A5091120434- Racial and Ethnic Identity Research
- Migration, Health and Trauma
- Race, Genetics, and Society
- Cultural Competency in Health Care
- Medical Education and Admissions
- Innovations in Medical Education
- Diversity and Career in Medicine
- Obesity and Health Practices
- Chronic Kidney Disease and Diabetes
- Birth, Development, and Health
- Demographic Trends and Gender Preferences
- Sex and Gender in Healthcare
- Primary Care and Health Outcomes
- BRCA gene mutations in cancer
- Renal Diseases and Glomerulopathies
- Ethics in Clinical Research
- Child and Adolescent Health
- Healthcare Policy and Management
- Healthcare professionals’ stress and burnout
- Impact of Technology on Adolescents
- Environmental Justice and Health Disparities
- COVID-19 and healthcare impacts
- Dialysis and Renal Disease Management
- Healthcare cost, quality, practices
- Genetic Associations and Epidemiology
University of Connecticut
2022-2024
Middlesex Hospital
2023-2024
Middlesex London Health Unit
2024
Family Medicine Residency of Idaho
2024
Yale University
2020-2023
Office of Extramural Research
2023
The brutalisation of Jacob Blake and murders George Floyd, Breonna Taylor, Ahmaud Arbery, Tony McDade, countless others—coupled with horrifying statistics about the disproportionate burden COVID-19 on Black Brown communities—have forced USA world to reckon how structural racism conditions survival. Although clinicians often imagine themselves as beneficent caregivers, it is increasingly clear that medicine not a stand-alone institution immune racial inequities, but rather an racism. A...
Standard equations for estimating glomerular filtration rate (eGFR) employ race multipliers, systematically inflating eGFR Black patients. Such inflation is clinically significant because thresholds of 60, 30, and 20 ml/min/1.73m2 guide kidney disease management. Racialized adjustment in Americans may thereby affect their clinical care. In this study, we analyze extrapolate national data to assess potential impacts the on qualification diagnosis, nephrologist referral, transplantation...
Latinx (im)migrant groups remain underserved by existing mental health resources. Past research has illuminated the complex factors contributing to this problem, including migration-related trauma, discrimination, anti-immigrant policies, and structural vulnerability. This paper uses decolonial-inspired methods present analyze results from two studies of communities in central California southern Connecticut United States. Using mixed quantitative qualitative analysis, we demonstrate...
Race-based practices in medical education and clinical care may exacerbate health inequities. Misguided use of race popular point-of-care decision-making tools like UpToDate® promote harmful race-based medicine. This article investigates the nature mentions Black/African American UpToDate®.
Recent controversies over the characteristics of "professionalism" and its enforcement by medical educators underscore racialized gendered norms implicit in this practice. In essay, we describe ways nebulous definitions imbue White, cisgender, straight, able-bodied standards to police boundaries belonging medicine. As such, marginalized trainees remain unfinished sculptures, forced chisel away dimensions experience expression conform "professional" standards. We seek resculpt professionalism...
Introduction In 1999, researchers introduced a Black race coefficient of 1.21 to the estimated glomerular filtration rate (eGFR) on basis observation that participants who self-identified as had 21% higher measured GFR after controlling for age, sex, and serum creatinine than those did not self-identify Black. Use this mitigated underestimation bias among individuals overestimation non-Black in study population, but consider confounding from socioeconomic structural factors, problematic...
This cross-sectional study examines the representation of darker skin phenotypes in tools used by students preparation for medical licensure testing.
Epigenetics has generated excitement over its potential to inform health disparities research by capturing the molecular signatures of social experiences. This paper highlights concerns implied these expectations epigenetics and discusses possible ramifications 'molecularizing' forms suffering currently examined in studies. Researchers working with oppressed populations-particularly racially marginalized groups-should further anticipate how their results might be interpreted avoid fueling...
Medical students preparing for the United States Licensing Exam (USMLE) Step 2 Clinical Knowledge (CK) frequently use UWorld CK Question Bank (QBank). Over 90% of medical QBanks to prepare at least one USMLE. Although several questions in QBank mention race, ethnicity, or immigration status, their contributions remain underexamined.
Potentially traumatic experiences have been associated with chronic diseases. Epigenetic mechanisms, including DNA methylation (DNAm), proposed as an explanation for this association. We examined the association of trauma epigenome-wide DNAm among African American mothers (n = 236) and their children aged 3-5 years 232; N 500), using Life Events Checklist-5 (LEC) Traumatic Screening Inventory-Parent Report Revised (TESI-PRR). identified no sites significantly potentially experience scores in...