For the first time in AMA history, we have policy to explicitly & actionably fight for #antiracism in #MedEd, health care delivery, research, & practice.
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:
4/ These resolutions come at a critical time in medicine's history.
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.
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).
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.
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.
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...
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...