Time For Change: Finding Common Ground

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Time For Change Finding Common Ground

• Jose Alberto Arevalo, MD
• Chair, Sacramento Sierra Valley CaLMA

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• Not everything that is faced can be changed, but
  nothing can be changed until it is faced.
• James A.
  Baldwin

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Sacramento Sierra Valley--California Latino
Medical Association (Sac CaLMA

• Established September 16, 2004
• One of several Statewide chapters
• Mission To ensure the provision of quality and
  culturally sensitive medical care to the Latino
  population of California.
• Quarterly meetings
• Members MDs
• Affiliate members medical students, allied
  health professionals, non-MD University faculty
  members and staff

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Key Goals

• Improve the health of Sacramento Valley Latinos
• Enhance the professional satisfaction of
  Sacramento Valley Latino physicians and the
  health care community serving Latinos

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The Role of an EPO in Impacting Manpower Diversity

• Medical School Admission Policy
• Medical School Retention Programs
• Resident Selection Policy
• Faculty Development
• Role Models
• Supporting Innovation in Education/Care Models

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Sac-CaLMA Hot Buttons
Organizational Goals
Health Manpower Development
Health care policy/ advocacy
Interface with Organized Medicine
Member Well Being
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Current Activities
1. Medical School Admissions
2. Faculty Development
3. URM Center of Excellence
4. Center for Reducing Health Disparities
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Health Manpower Development

• Goal Collaborate with U.C.Davis on strategies
  for improved cultural competency and delivery of
  health care services to Californias Underserved
  Communities.

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Health Manpower Development

• Sub Goal To improve underrepresented minority
  (URM) group representation in the graduating
  class of the UC Davis medical school
• Recruitment
• Retention
• Support

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Medical School Admissions

• Meetings with Dr. Claire Pomeroy, MD MBA, Vice
  Chancellor Human Health Sciences. Dean School of
  Medicine
• Presentation by the new Dean of Admissions and
  Outreach at Sac CaLMA meeting
• Sac CaLMA member representation on review and
  interview panel
• New Policy VCF can now serve as voting members
  of Admission Committee

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Health Manpower Development

• Goal Collaborate with U.C.Davis to improve
  Underrepresented Minority Group representation in
  the faculty of the medical school
• Recruitment
• Retention

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Faculty Development

• Presentation to CaLMA by Dr. Jesse Joad,
  Associate Dean for Faculty Development and
  Diversity
• Recruitment efforts
• Sac CaLMA VCF members as voting members on Search
  Committees
• Sac CaLMA Members as Interviewers for Search
  Committees
• Sac CaLMA Welcoming Committees
• Monthly mailings of Faculty Search Postings to
  CaLMA and NHMA

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Feeding the Pipeline Clinica Tepati

• Student run free clinic
• 1974 Developed by medical students with the
  assistance of faculty and community members
• Tri-missions Service, Education, and Advocacy
• Committed to serve the Latino and the underserved
  communities of the Sacramento Valley

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Feeding the Pipeline Clinica Tepati

• Located in Alkali Flats area of Sacramento
  California
• Low income, inner city area located three miles
  from Downtown
• For the past 25 years Clinic has provided service
  out of a County health clinic
• Saturdays only, 20-30 patients seen
• 9 exam rooms with small lab
• Basic Pharmacy with sample medications

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Hierarchy of Learning

• Teamwork

Undergrads
Medical Students
Residents
Faculty
Our Patients
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Clinica Tepati A Northern California Legacy
1974-2005

• Over 1000 Medical Students have honed their
  skills
• Over 20,000 patients served
• 3000 Undergraduate students have participated in
  the program
• Equivalent of Millions of dollars health care
  provided

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Clinca Tepati Organizational Chart
Community Advisory Board Sponsored by
Sac CaLMA
Instructor of Record
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Clinica Community Advisory Board

• Appointed members from Sac CaLMA and the larger
  community
• Advocate for Clinica in the University and in the
  community
• Serve as a key link to the medical and lay
  communities
• Provide advice/consultation on key policy issues
  to the Board
• Assist in fund raising

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Center for Reducing Health Disparities
University of California, Davis Health System
(UCDHS) Proposal for the Development of
the Center for Reducing Health Disparities Execu
tive Summary Sergio Aguilar-Gaxiola, MD,
PhD
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Center for Reducing Health Disparities

• To promote the health and well-being of
  ethnically diverse communities by pursuing
  research, training, continuing education,
  technical assistance, policy development, and
  information dissemination within a
  bio-psycho-social framework that recognizes the
  unique cultural contexts of these special
  populations

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Center for Reducing Health Disparities

• Provide an administrative structure that promotes
  excellence in innovative research and
  capacity-building specific to improving the
  health and well-being of ethnically diverse
  communities
• Strengthen existing, and create new,
  community-academic partnerships in order to plan
  and carry out interdisciplinary, culturally
  grounded, community-based participatory and
  problem-oriented research program of major
  scientific and programmatic importance to the
  health status and functioning of ethnically
  diverse communities
• Structure and pursue career development
  opportunities dedicated to the eventual
  elimination of health disparities for minority
  and non-minority medical students, residents,
  fellows, and junior investigators through
  intensive mentorship within the applied health
  disparities research program

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Center for Reducing Health Disparities

• Disseminate results of this work as a means of
  guiding the design, conduct, and interpretation
  of future research specific to understanding and
  reducing the health disparities that plague
  ethnically diverse communities
• Assist individuals, provider organizations, and
  other institutions of higher education in
  planning and implementing similar health research
  and maximize the relevance of its outcomes for
  application in ethnically diverse communities
  and
• Promote culturally appropriate health disparities
  research, mental health policy development and
  service delivery.

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URM Center of Excellence

• Principle Investigator Dr Jesse Joad, Associate
  Dean for Faculty Development and Diversity
• Co-PI Dr Adela De La Torre, Chair of Chicano
  Studies
• Enhancing the Pipeline of Qualified URM
  Applicants
• URM Faculty Development
• Supporting research in Racial Disparities
• Enhancing Cultural Competency in the Medical
  School Curriculum

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Future Directions
Internal Org Development
Strengthen Ties With University
Policy Work Plan
Formalize internal Structure
Improve ties with Legislators
Faculty as Active Members
A Strong and Vibrant Statewide CaLMA
Increased Numbers of VCF Members
Focus on Fund Raising
Ensuring the Success of NEPO
Optimize Membership
Input into Proposed SPH
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Contact Information

• Jose Alberto Arevalo, MD
• Medical Director
• Sutter Independent Physicians
• 2800 L Street, 7th Floor
• Sacramento, CA 95816-5616
• Phone [phone]
• E-mail Arevalj_at_sutterhealth.org