
2/ @AmerMedicalAssn's Center for Health Equity has followed state demographic reporting. 46 states currently report race/ethnicity, 49 report age, and 48 report gender.

This is a map on which #GoBigRed #GBR has a less than ideal meaning for Nebraska.

ama-assn.org/delivering-car…
3/ Being a flyover state doesn't render us immune to inequity. Data from Douglas County (includes most of Omaha) shows disproportionate case incidence among Hispanic, Black, and Asian patients despite our county being ~70% non-Hispanic & White...

dogis.maps.arcgis.com/apps/opsdashbo…
Read 7 tweets
31 Oct 19
1/ So, today was a big day for @DrJRMarcelin and I. We've been developing curricula on "Structural Challenges & Inequities in Healthcare Delivery" for the @UNMCCOM M1 students as part of the Health Systems Science coil.

Thread on this #MedEd project + today's capstone 👇🏾
2/ With inspiration from @JonathanMetzl & Dr. Helena Hanson's work on #StructuralCompetency, we wanted to assemble a pilot set of experiences that would give @UNMC students a glimpse into local health inequities, from historical & community perspectives:
3/ We gave the M1s several introductory lectures & assignments focused on big-picture issues like #SDoH & disparities, creating a "structural DDx" for patients, unconscious #bias & #microaggressions, developing structural humility, and #racism in medicine...
Read 11 tweets

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