Today residents at Hillcrest and the VA took a moment to celebrate pride month and honor the LGBTQ+ Community. It is a privilege to care for LGBTQ+ identifying patients, and as physicians it is our responsibility to advocate for health equity for members of this community. This month, we take time to remember the origins of Pride Month with the Stonewall protests 52 years ago and remind ourselves of the inequities members of the LGBTQ+ Community still face today.
San Diego Pride organizes year-round events. The San Diego Pride Parade is on hold this year given the COVID19 pandemic, but there will be a smaller march on July 11th to demonstrate the resiliency of our LGBTQ+ Community.
UCLA’s Reproductive Health Interest Group (RHIG) Advocacy Committee has created a letter to UC President Michael Drake expressing opposition to UC affiliations with healthcare entities that use religious directives to prohibit the use of contraception, gender-affirming care for transgender people, abortion, and assisted reproductive technology (e.g. sperm/egg donors, IVF). Please click the following link to learn more. You can also sign the letter by clicking this link: https://www.protectcaliforniapatients.com/
Today were very lucky to have renowned Med-Peds clinician educator, Dr Kimberly Manning, present Grand Rounds entitled “I May Be Biased:What Can I Do About It?” Dr. Manning is a professor of medicine at Emory University. Dr. Manning’s academic achievements include numerous teaching awards in both the School of Medicine and the Internal Medicine residency program, and her work has been published in such prestigious journals as the Annals of Internal Medicine, Academic Medicine and the Journal of the American Medical Association (JAMA.)
Dr. Manning encouraged us to evaluate and acknowledge our explicit and implicit biases. Both can affect our behavior and attitude towards others but explicit biases are thoughts we are aware of verse implicit bias are often not in our conscious thoughts. She encouraged us to reflect on our own environments and the things that we do and don’t strongly consider each day. These are the factors that may be impacting our biases. She introduced us to Project Implicit which a self assessment tool that can help us to identify our biases. (link: https://implicit.harvard.edu/implicit/). Dr. Manning shared the results of her assessment with us and encouraged us all to take this excellent assessment. She also encouraged us to be aware of things that may magnify our biases such as distraction, fatigue, huger, high pressure and to be aware of these factors in our daily lives. Things we can do to help check our biases include checking our emotional state, manage known triggers, slow down, tell a trusted college our biases, adjust our schedule to mitigate biases and call ourselves out.
Dr. Manning’s grand rounds was very informative, inspiring and educational. It encouraged us all to evaluate our biases, identify them and she gave us tools to help work towards actively working to mitigate these biases in our daily lives.
How is UCSD moving forward with these required changes? To address the two major efforts of improving access to results and notes, UCSD will be making the following changes in Epic, starting on November 2, 2020: * Move to Open Notes and set clinical notes to be shared with MyChart active patients by default. Providers will still have the ability when writing a note to unclick the Share button prior to signing it, should one of the relevant exceptions under the ONC CURES rule apply. * Expand the types of results made available in MyChart and shorten the time to automatically releasing those results.
This day is traditionally celebrated as the day slaves where emancipated in the United States. As Barack Obama said, this day does not signal victory, but rather progress for those whose basic human rights had been squandered since birth. As we reflect on recent events, we can see that there is still a lot of progress that must be made. In addition to active reflection, we encourage you to look at the resources available at the Justice in June Campaign google doc. There are plenty of short articles and resources to further your understanding and expand your knowledge on the deep seated biases and systemic barriers that affect our marginalized communities!
The San Diego National NMA has created a Taskforce addressing the negative impact the COVID19 pandemic has had on communities of color. This Saturday, June 20, 2020 from 9 – 10:30 AM, they will be hosting a panel of NMA physicians and supporters discussing what is taking place in their communities, specifically addressing concerns regarding health disparities. Please join with the attached link!https://us02web.zoom.us/webinar/register/WN_gCASMHScSbO2dNROdz08eg
Last night we had our kickoff meeting for our RISE (Residents In Solidarity with Emerging leaders) near-peer mentorship program! This is a 12-month program that aims to connect URiM/allied residents with medical students in order to empower and support them throughout their clerkship years and beyond. We had a great meeting last night, check out our photogenic group below! This program could not have come to fruition without the help of UCSD Hispanic Center of Excellence (HCOE), PRIME-HEq, and the Department of Medicine. Also big shout out to Cathy Cichon for creating our logo!