In this episode the residents confront specific biases that are held about patients with asthma and how structural racism contributes to the manifestations of disease.  Renowned allergist- immunologist, associate chair of research in the Department of Population Health, and director of the Center for Health and Environment at Dell Medical School, Dr. Elizabeth Matsui shares her extensive knowledge on environmental exposures in asthma and the structural factors that contribute to existing health disparities.  The listeners will be challenged to consider the preconceptions that they have when treating patients with a particular diagnosis.

Episode 4 Resources

Challenging biases

OSU 21-day Anti-racismChallenge: https://wexnermedical.osu.edu/about-us/anti-racism-initiative

Words Matter: An Antibias Workshop for Healthcare Professionals https://www.mededportal.org/doi/10.15766/mep_2374-8265.11115

Equity vs. Equality in Asthma Care

Role of Financial and Social Hardships in Asthma Racial Disparities https://pediatrics.aappublications.org/content/133/3/43 

A review of equity issues in quantitative studies on health inequalities: the case of asthma in adults https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-11-104 

Racial Disparity and Asthma Related Outcomes https://www.sciencedirect.com/science/article/pii/S2213219818305464

In the episode we focus on the topic of listening. We explore the barriers to truly listening to our patients and their families and explore strategies to overcome those barriers. We reflect on how bias limits our ability to be open and really hear what patients, especially patients of color, are trying to tell us. We welcome patient representative and advocate, Lorena Martinez, who discusses her experiences and advice for pediatricians. We share tools for our audience to begin to become better listeners today.

Episode 3 Resources

The Ally Nudge is a text message subscription that helps users continue doing the work to be an ally to the Black community, all via text. https://www.nudgetext.com/ally

In this episode we talk about the societal, cultural and psychological impact on trainees, staff and patients of being a bystander in a medical training environment. We are fortunate to have the expertise of Dr. Jewel Mullen, M.D., MPH, Associate Dean for Health Equity at the Dell Medical School and associate professor in UT-DMS’s Population Health and Internal Medicine departments, as well as Dr. Tina Ward, board certified Family Practice physician and current President of ABPA, Austin’s Black Physician Association which is dedicated to the health and education of the African American and under-served communities in Central Texas. Our discussion encourages listeners to challenge complacency and strive towards a work culture that prioritizes speaking out against injustices, microaggressions and blatant acts of racism in the workplace and otherwise. 

Episode 2 Resources

Read: 

Combating Racism: The Role of the Pediatrician  https://www.nature.com/articles/s41390-020-01345-x

5 Ways to Combat Racism and be an Ally to African Americans in the Health Care Setting https://thedo.osteopathic.org/2020/06/5-ways-to-combat-racism-and-be-an-ally-to-african-americans-in-the-health-care-setting/

Helping families navigate race issues should be an ongoing conversation

https://www.aappublications.org/content/36/8/11

The Impact of Racism on Child and Adolescent Health: 

https://pediatrics.aappublications.org/content/pediatrics/144/2/e20191765.full.pdf?utm_content=76784370&_hsmi=76784370&utm_campaign=Physician%20Connection&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz–p2DT6hK5NALMqps3cQUm_0gdFluRhVrUkvfiKgudpBlM7ioTz5wfUcv8193kg3b3VYesN

Talking to Kids about Racial Bias

https://www.healthychildren.org/English/healthy-living/emotional-wellness/Building-Resilience/Pages/Talking-to-Children-About-Racial-Bias.aspx

Teaching Antiracism to the Next Generation of Doctors

https://www.scientificamerican.com/article/teaching-antiracism-to-the-next-generation-of-doctors

Take: Implicit Bias test:

https://implicit.harvard.edu/implicit/takeatestv3.html

Watch:

The Bystander Effect: Why Some People Act and Others Don’t 

Medicine Grand Rounds: From Bystander to Upstander: Advocacy Through Action 2/4/2020

https://www.youtube.com.mcas.ms/watch?v=YsfvDAeMqdI

Contemplate and consider: 

In this episode we consider how to talk about race and racism with our patients, and identify tools we can use in the office and share with our families. We welcome UT Austin Faculty, Dr. Germine Gigi Awad and Dr. Kevin Cokely, to share their personal experiences and professional expertise as parents, educators and leaders. Our discussion spans the ages from preschool to adolescence, and listeners will come away with practical tips and strategies, as well as resources to explore.

Episode 1 Resources

For physicians:

Websites for starting the Conversation:

• Anti-Racism Action Guide: Talking with Pediatric Patients about Race Everyone within a position of power in healthcare 
• Addressing racism with patients: How pediatricians can promote health, healing | American Academy of Pediatrics 

Podcast:

• Talking Pediatrics podcast, a clinical podcast by Children’s Minnesota | Children’s Minnesota  Equity Actions: Talking To Patients and Families About Race

For Patients & Families:

Books for Kids:

• Talking to Kids about Racism and Justice – Oakland Library.pdf (spfldpsychologicalcenter.com)
• Parent Resources
•  Anti-Racism for Teens (YA) – Austin Public Library

Austin Anti-Racism e-Bookclub:

• Book Club — Austin Allies

Media for Kids:

• Common Sense Media: Age-Based Media Reviews for Families

Other Valuable Websites:

• The Conscious Kid
• Teaching Tolerance | Diversity, Equity And Justice
• How to Talk with Children about Hate Speech – Presented by the Equal Justice Society (talktokids.net)
• https://www.pbs.org/parents/talking-about-racism