Objective #1: Learners should recognize important social determinants of health in their patient population and address potential pathways from these upstream drivers to disparities in health care outcomes.
Objective #2: Apply concepts of health equity in the day-to-day care of patients.
Obejective #3: Participate in the design, implementation, and/or evaluation of health equity strategy based on assessment of a patient population and using quality improvement methodologies.
| Name | Program | Objective | Source | Summary |
| Ryan Bodkin | Emergency Medicine | Objective #1 | Diversity & Inclusion Curriculum | Curriculum built around health disparities, SDH, religion in medicine, caring for marginalized patients, and cross-cultural communication. Some structures in the cirriculum include journal club, panel discussions, "lightning lectures," Ethics Day. Speakers on topics vary from EM faculty, non-EM faculty, PHGRS speaker, religion department, and resident. |
| Caren Gellin | Pediatrics | Objective #1 | PLC Rotation Expectations | Provides a framework for exploring the SDH for children and families in the City of Rochester and Monroe County, and resources to address them. Schedules residents to visit selected community-based organizations. After visits, residents complete a reflection piece, exploratory learning activity, PLC sit evaluation form, and a bus transportation and grocery store report. This last page provides videos, presentations, and readings to be used during rotation to learn more about SDH in Rochester. |
| Courtney Olson-Chen | Obstetrics & Gynecology | Objective #1 Objective #2 |
OBGYN HE Curriculum | Framework for residents to participate in four 1.5 hour learning sessions annually, that teach health equity and reproductive justice, as well as complete one half-day simulation workshop on the application of these concepts. The proposed core concepts covered in the sessions include health equity and reproductive justice theory, health equity and reproductive justice in Rochester, and reproductive justice epistemologies. |
| Courtney Olson-Chen | Obstetrics & Gynecology | Objective #1 | The Color of Health - Common Ground Health | Large report on the effect of racism on Black people's health. Discusses the levels of racism, the disparities of health outcomes experienced by Black people, such as hospital visits, homicide rates, and heart disease. Furthermore, examines how SES levels impact diet and nutrition, and how it compares to their White counterparts. |
| Courtney Olson-Chen | Obstetrics & Gynecology | Objective #1 | Community-Informed Models of Perinatal & Reproductive Health Services Provision | Perinatal health outcomes in the U.S. are worsening, especially in the Black birthing communities. Recommended to build a perinatal and reproductive healthcare (PRH) workforce whose capacity is aligned with racial equity. Institutional alignment with a reproductive justice praxis creates opportunities for advancing PRH workforce diversification and development and improving PRH experiences and outcomes for patients, communities, and workforce. |
| Courtney Olson-Chen | Obstetrics & Gynecology | Objective #1 | Structure & Self: Advancing Equity & Justice in SRH | A learner-led, justice-informed curriculum designed to teach clinical learners to consider how systems of power and legacies of structural oppression impact their care for patients. Learners will consider how to leverage their privilege to create change on a clinical, community, and systemic level. |
| Rena Gresh | Anesthesiology | Objective #1 | Summary of HCD in Pain Medicine Module | This module gives residents the context of background knowledge in the history of pain medicine research; and teaches residents to use this information and implement it in our modern era of mistrust of medical institutions by member of our BIPOC communities. Module activities include opiate addiction and the history of pain and race in the U.S., racial disparities case study, a video on mitigating racial disparities in chronically ill patients, and a reflection on how you would change your approach toward chronically ill pain patients. |
| Rena Gresh | Anesthesiology | Objective #1 | When the Bough Breaks | Senior residents in the Anesthesiology Residency watched, "When the Bough Breaks," part of the Unnatural Causes series, and then had a discussion regarding key takeaway messages. Key themes that emerged: birth outcomes are affected by the negative impact of racism over one's lifetime, not just pregnancy; racism in America is an added source of chronic stress for POC; racial justice and civic engagement are instruments for improving health and birth outcomes. |
| Rena Gresh | Anesthesiology | Objective #1 | SDH Presentation | A rudimentary presentation given by Rena Gresh on SDH. Used disparities in COVID-19 Monroe County between Black and White people as example: case rates, hospitalization rates, and death rates (Black people had much more). Discusses how SDH implications are immediate and intergenerational. |