Pipeline to Health Professions: Comprehensive Approach to Increasing Minorities in the Health Profes

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Pipeline to Health Professions Comprehensive
Approach to Increasing Minorities in the Health
ProfessionsNational Leadership Summit on
Eliminating Racial and Ethnic Disparities in
HealthJuly 10-12, 2001, Washington, DC

• Shaffdeen A. Amuwo, MPH, PhD

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University of Illinois at Chicago

• One of the three major campuses of UI
• -33 Graduate and Professional students
• -Bachelors 92 fields
• -Masters 83 fields
• -Doctorates 57 academic specializations
• Approximately 25,000 Students
• -67 Undergraduate students
• -Most comprehensive health profession schools
• -Largest College of Medicine

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UIC School of Public Health

• One of 30 accredited in the US
• Four Academic Divisions
• -Community Health Science
• -Environmental and Occupational Health Sciences
• -Epidemiology and Biostatistics
• -Health Policy and Administration
• Four Degrees
• -Masters of Public Health (MPH)
• -Masters of Science (MS)
• -Doctor of Public Health (Dr. PH)
• -Doctor of Philosophy (PhD)

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DefinitionThis is an integrated, coordinated
and partnership approach to increasing the
participation of African Americans, Latinos and
Native Americans in health professions through
early identification, support and academic
enrichment.
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Context of Comprehensive Approach means

• Shared Vision
• Shared Leadership
• Domains of Influence on Children
• Dimensions of Educational Deficit
• All Educational Levels K-20
• Multi-disciplinary Approach

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What Do We know about data on the Involvement of
Minorities in the Health Professions

• Pharmacists - 7.8
• Optometrists - 2.7
• Dentists - 5.7
• Physicians (Osteopathic) - 3.5
• Physicians (Allopathic) - 7.6
• Nurses - 9.0
• Public Health Professions- 6.0

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The Chicago Experience in Public Health
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Ten-Year HCOP Retrospective Study Summer
Residential Enrichment Program
(SREP) Pre-Matriculation Program (PMP)
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Sample of GRE/PMP Participants by Race 1992-2001
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Sample of SREP/PMP Admitted1992-2001
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Sample of SREP/PMP Graduates1992-2001
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Challenges IBarriers Faced by Potential Public
Health Students and other Health Professions

• National Trends
• Local Geographic Area
• Low value placed in health professions
• Invisibility of Public Health
• Disadvantaged Status
• Economic Status
• K-12 Counselors
• College Performance
• Performance at Graduate/Professional Levels

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Challenges II Health Professions Shortage Areas
by Community Areas

• SOUTHSIDE Burnside, West Englewood, Englewood,
  Roseland, Auburn Gresham, West Pullman, New City,
  Pullman, South Chicago, Avalon Park, South Shore,
  Washington Park, Oakland, Fuller Park, Near South
  Side, Grand Boulevard, Douglas
• WESTSIDE West Garfield Park, Near Westside, East
  Garfield, Austin, Hermosa, Logan Square, South
  Lawndale, North Lawndale, Near North Side, West
  Town,

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Description of Health Professions Shortage Areas
of Illinois

• Over 90 in Chicago area
• Largest concentration of poverty
• Linguistically isolated
• Median income is under 24,000.00
• Infant mortality experience is 50 higher for
  Chicago
• 66 African American
• 23 Hispanics
• 8 White
• 3 Asian and Others

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FRAMEWORK FOR COMPREHENSIVE APPROACH
What should be done? Phase 1 Setting Optimal
Objectives Creation of Pipeline All Phases of
Education
Data on Education gaps Service gaps Data gaps
Data on Needs Health Professions
distribution Domains of influence on children
What could be done? Phase 2- Determining Possible
Strategies (science driven) Involvement of 1.
Health care agencies 2. CBOs 3. Colleges
What is achieved? Phase 4 Implementing Pipeline
Strategies (outcome driven)
Data from process, outcome, and impact
evaluations
 
 
 
Knowledge for Decision Making
Data on Basic and applied research
Data on Ethnic and health disparity, target
population, utilization barriers
Data on Impact of gaps in training on disease
burden etc.
What can be done? Phase 3 Planning Feasible
Strategies Creation of shared vision, shared
leadership
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Domains of Influence on Children

• Individual
• Peers
• Family
• Community
• School System
• Society

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Major Municipal Health Care Agencies

• Illinois Department of Public Health
• Chicago Department of Public Health
• Cook County Ambulatory Community Care Network
• Primary Care Exposures, Public Health Week
  Exhibitor, Preliminary Education, Counseling,
  Mentoring

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Not-For Profit Health Care Agencies

• Institute for Diversity (IFD)
• Leadership Training, Competitive Applicant Pool
• Illinois Area Health Education Center (IAHEC)
• Competitive Applicant Pool, Public Health Clubs,
  Contract to UIC of 15,000 annually to cover the
  payment of two PHSC
• Chicago Area Health Medical Careers Program
• Recruitment, Financial Aid, Competitive Applicant
  Pool

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Community-Based Organizations

• Westside Association for Community Action (WACA)
• Town Hall, Mentoring, Parental Network
• Southside Health Consortium
• Town Hall, Mentoring, Parental Network
• Hispanic Health Alliance
• Mentors
• Public Allies
• Leadership Development, Widens Competitiveness of
  Applicant Pool, Exhibitor, Recruitment

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Undergraduate College

• Chicago State University (CSU)
• Public Health Satellite Center, Saturday College,
  6-Week Summer Programs, Space, Mentoring
• Kennedy King College (KKC)
• Harry S. Truman College
• Olive-Harvey College
• Richard J. Daley College
• Malcolm X College
• Harold Washington College
• Public Health Satellite Centers

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