💭Why does #DEI matter? Many benefits, here are just a few:
🗺️Improved cultural competence
🏥Expanded delivery of health care to low resource settings
🗨️Improved intellectual discussion in MedEd
📰Bias in LOR:
🤝Reflective of students’ network & support system (difficult #women & #URM to develop)
📝 Data shows = similar clerkship grades: URM more - comments & fewer + comments when compared to White counterparts
💭Bias in MSPE: Crosses over into race.
🔉URM students described with comments on Personal Attributes
🔊Non- URIM students described with Competency-based Attributes
🎖️Bias in awards & accolades:
⤵️Shown to be given less to UIM students
📝In a study of nearly 5⃣K students, #AOA membership was six times more likely for White students than for Black students.
🤝URM experience differential trx due to race/ethnicity
🧠Impacts wellness, mental health, academic productivity
🔍Creates feelings of ⬆️scrutiny, need to represent entirety of their race/culture
🗜️Pressure to be near-perfect within/outside #ER
💭Leadership: Disparity in opportunities offered and accepted for URM and WiM
🔍Within the US: Minorities = 40% of the US population but URM physicians = 9% of Med school faculty; 18% of medical students.
📈URMs/#WIM less likely to be promoted
💭Step 3⃣: Build your #Upstander Language Toolbox. 🧰Here are a few to build your armamentarium:
✏️ERASE Framework
📼VCR Method
🏋️♂️LIFT Method
👁🗨Bystander 4D's
🗣️CURT Technique
2/ Seizure Mimics are key! Its important to keep a broad differential diagnosis as you approach a seizing patient!
3/ Management of seizure:
1⃣ The first step in management is ABCs!
2⃣ ✅ a blood glucose!!
3⃣Determine if Sz vs mimic: (mimics can look like true seizures. Get a good Hx/PE. (Thanks @GeraldMDMD for this great DDx chart!)
2/ Thanks for sharing how impt this is @JohnPurakal.
We need to be seeing past the disease and treat our patients. We must walk in their shoes to understand the steps that have led them down the path to the doors of the ED. Only then can we truly serve our patients.
3/ We might be the only provider that the patient sees all year! We need to address the social aspects that may be hindering their access to care!
Taking that moment to reach out and understand the barriers to care can make a lasting impact!