Advancing the Vision for Diversity and Inclusive Excellence
Alicia Monroe, MD, Baylor College of Medicine
Standing at this crossroads of opportunity, we are not discouraged by what we see around us. We are inspired to dream big with our eyes open. We are casting a vision for diversity and inclusion that will enhance our learning and work environments, attracting increasing numbers of students who will be drawn into the field of family medicine. Our practices and programs will emerge as spaces in which compassion flourishes and potential for greater positive change is released. Active role modeling of inclusive excellence will support the professional formation of our students and residents, nurture cultural humility, and foster a sense of community-connectedness and resilience. Our vision must be bold, but we must begin where we are. This session will provide a brief discussion of diversity and inclusive excellence. A menu of tools and strategies will be presented that can be used by individuals, programs, and organizations that can advance inclusive excellence. Participants will be engaged and encouraged to identify a goal or next steps they can take when they return home to begin to advance their vision for inclusive excellence with humility and discernment.
Dr Alicia Monroe serves as provost and seniorvice president of Academic and Faculty Affairs, and professor of Family Medicine at Baylor College of Medicine. In September 2018, Dr Monroe also was appointed as interim designated institutional officer for graduate medical education. She currently serves as the chair of the Association for American Medical Colleges (AAMC) Advisory Committee on Holistic Review and is a member of the AAMC Board of Directors and Baylor University Board of Regents. She formerly served as the vice dean for Educational Affairs and professor of Family Medicine at the Morsani College of Medicine, University of South Florida. Dr Monroe’s scholarly interests include physician-patient communication, cross-cultural communication, diversity and inclusion, leadership development and mentoring training for students and faculty. Dr Monroe spent her early career at the Alpert Medical School at Brown University where she served as the associate dean for Minority Affairs and Professor of Family Medicine. She earned her MD degree from Indiana University School of Medicine, and completed an internship in psychiatry at Georgetown University Medical Center and a residency in family medicine at Methodist Hospital in Indianapolis, IN. She has received numerous teaching and mentoring awards.
Mālama Honua (Caring for Mother Earth): Lessons Learned About Health, Well-Being and the Future of Health Care
Marjorie Leimomi Mala Mau, MD, University of Hawaii, John A. Burns School of Medicine
Whether you believe in climate change or not, one thing is clear, our global environment is changing There is growing research on how environmental change influences human health as well as the health of animals, plants and the environment itself. Nowhere is the impact of global climate change more evident than in our oceans. A total of 70% of the earthʻs surface is covered by water and the largest body of water is the Pacific Ocean, spanning more than 60,000 square miles (~30%) of the earthʻs surface. The World Wide Voyage (WWV) known as "Malama Honua - Caring for Mother Earth" was undertaken by the Polynesian Voyaging Society in 2014-2017 to circumnavigate the world using wayfinding aboard our traditional voyaging canoe, Hokuleʻa. The primary goal of the WWV was to raise awareness of the health and wellbeing of the worldʻs oceans and how we, humankind, have a responsibility to the oceanʻs health and all its life forms that depend on it. This 3-year epic journey of courage and exploration provided opportunity to share our message of how the health of the world around us is intertwined with the health and wellbeing of all humankind. We propose to share lessons learned from ancestral wisdom on the WWV that may offer new insights about generational change for medical education and health care in the future.
Dr Marjorie Mau is a professor and Myron "Pinky" Thompson endowed chair for Native Hawaiian Health Research at the John A. Burns School of Medicine at the University of Hawaii. She is a board certified endocrinologist and is the founding chair of the Department of Native Hawaiian Health, the first clinical department dedicated to indigenous health in a US-accredited medical school. She is best known for her research work in diabetes epidemiological studies, cardiometabolic health disparities and clinical trials, implementation science and integration of community engagement into research approaches. She holds the distinction of being the first woman and first Native Hawaiian physician from the State of Hawaii to be inducted into the Mastership of the American College of Physicians (MACP) and one of only 25 MACPs in the United States to be honored as a fellow of the Royal College of Physicians (FRCP) in London, UK. She currently spends her time between Hawaii and Alaska where she mentors and advises the next generation of clinical scientists. Her favorite past time besides her family is serving as medical officer on traditional Native Hawaiian voyaging canoes such as Hōkūleʻa, among others.
Building a Path to Better
Joshua Tepper, MD, MPH, MBA, North York General Hospital, Toronto, Ontario, Canada
Quality and quality improvement are increasingly common terms found in our clinical practice environment as well as within our research and teaching agendas. In many respects, the dawning of the age of quality and improvement science matches similarly transformative moments in medicine such as evidence based medicine and inter professional care. We will explore the current state of quality in primary care, the building of QI capacity within the discipline and critical success factors.
Dr Tepper is a family physician and the president and chief executive officer of North York General Hospital. Previously he was the president and chief executive officer of Health Quality Ontario. Prior to HQO, He was the inaugural vice president of education at Sunnybrook Health Sciences Centre where he was responsible for Sunnybrook’s educational strategy and programming for learners, physicians and staff, patients and their families and the community. Prior to joining Sunnybrook, Dr Tepper was assistant deputy minister (ADM) in the Health Human Resources Strategy Division of the Ministry of Health and Long-Term Care. As the ADM he led the HealthForceOntario health human resources strategy to ensure that Ontarians have access to the right number and mix of qualified health care providers, now and in the future.
In addition to his involvement in health policy and research at the provincial level, Dr Tepper has also been active on a national scale as the senior medical officer for Health Canada, an adjunct scientist at the Institute for Clinical Evaluative Sciences (ICES), and a research consultant for the Canadian Institute of Health Information (CIHI). He has always remained in active practice serving marginalized populations and taking on clinical leadership roles. He was previously the vice-president of the Society of Rural Physicians. He holds a degree in Public Policy from Duke University, a Masters of Public Health from Harvard, and then completed his executive Master’s of Business Administration at the Richard Ivey School of Business.
The Health Equity Imperative: Building a Family Medicine Workforce Prepared to Deliver Socially Informed Care
America Bracho, MD, MPH, Latino Health Access, Santa Ana, CA
The Health of all people is influenced by many factors including the circumstances where they live, play, work and learn. It is affected by inequities and historic events. Health Providers and physicians in particular have had a specific role in assuring quality health care for their patients to achieve the best health outcomes possible. However, what can physicians do when the condition affecting their patients and their ability to prevent or manage diseases is connected to non-clinical factors? What to do when the good clinical care is not enough to achieve the desired outcomes? How can Physicians be better prepared and supported to assess social determinants and do something about it? In this presentation Dr Bracho will discuss the connection between social determinants and health and the increasing roles of Community Health Workers in improving community health. She will also discuss the imperative to transform health institutions to pay more attention to population health and the role of academia in recruiting, training and retaining the health workforce needed to address SDOH with focus on equity, inter-sectorial collaboration and community engagement.
Dr Bracho is the executive director of Latino Health Access, a center for health promotion and disease prevention located in Santa Ana, California. Latino Health Access facilitates mechanisms of empowerment for the community and trains community health workers as leaders of wellness and change. She worked as a physician in her native Venezuela for several years, after which she came to the United States to obtain a Master’s Degree in Public Health at the University of Michigan. She is a certified diabetes educator. Dr Bracho is a current member of the Board of Trustees for Casey Family Programs and a former trustee of the Marguerite Casey Foundation. She served as a commissioner for the Let’s Get Healthy California Task Force and is a current member of the California Future Health Workforce Commission. She served on the Institute of Medicine Round Table on Health Disparities.
Dr Bracho has been a presenter for hundreds of universities, professional associations, and community groups. She has been a consultant and faculty member for several international courses in Latin America, Australia and Europe. She has received several awards for her contributions and has been featured in several documentaries including the HBO Special “The Weight of the Nation” and a TedMed Talk on the role of patients in improving health care and their communities. She is a co-author of the recently published book, Recruiting the heart and training the brain: the work of Latino Health Access.