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Rohan Khazanchi, MD, MPH Profile picture
Rohan Khazanchi, MD, MPH
@rohankhaz
🩺🥼 PGY-3 @BWHBCHMedPeds via @UNMC @PublicHealthUMN • 🔎📚✍🏽🗣 @FXBHarvard @HHCJ_Lab @bcrpHER on policy/equity, access to care, ACEs, racism, carceral systems
Jul 20, 2021 • 9 tweets • 9 min read
1/💡📝🧵"Building structural competency through community engagement" | @ClinicalTeacher

I tweet often about WHY health equity curricula should center #StructuralCompetency & community voices.

Our new #MedEd paper shows HOW we've tried to make it happen.
onlinelibrary.wiley.com/doi/10.1111/tc… Masthead for our manuscript in The Clinical Teacher, titled 2/ My first #MedTwitter foray was sharing this project 👇🏽 in 2019.

Our vision was simple: Moving #MedEd from ahistorical discussions of health disparities ➡️ exploring fundamental causes, centering community voices, and honing in on hyperlocal inequities.
Jun 16, 2021 • 7 tweets • 4 min read
1/ BREAKING from #AMAmtg: AMA HOD just adopted a report by the @AmerMedicalAssn's Council on Medical Education which aims to begin redressing the harms of the #FlexnerReport.

As a Councilor on CME who is invested in health justice, this is a report I am jazzed about. 🧵 2/
 I learned about CME's role as a sponsor of the Flexner Report well before joining the Council, bc the downstream consequences have been huge.

The Report closed 5/7 Black medical colleges, diminishing the projected # of Black docs today by >35k 👇🏽
jamanetwork.com/journals/jaman…
Nov 16, 2020 • 8 tweets • 11 min read
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
Aug 27, 2020 • 8 tweets • 8 min read
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
May 14, 2020 • 7 tweets • 7 min read
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…
Oct 31, 2019 • 11 tweets • 14 min read
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: