A5007718254- Diversity and Career in Medicine
- Global Health Workforce Issues
- Innovations in Medical Education
- Medical Education and Admissions
- Racial and Ethnic Identity Research
- Cultural Competency in Health Care
- COVID-19 and healthcare impacts
- Migration, Health and Trauma
- Reconstructive Surgery and Microvascular Techniques
- Emergency and Acute Care Studies
- Artificial Intelligence in Healthcare and Education
- Primary Care and Health Outcomes
- Radiology practices and education
- Hernia repair and management
- Infection Control and Ventilation
- Gender Diversity and Inequality
- Aortic Disease and Treatment Approaches
- Torture, Ethics, and Law
- Critical Race Theory in Education
- Burn Injury Management and Outcomes
- Public Health Policies and Education
- Ultrasound in Clinical Applications
- Evolutionary Psychology and Human Behavior
- Names, Identity, and Discrimination Research
- Coronary Artery Anomalies
Stanford University
2020-2024
Palo Alto University
2021
Montefiore Health System
2020
Johns Hopkins University
2020
Albert Einstein College of Medicine
2020
Meharry Medical College
2015
University Hospital Southampton NHS Foundation Trust
2015
St. Mary’s Hospital
1978
Duke Medical Center
1969
African Americans are overrepresented among reported coronavirus disease 2019 (COVID-19) cases and deaths. There a multitude of factors that may explain the American disparity in COVID-19 outcomes, including higher rates comorbidities. While individual-level predictably contribute to disparate systematic structural have not yet been reported. It stands reason implicit biases fuel racial outcomes. To address this disparity, we must apply health equity lens disaggregate data explicitly for...
The authors have no potential conflicts to disclose.
Missingness in health care data poses significant challenges the development and implementation of artificial intelligence (AI) machine learning solutions. Identifying addressing these is critical to ensuring continued growth accuracy models as well their equitable effective use settings.
To examine the relationship between experiences of discrimination, institutional responses to seminal race events, and depressive symptoms among Black medical students.This study collected data from a convenience sample U.S. students via an anonymous electronic questionnaire in August 2020 that was distributed through Student National Medical Association Organization Representatives listservs author's social media accounts. It included questions on demographics, depression. Path models were...
MLADICK, R. A. M.D.; PICKRELL, K. L. ROYER, J. McCRAW, BROWN, I. M.D. Author Information
In the midst of coronavirus pandemic, chronic issue police brutality directed toward Black Americans reached a tipping in late May with brutal murder George Floyd. The social response raised equity and justice awareness, kickstarting one largest movements U.S. history.1 A national dialogue on systemic racism as public health concern has reemerged. Although traditionally viewed taboo within academic medicine, surrounding racial inequality is unavoidable. Physicians must confront role we play...
Figure: code-switching, racismFigurePhysicians from underrepresented minorities (URM) are disproportionately affected by the lack of safe spaces in medicine. This is largely due to a comfort dynamic rooted white male heteronormativity. In fact, impulse fit so significant that many URM physicians have adopted code-switching as survival tactic. Code-switching when an individual adjusts his speech, behavior, appearance, or expression optimize others. lexicon (one involves alternate language,...
Abstract Background Community engagement is increasingly recognized as a necessity in addressing intractable racial and ethnic health disparities the United States. However, institutions have not adequately trained resident physicians developing symbiotic community partnerships that preserve autonomy identity without exploitation. Our goals were to highlight experiences of expert academic emergency creating innovative, community‐driven, anti‐racist solutions achieving measurable equity...
This study assesses the effectiveness of clinical simulation-based training in boosting self-perceived confidence for using upstander communication skills to confront racism, discrimination, and microaggressions (RDM).
<sec> <title>BACKGROUND</title> Missingness in health care data poses significant challenges the development and implementation of artificial intelligence (AI) machine learning solutions. Identifying addressing these is critical to ensuring continued growth accuracy models as well their equitable effective use settings. </sec> <title>OBJECTIVE</title> This study aims explore challenges, opportunities, potential solutions related missingness for AI applications through conduct a digital...
Figure: diversity, COVID-19, residentsFigureThe United States is entrenched in two pandemics, one driven by a novel viral pathogen and the other centuries of systemic structural racism. Ironically, emergency department serves as point convergence this syndemic. As our specialty embraces its distinction an essential workforce, expectations are growing for next wave medicine specialists to possess skillsets beyond their clinical knowledge. Incoming physicians will need be culturally competent,...
Figure: restorative justice, racial trauma, equityFigureDuring residency, I once gave a patient an antibiotic that caused allergic reaction. didn't know the would have this response beforehand, but as most of us are taught, knew any medication could sensitize its recipient. As fate it, discovered my error year later when arrived in emergency department for unrelated issue. “You're doctor who me to break out hives and fever,” shouted. grabbed computer on wheels scour patient's chart. There it...
Figure: racismFigureDifficult conversations are an occupational hazard in emergency medicine. We accept that they part and parcel of the specialty invite discomfort, for better or worse. When radiology calls characterizing a new lesion, we assume responsibility sharing those findings with our patients factor gravity discussion. show compassion by standing families who practice different religions from ours as pray over declining loved one. deliver heart-wrenching news fetal demise to...
Figure: simulation, racial equity, social EMFigureSimulation has become an educational gold standard within emergency medicine. The beauty of it is that EPs are given the complete Danger Room experience, unbridled opportunity to rehearse critical skill sets in a low-impact environment. can gain confidence through repetition and bouts constructive feedback for everything from megacodes procedures managing difficult patients. Even oral board exams family advanced life support certifications...
Figure: antiracism, DEI, URMMFigureThe confluence of a global pandemic and turbulent social justice movement irrevocably changed propelled emergency medicine last year. Antiracism is no longer an ideal; it the gold standard by which EPs are holding departmental leadership accountable. As words plans convert into action, we see equity rotate national forefront. The early adopters have begun sharing their best practices, including implementation regular speaker series on critical race theory,...
Figure: double minorityFigureFigureThe Association of American Medical Colleges 2018 Physician Workforce data state that 4.5 percent the 44,000 U.S. emergency physicians identify as Black and 2.1 women. (https://bit.ly/3mIgXO0.) What these numbers don't convey is lived experience complexity being a minority in medicine. This narrative often sold separately, piecemealed into singular concerns race or gender inequality for systems to digest. For women medicine, however, there compound effect....
John Lewis, race: Rep. Lewis at a voting rights march in Boston 2005.FigureOnce mere buzzwords, the principles of diversity, equity, and inclusion (DEI) have become drivers institution-wide accountability. Now hospitals, health care organizations, academic medical centers are being appraised by their commitment to DEI efforts antiracism. Oversight lands squarely on shoulders EM departmental leadership. These strategic plans hybrid data analysis subcommittee recommendations most cases....
Figure: upstanders, racismFigureWatershed moments in our daily practice help frame physician experience and lend context to why we chose medicine. These landmarks occur such a way that singes every detail into memory banks. Among all critical experiences, the negatives are extrusive tend have profound emotional impact can last over an entire career. Other less prominent experiences anchored by uncomfortable milestones eventually become proxy psychological triggers. For many emergency...
Figure: racism, microaggressionsFigureFrom an aerial view, the field of emergency medicine appears quiescent, but up close, specialty is slowly shifting for better. These methodical movements come on heels a specialty-wide heightened awareness issues pertaining to race, equity, and justice. Once considered taboo in common working spaces, discussion making inroads normalizing culture antiracism. We must recognize, however, that this inflection point relative; it nadir, not crest. In fact, our...