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Evaluation ViewAttendees 34

Academic and Research Skills

Diversity, Equity, and Inclusion

Health Equity/Social Determinants of Health

Health Services Research

Public Health

Quality Improvement/Patient Safety

Trainee
Session Type: Workshop

Moving Upstream: Creating Targeted Interventions to Address Structural Racism in Clinical Settings

Saturday, April 26, 2025
10:00am – 11:30am HST
Location: Convention Center: 323
CE: CME: 1.5
Ethics CME: 1.5

Selected By: APA
Disclosure(s):
Yarden S. Fraiman, MD, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Christie Lawrence, DNP: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Molly Fraust- Wylie, MA: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Elizabeth Bonachea, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Kayla L. Karvonen, MD, MAS: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Mia Malcolm, n/a: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Diana Montoya-Williams, MD MSHP: Chiesi (Ongoing) (Products/Services: Consultant)
Jeannette C. Myrick, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Kimberly Novod, MPA: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Michelle-Marie Peña, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Ashlee Vance, PhD, MA, RN, RNC-NIC: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop Description: Drivers of racial and ethnic health inequities in the U.S. are due to structural, institutional, interpersonal, and internalized racism. However, most efforts to achieve health equity focus on individual-level interventions, such as anti-bias education and social determinants of health screening. Yet, individual-level interventions alone have been unsuccessful in closing the equity gap. Given the persistence of racialized inequities, efforts to eliminate them must evolve to identify structural and institutional drivers of inequity, and create and evaluate interventions aimed at these “macro-level” drivers. Identification of macro-level drivers can be challenging for healthcare professionals given the emphasis on individuals, in training and clinical work.

This workshop, facilitated by a diverse multidisciplinary team (physicians, nurses, and family partners) begins by orienting participants to the construct of race and how racism operates at multiple levels within the healthcare system. Attendees then proceed into facilitated, small group sessions, guided by clinical vignettes of inequity in specific contexts (General Pediatrics and Newborn Medicine/NICU) for hands-on experiential learning. Participants will start by identifying the level of racism driving the inequity. Participants will have a toolbox, including a “racism root cause analysis,” to use in their small group work. In the second activity, participants will build upon their analysis by creating targeted interventions at the structural- and institutional-level.

By attending this workshop, participants can expand their knowledge of racism as an upstream driver of health inequities and acquire practical skills for identifying, then designing macro-level interventions at their local practice settings, thereby promoting health justice.

Learning Objectives:

  • Upon completion, participants will be able to describe race as a social construct and differentiate the four levels of racism.
  • Upon completion, participants will be able to develop an equity-focused “racism root cause analysis” with specific attention to the macro-level drivers of health inequities.
  • Upon completion, participants will be able to design interventions, targeted to specific levels of racism, to address health inequity within the clinical environment to promote health justice.

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