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American Medical Student Association

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American Medical Student Association. Take the Challenge! ... Source: CDC, American Lung Association ... The American Medical Student Association. What can we ... – PowerPoint PPT presentation

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Title: American Medical Student Association


1
American Medical Student Association
  • Take the Challenge!
  • Student Action for Zero Health Disparities

2
Disparities Infant Mortality Rates (Mothers gt 20
Years of Age)
Source DHHS. Health, United States, 1998
3
DisparitiesCardiovascular Disease and Cancer
  • African Americans continue to have the highest
    mortality rates from heart disease-50 greater
    than whites
  • The death rate for cancer for African American
    men is approx. 50 higher than for white men
  • Source Kaiser Family Foundation Key Facts on
    Race, Ethnicity and Medical Care,1999
  • Source Health Care Rx Access For All- The
    Presidents Initiative on Race

4
Disparities Asthma
  • Asthma is 26 percent more prevalent in African
    American children than in white children
  • AA children 3X more likely than whites to be
    hospitalized for asthma
  • Among 5 to 24 year olds, African Americans are 4
    to 6 times more likely to die from asthma than
    whites
  • Preventable?
  • Source CDC, American Lung Association
  • Source Kaiser Family Foundation Key Facts on
    Race, Ethnicity and Medical Care, 1999

5
Biases in Medicine Differences in Heart Surgery
Rates by Race, Disease Severity, and Survival
Benefit
Source Kaiser Family Foundation Key Facts on
Race, Ethnicity and Medical Care, 1999
6
Biases in Medicine
  • Recent study in NEJM (February,1999) reports
    landmark finding that race and sex of patients
    affect physician decisions about whether to refer
    patients with chest pain for cardiac
    catheterization (when controlling for clinical
    presentation)
  • 1994 GLMA survey showed 67medical students and
    physicians report substandard or denial of care
    to gay/lesbian patients

7
Patient Perceptions For the Average African
American and Latino, How Big a Problem is?
Difficulty Getting Care Because of
Race/Ethnicity
Having Enough Doctors and Providers Near Home
Source Kaiser Family Foundation Survey of Race,
Ethnicity and Medical Care Public Perceptions
and Experiences, 10/99
8
Patient PerceptionsExperience With Being
Treated Unfairly When Seeking Medical Care
Because of Race/Ethnicity
Source Kaiser Family Foundation Survey of Race,
Ethnicity and Medical Care Public Perceptions
and Experiences, 10/99
9
Physician Maldistribution Limits Access
  • Poor urban racial and ethnic communities are more
    likely to have a physician shortage
  • Poor urban communities with high proportions of
    Hispanic(H) and African Americans(AA) have only
    24 physicians /100,000 people compared to 69
    physicians /100,000 in similar communities with a
    low proportion of H and AA

10
Physician Race/Ethnicity as a Predictor
11
US Population Forecast
Source US Bureau of the Census
12
Medical School Enrollment Trends
13
Under-represented Minority Applicants and
Enrollees
Source AAMC Data Warehouse, 1999
14
MCAT Is this the best way to select our nations
physicians?
Source AAMC Annual Meeting, 1998
15
Summarizing the Problem
  • Persistent racial disparities in leading health
    areas
  • Evidence of physician bias
  • Limited access to health services

16
The American Medical Student Association
  • What can we do?
  • Educate
  • Diversify the physician workforce
  • Promote a supportive environment

17
Student Education
  • Peer Education
  • Brown bag lunch discussions
  • Diversity shuffle
  • Orientation activities
  • Cultural Competency
  • Curricula
  • Teaching physicians to deliver effective medical
    care to people of all different backgrounds
  • Enforce LCME standard
  • Assess your school
  • Partner with the Dean to improve or create
    curricula

18
Legislative Approach
  • Lobby in support of cultural competency
    curricula
  • H.R. 3250 provides grants to medical schools
    for cultural competency curriculum development
  • MAC/WIM lobby day on September 22, 2000
  • Letter writing campaigns
  • Call!

19
2001 AMSA National Convention
  • Take the Challenge! Student Action For Zero
    Health Disparities
  • March 28- April 1, 2001
  • Anaheim, California

20
Diversify Workforce
  • Recruitment Program- encouraging
    under-represented minority youth to pursue
    careers in medicine
  • Talk to the Dean of Admissions
  • Students on committee
  • Admissions policies

21
Supportive Environment
  • There must be a supportive and healthy
  • environment for all students
  • AMSA Medical Student Bill of Rights
  • Peer counseling/tutoring
  • Adequate student affairs resources
  • Minority faculty as guest speakers

22
Coalition Building
  • Work With Other Interested Groups
  • Co-Sponsor Events with Local SNMA, Chicano
    Medical Student Chapter, etc.
  • Talk to the Minority Affairs Office at your
    school and help with initiatives already in place
  • Work with Deans/Admissions Office

23
Summary
  • As our nation continues to become more diverse,
    it is imperative that we, as future doctors, take
    the challenge to eliminate disparities in health
    and medical education.

24
American Medical Student Association
  • Take the Challenge!
  • Student Action for Zero Health Disparities
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