Diversity, Inclusion and Equity

Diversity, inclusion and equity (DEI) are not simply academic buzz words to us. The Prisma Health Internal Medicine-Pediatrics residency program believes DEI is *necessary* to train physicians to deliver exceptional, culturally-compassionate care for diverse populations, whether it be differences in age, ethnicity, race, religion, sexual orientation, sex, gender identity, physical ability or socioeconomic background. During 2020-2021, the ongoing global pandemic which amplified deeply-rooted health inequities and the Spring 2020 AAP ROME Visiting Professorship with pediatrician and community advocate, Dr. Rhea Boyd, have further reinforced our program’s resolve to fiercely advocate for diversity, equity, inclusion and highlighted the urgency of these initiatives. Our Med-Peds, Internal Medicine and Pediatric leadership are heavily involved in the Graduate Medical Education DEI subcommittee, meeting monthly and making system-wide initiatives and our Med-Peds residents have become vocal champions of inclusive excellence and diversity of all types.

Our Med-Peds program strives to recruit diverse residents reflective of the community we served. Currently, 40% percent of our residents are minorities and, of those, 30% are underrepresented in medicine. Our diverse resident classes share new ideas, lived experiences, and unique perspectives that have improved our resident training and overall patient care.

We recognize diversity is not about our numbers or percentages. We are striving to build and update our anti-oppressive curriculum and diversity/inclusion/equity initiatives every day. Below are specific initiatives and recent accomplishments, arranged under the Six Pillars as delineated by the University of California – San Francisco – Differences Matter Campaign.

1. LEADERSHIP

  1. Leadership Priority – Our Med-Peds and categorical leadership are all involved in the Prisma Health GMEC DEI Subcommittee who meet monthly to create system-wide DEI changes. We helped coordinate and participated in the 2021 DEI Virtual Open House on Sept 11th and Sept 14th. Dr. Sarah Hinton, our current Med-Peds program director, works with our adolescent and LGBTQ populations and provides gender-affirming care for transgender and gender-diverse youth alongside Michael Guyton-Nunley (See Education). Senthuran Ravindran, our current Med-Peds Associate Program Director, drafted a resident and faculty GMEC award called the Justice, Equity, Diversity, Inclusion (JEDI) award, pending further review and approval.
  2. Focus on Faculty development – Discussions about Safe Zone and Inclusion bias training as well as upstander training for all faculty members especially those performing interviews.
  3. Collaborative curriculum planning – We seek out resident input including DEI topics weaved throughout didactics, noon conferences, workshops, and journal clubs.
  4. GME Resident DEI Committee and Categorical Program DEI Task forces – Med-Peds residents are deeply involved in the respective Internal Medicine and Pediatrics DEI Committee and the GME Resident DEI Committee, which is composed of residents representatives from each specialty. They make up two residents on each of these committees.
  5. USC-SOM Greenville leadership Marjorie Jenkins, the Dean of the USC-SOM Greenville, and Dr. Julie Linton, the Associated Dean of Admissons for the USC-SOM Greenville are both strong advocates for DEI initiatives. Dr. Linton also serves as the Medical Director of PASOS, which empowers the Latino community and providers. She helped plan the AAP Rome Visiting Professorship May 2021 and is a national authority in the Immigrant Health.
  6. Resident Leadership – Numerous Med-Peds residents are deeply involved in DEI efforts throughout our health system and categorical sides. They have contributed to multiple DEI subcommittees and taskforces. We made up a large proportion of the resident champions as part of the Spring ROME Visiting Professorship. We mentored numerous medical students about clerkship transition. Residents have also appeared on the news and radio as a form of media advocacy.

2. EDUCATION

  1. Adolescent Medicine Rotation and LGBTQ Patient Care Collaborative Mike Guyton-Nunley, Prisma Health Med-Peds Class of 2014, serves as the medical director of the Prisma Health Division of Adolescent Medicine and Adolescent Medicine Rotation Director. His training affords him expertise in all things teenager and young adult, including reproductive health, sexual health, management of eating disorders, care of the LGBTQ population, including PREP and pubertal suppression. He delivered an amazing presentation at SC-AAP August 2021 entitled “Topics in Adolescent Medicine Topics: Exploring PrEP and Transcare in Adolescents and Young Adults” and helped moderate out August 26th journal club discussing the primary care considerations for transgender and gender-diverse youth. Dr. Sarah Hinton, also Med-Peds Class of 2014 and current Med-Peds program director, is passionate about this topic and works very closely with Dr. Guyton-Nunley
  2. Advocacy Opportunities – These opportunities are weaved into the longitudinal advocacy curriculum in Pediatrics and integrated advocacy opportunities through the Internal Medicine Clinics. Residents can also spend time at the Bradshaw Institute for Community Child Health and Advocacy.
  3. AAP Rome Visiting Professorship (May 2021) – This three day visiting professorship with Dr. Rhea Boyd, MD, MPH, FAAP was galvanizing to our Med-Peds and Pediatric programs. Two of her sessions covered the “School to Prison Pipeline: Highlighting South Carolina Specific Needs” and her Grand Rounds: “Ant-Racist Imperative for Medicine: On Racism and Child Health.” Many of resident and faculty champions were Med-Peds and we all meet every two months to continue to work toward short and long-term goals we created after this event.
  4. Internal Medicine Grand Rounds – Internal Medicine Grand Rounds has covered various DEI topics. There was a moving and timely Internal Medicine Grand Rounds with Dr. Utibe Essein, MD, MPH entitled “Antiracism and the Academic Medical Center” on 11/2020 and there was a grand rounds on the COVID’s disproportionate affect to the incarcerated patient populations late September.
  5. Med-Peds Conferences and Workshops – There are multiple examples of covered DEI topics. There have been Med-Peds and IM sessions evaluating your implicit bias and addressing microaggressions. Dr. Meredith Eicken, Internal Medicine Program Director, includes social determinants of health segments in everything she teaches. Dr. Senthuran Ravindran delivered a Dermatology Board Review and explored how skin pathology presents differently on highly-pigmented skin. We had an amazing Fall 2018 Workshop that tackled the Social Determinants of Health Panel which included Dr. Angela Perez, who is conducting DEI research for the system. Our most recent Fall 2021 Workshop which had a novel Bystander Training session using standardized patients at the state-of-the art USC-SOM Greenville Stimulation center.

3. CLIMATE AND RECRUITMENT

  1. Faculty mentorship – Frequent check-ins and early career mentorship from our community Med-Peds faculty
  2. Virtual Open houses and Second-look events – We coordinated a GMEC DEI Virtual Open Houses this year. We have been involved in Med-Peds URM open houses and Second-look events during the last two interview seasons with this virtual interview format.
  3. Social media promotion – Profiling DEI events and initiatives on our Prisma Health Instagram page – @phu_medpeds
  4. USC-SOM Greenville Med-Peds Interest and Affinity Groups – residents have the opportunity to mentor medical students and speak at these interest/affinity group meetings
  5. Holistic Application Review –Holistic review of resident applicants modeled after the USC-SOM Greenville selection process. Notably, 27% of the incoming USC-SOM Class of 2022 self-identifies as underrepresented in medicine.

4. CLINICAL CARE

  1. Black/African American, Latinx and Underserved Populations – The Center for Pediatric Medicine (CPM) and the Internal Medicine Clinics (IMC) continuity clinic sites afford residents ample opportunity to serve diverse populations. CPM is the largest Medicaid clinic in the state with more than 90% of out patients covered by Medicaid with additional approximately 5% uninsured. Interested residents have the opportunity to get involved with quality improvement or other research projects in this area. Our IMC population is composed of approximately 40% Black/African American, 4% Hispanic/Latinx, 50% White patients while our CPM clinic is composed of approximately 30% Black/African American, 40% Hispanic/Latinx and 30% White patients. The numbers have been skewed by virtual visits during this pandemic. In CPM, 28% of patients are Spanish-speaking but notably 28 primary languages other than English are represented. CPM also hosts a bimonthly clinic for children in immigrant families with medical complexity and wil also be serving as a temporary medical home for unaccompanied immigrant children in a transitional foster care program that began the Summer of 2021.
  2. Adolescent Medicine Rotation and LGBTQ Patient Care Collaborative – Discussed above under Education.
  3. Bilingual Employee Translator Program– Residents who are proficient in Spanish can become certified to act as their own interpreter.
  4. Global Health OpportunitiesThere are numerous Prisma Health Med-Peds Global Health Opportunities with longitudinal relationships and infrastructure forged in Brazil, Guatemala and Africa

5. RESEARCH

  1. Approachable, collaborative subspecialists – Residents can find primary physicians, hospitalists and subspecialists who are passionate about DEI work and can serve as mentors.
  2. Quality Improvement Projects – Many of the Med-Peds residents have chosen to conduct QI projects on the inpatient and outpatient settings explore health inequities and other DEI topics
  3. Media advocacy opportunities – Amaka Ofodu, Med-Peds Class of 2023, appeared on our local news educating viewers about COVID vaccine safety and discussing the more equitable distribution of the COVID vaccine. Alex Perez, Med-Peds Class of 2024, spoke on a local radio to discuss the pandemic and his experiences as par of a community education and advocacy initiative of PASOs.

6. PIPELINE/OUTREACH/PATHWAY

  1. Levi S. Kirkland Society – Founded in 2010, the mission of the Levi S. Kirkland, Sr. MD Society (LSK) is to collaborate with various stakeholders including medical school faculty, partner health system attending physicians, resident physicians and administrators in order to promote mentorship and scholarship for the School’s students who identify as Black/African American. The LSK assists with recruitment, retention, advising and mentoring of students while seeking to improve the health and wellness of communities by increasing awareness and addressing disparities in health.
  2. Hispanic Medical Society – Founded in 2015, the Hispanic Medical Society is a physician-led Business Resource Group of Prisma Health-Upstate and serves to improve the health of all Hispanics and underserved communities and works to advance diversity in medical education with a focus on mentorship and recruitment and retention of students who identify as Hispanic/Latinx into and throughout medical school. The mentorship program began in 2017.
  3. MedEx Academy – MedEx Academy is a public/private partnership with academic institutions (K-12 and higher education), local and regional communities, philanthropic and other organizations. It is a key component of the School’s commitment to recruiting a diverse student body and represents an important component of workforce development efforts to attract younger people into the health care career pipeline
  4. PreMEd Partners Pathway (P3) Program – The P3 program at the UofSCSOMG was created to increase the number of underrepresented students entering the medical school, thereby diversifying the type of physicians entering the South Carolina workforce. The P3 program is designed to identify, educate, and prepare underrepresented undergraduate students from SC colleges and universities to successfully enter and matriculate through the UofSC SOMG. P3 will provide longitudinal mentorship, formal guidance on the application process, summer research, summer educational programs (e.g., MedEx, SURD), test prep, and other resources to participating undergraduate students.
  5. USC-SOM Greenville interest and affinity groups – Med-Peds Interest Gro up members and numerous SOM interest groups such as Student Advocates for Diversity, Inclusion, and Equity (SADIE), Student National Medical Association (SNMA), Latino Medical Student Association, StudentLGBTQ Health Interest group, and more.
  6. Framing Your Future – Dr. Amaka Ofodu, Med-Peds chief resident elect 2022-2023, created the mentorship series, “Framing Your Future,” a resident-led panel discussion providing opportunity for initiation of mentorship between underrepresented residents and medical students currently in clinical rotations.
  7. AAP Pediatric Pipeline Program Grant recipient – Brittany Williams, PGY3 Pediatric resident and faculty mentor and Med-Peds APD, Dr. Sen Ravindran, were awarded his grant 10/2021 for their proposed Spring Pediatric Youth Immersion Camp of the Upstate (PYICU) program.
  8. Pediatric Underrepresented in Medicine (URM) Visiting Student Scholarship – created by the Pediatric Residency program to fund travel and housing costs incurred by visiting underrepresented in medicine MS4 students.

IMPORTANT WEBSITES:

For more information or questions, please contact our Associate Program Director, Senthuran Ravindran –senthruan.ravindran@prismahealh.org. He can facilitate meetings or mentorship opportunities with former graduates and current residents