Healing Ethno-And Racial Trauma (HEART) Workshop, 1/21

CCHE encourages you to Save the Date of Thursday, January 21st for a Healing Ethno-And Racial Trauma (HEART) Workshop by Dr. Chávez-Dueñas and Dr. Adames and the Chicago-based IC-RACE team.

This is part of a larger HEART Community of Practice (CoP) developed by Dr. Alyssa M. Ramirez Stege from the UW Department of Counseling Psychology and Evelyn Cruz from Centro Hispano to bring together bilingual mental health supports from across the Madison area to discuss how this and other models of radical healing could look in our community. If you are interested or know of people who would be interested in being part of this community of practice, check out these links in English and Español with brief descriptions of the group.

You do not have to be a part of the HEART CoP to attend the workshop on 1/21! Save the Date and register for the HEART Workshop: THURSDAY, JAN 21st, 2021 from 9:00-12:00 pm CT

After registration, the organizers will follow up with Zoom links and calendar invites to the event.

Learn more:

Thank you to CCHE Assistant Director Dr. Stephanie Budge for sharing!

Utah Advanced Course on Mentoring, Leadership, and Cancer-related Health Disparities

CCHE would like to alert you to a cancer-related health disparities training course for junior faculty ~

This new NCI-funded training course for NCI-funded junior faculty ‘NCI Awardee Skills Consortium (NASDC)’ is entitled “Utah Advanced Course on Mentoring, Leadership, and Cancer-related Health Disparities.

Below is a brief overview:

  • Target trainees. The target participants are junior faculty with a NCI K, R00, R21 or first R01 equivalent awards.
  • The course will focus on these educational domains:
    • 1) Enhancing Mentoring Skills
    • 2) Strengthening Leadership Capacity
    • 3) Leveraging Cancer-related Databases and interventions to investigate health disparities. Prior experience in databases not required.
    • 4) Grant Development (mock study section, strategies to develop first R01 awards based on K awards, responding to reviewer comments for grant resubmission)
  • Course format will be online from 9:00am – 12:00pm Mountain Time on the following dates (February 22, 23; March 1, 2, 8, 9). There are no fees for the course.

See the course flyer for additional details: NASDC_Utah_flyer_2020-11-23_pm (PDF)

Applications are due by December 14, 2020. Please encourage junior faculty to apply via the course application portal.

Thank you to CCHE Associate Director Angela Byars-Winston for sharing.

Stroke Prevention with the Oneida: Building Successful Tribal Academic Research Partnerships

At the October 19, 2020 Population Health Science (PHS) Monday Seminar, Dr. Robert Dempsey presented “Stroke Prevention in the Wisconsin Native American Population: The Combined Roles of Science and Medicine in Population Health.”

Dr. Dempsey is a Professor of Neurosurgery at UW-Madison and has made significant contributions improving health around the globe. He currently leads the ‘Stroke Prevention in the Wisconsin Native American Population’, a tribal-academic partnership with support from the Wisconsin Partnership Program.  This project, drawing on expertise in the UW School of Medicine and Public Health and the Oneida Comprehensive Health Division, established a prevention program that aims to decrease the risk of stroke, vascular cognitive decline, and vascular deaths and disability in the Wisconsin Native American population.

The PHS seminar highlighted Dr. Dempsey’s extensive global health experiences and how these were intentionally drawn on to approach the Oneida community. Dr. Dempsey emphasized the importance of active listening – to involve the individuals who are subjects of interest and wait for an invitation to work together around mutual priorities. When one is invited, he noted, you’re welcomed. He drew parallels about the approach to global health work and to work with sovereign nations within the United States.

CCHE and Dr. Carey Gleason of the Wisconsin Alzheimer’s Disease Research Center (ADRC) served to link Dr. Dempsey to Oneida colleagues and lent to the writing of the 2018 WPP application. CCHE also facilitated connections to our colleagues in the UW Native American Center for Health Professions (NACHP). Ms. Melissa Metoxen is a community and academic support coordinator with NACHP and a member of the Oneida Nation. She acted as a liaison for this project, introducing Dr. Dempsey’s team to the Oneida Medical Director, Dr. Ravinder Vir and Health Division Director Debbie Danforth.

Ms. Metoxen reflected on Dempsey’s team approach and how it helped get the project greenlit by the Oneida:

Dr. Dempsey’s team were transparent about what they wanted to do and how they wanted to do it. I connected them to our Oneida Medical Director and Comprehensive Health Director and they were interested in learning more. Stroke is a concern in our population the Directors understood this research could directly benefit our community.

As part of the process of getting research approved within the Oneida community, Dempsey’s team presented to the Oneida Business Committee. In making that case, they were successful by highlighting all their prior stroke work, providing ample information, recognizing Melissa as a project liaison, and being very clear and straightforward about their plans. The support of the Oneida Health Directors was also helpful.

Even before the project was approved, Dr. Dempsey included information about how they would go about developing the project together. It was really a partnership and he understood it would be a process. His commitment to the research and it benefiting our community is refreshing to see.

Dr. Dempsey presented on this project at the Population Health Sciences Monday Seminar in October 2020 and the video capture can be accessed here: https://uwmadison.box.com/s/chfct382wc86zpjbbko9z7mwzmwojggl

Research team photos courtesy of Stephanie Wilbrand, PhD

2020 Advancing Health Equity & Diversity Pilot Awards

The 2020 UW ICTR Advancing Health Equity and Diversity (AHEAD) Pilot Program will award grants to three UW investigators conducting health disparities research with underserved populations.

The AHEAD initiative is a program of the ICTR Collaborative Center for Health Equity and engages participants from multiple fellowship & postdoctoral training programs in the School of Medicine and Public Health (SMPH) as well as other early stage investigators pursuing health equity research across the UW campus. Stephanie Budge, PhD, serves as AHEAD Program Faculty Director. Budge notes:

Stephanie BudgeWe were excited to receive the highest ever number of responses to the 2020 AHEAD pilot RFA! AHEAD is committed to providing constructive and supportive mentoring across our programming. For our next cycle of AHEAD Pilots, we plan to offer additional preparatory resources in order to prepare all applicants for award eligibility and submission requirements.

The 2020 project areas span the lifecourse, from looking at social media usage and bullying among Latinx and Black youth to resource utilization by dementia caregivers in the Oneida Nation. Awardees are:

  • Mollie McQuillan, PhD, Assistant Professor, Educational Leadership and Policy Analysis, School of Education
    Mentor: Stephanie Budge, PhD
    Research: Investigating the Work Experiences and Health of Trans Workers in K-12 Schools
  • Alvin Thomas, PhD, Assistant Professor, Human Development and Family Studies, School of Human Ecology
    Mentor: Janean Dilworth-Bart, PhD
    Research: Social Media Use and Parent Interruption: Expanding Considerations of Positive Youth Development
  • Mary Wyman, PhD, Advanced Fellow in Geriatrics, Madison VA GRECC
    Mentor: Carey Gleason, PhD
    Research: Understanding Resource Utilization by Dementia Caregivers in the Oneida Nation

Christine Sorkness, PharmD, Associate Director of CCHE adds:

We’re thrilled with the number and variety of applications submitted in this cycle and are so grateful to our esteemed panel of expert reviewers from across campus disciplines. It was inspiring to see so much interest in the AHEAD opportunity to fund health equity research projects and we had quite a difficult task narrowing down the awardees. In parallel, we were pleased to issue 2020 COVID-19 Response Grant Awards that ICTR supported with the Wisconsin Partnership Program (WPP).

Congratulations to all awardees!

See more about the previously funded AHEAD Pilot Projects.

Community Guidelines for Engaging with Researchers and Evaluators

A community resource authored by Ms. Evelyn Cruz, the Director for Program Development and Evaluation at Centro Hispano in Madison, Wisconsin, and Dr. Lori Bakken, a Professor in the Civil Society and Community Studies department and Evaluation Specialist for the Division of Extension at the University of Wisconsin-Madison.

File: Community-Guidelines-for-Engaging-with-Researchers-and-Evaluators_May-2020.pdf

Community Resilience & Healing during COVID-19 Webinar Wed., 5/20

CCPH May 20 webinar

CCPH May 20 webinar

Join the weekly Community-Campus Partnerships for Health (CCPH) Webinar Series this Wednesday ~

This Wednesday, May 20 from 12-1:00pm CST, the webinar will focus on Community Resilience & Healing during COVID-19. During this session, guest speakers will share from their work how we can understand the factors that promote community resilience during COVID-19 and lessons learned about community healing in past traumas.

The speakers are:

  • Kira H. Banks, PhD, Associate Professor, Clinical Program, Department of Psychology at Saint Louis University, CEO of Raising Equity
  • Alonzo L. Plough, PhD, MPH, MA, Chief Science Officer and VP of Research-Evaluation-Learning at the Robert Wood Johnson Foundation
  • Alice Schenall, MPH, MCHES®, CDP, Director of Quality Improvement, Rural Health Group, Inc.

Register here.

Community-Campus Partnerships for Health and the Center for Health Equity Research at the University of North Carolina have partnered to launch the webinar series, Communities in Partnership: Ensuring Equity in the Time of COVID19.

New R21 Award from NHGRI for Susan Passmore, PhD

Susan Passmore

Susan PassmoreCongratulations are in order for CCHE Assistant Director Susan Passmore!

Dr. Passmore has been awarded a R21 grant from the National Human Genome Research Institute (NHGRI) for her project, ‘Feasibility of an Innovative Method to Understand the Dynamics of Choice and Create Diversity in Genomics Research among Older African Americans.’

Despite the existence of substantial health inequities, African Americans continue to be underrepresented in genomic research that addresses the underlying diseases. This study will test the feasibility of an innovative method to gauge how multiple factors interact to influence the decision to participate in research.

The research team will examine a range of study “attributes” (scope of consent required, diversity of the research team, research goal, and institutional affiliation), to determine the relative importance of each in the decision to participate in research and the symbolic construction of trustworthiness. Dr. Passmore notes,

The goal of our study is two fold. First, we want to create a more accurate and actionable understanding of the challenges of genomics research engagement. Second, we hope that this information will allow us to develop an effective and simple, mobile-based methodology that can be used to test the feasibility/acceptability of research designs attributes prior to recruitment for a wide range of studies.

Dr. Passmore developed the methodology for this project during her previous work with the University of Maryland Center for Health Equity and published on it earlier this year in Public Health Genomics. Read the ‘I’m a Little More Trusting’ piece here. Look for an article on the specifics of the methodology in an upcoming issue of Field Methods.

Collaborators on the R21 project include CCHE Faculty Director Dorothy Farrar-Edwards, CCHE Research Ambassador Tyson Jackson, and Center for Community Engagement and Health Partnerships (CCEHP) Director Gina Green-Harris from UW-Madison; and Stephen B. Thomas and Gregory R. Hancock from University of Maryland, College Park.

Dr. Passmore and team anticipate that data collection will begin in Fall 2020 as research activities resume. Congratulations, all!

Racism Against Physicians of Color Continues

Dr. Damon Tweedy, a psychiatrist and professor at Duke University, authored the book, Black Man in a White Coat, in which he describes a medical system that includes not only unequal treatment of patients, but of the physicians themselves…a system that can be “just as sick as its patients.”

A new publication authored by SMPH scholars Drs. Amy Filut, Madelyn Alvarez, and Molly Carnes in the Journal of the National Medical Association documents “workplace discrimination experienced by physicians of color, particularly Black physicians and women of color.” Such discriminatory experiences included not only refusal of care by patients, but discriminatory interactions with their White health provider peers, consistent with experiences documented by Dr. Tweedy.

Their systematic review of empirical studies revealed that the discrimination physicians identifying as Black, Latinx, Native American or Alaska Native, Asian, Native Hawaiian, or other Pacific Islander experience negatively affected not only their career, but also the physicians’ health as well. The authors did not find any published studies that evaluated interventions to reduce discrimination against physicians of color in the workplace. Angela Byars-Winston, Professor of Medicine and CCHE Associate Director comments,

The reality is that racism in medicine and health care has paralleled racism in Angela Byars-Winstonsociety. And we know that racism doesn’t just happen passively; there are systems and mindsets that actively reinforce the many forms that racism takes from implicit and explicit biases to outright discrimination. Something needs to be done with intention to ensure a respectful and healthy workplace for physicians of color.

Recognizing the need to address workplace challenges for physicians of color, Byars-Winston joined CCHE Senior Associate Director Christine Sorkness (Professor of Pharmacy) to collaborate with SMPH leaders in creating a new program in 2019, Building Equitable Access to Mentorship (BEAM). BEAM connects trained faculty mentors with medical students from under-represented racial/ethnic groups in medicine. The primary goal is to support student talent development by building self-efficacy for degree completion and skills to navigate cultural diversity dynamics that can arise in their career progression as emerging physicians of color.

An important outcome of BEAM has been the community of practice amongst the faculty mentors themselves, most identified as physicians of color, who are finding mutual support and sharing strategies for thriving in academic medicine, including addressing bias and discrimination. Byars-Winston adds,

We have to be honest; the workplace is the people; the climate is the people. It’s easier to use generic words like “workplace” and “climate” than to call out individuals. But transforming and improving the workplace means that individuals have to change. While we are working on improving the behaviors of majority group members, we can facilitate the persistence of those individuals from underrepresented backgrounds.

Additionally, Robert N. Golden, UW-Madison’s Dean of the School of Medicine and Public Health, notes,

Dean GoldenThe article by Dr. Carnes and her colleagues shines light on a very ugly truth: physicians of color are subjected to discrimination in the workplace.  This completely contradicts the fundamental values of medicine in general, and academic medicine in particular.  I wish we could say that our School of Medicine and Public Health is immune from this illness….but that is not the case.

We are dedicated to evolving as a national leader in promoting a fair, equitable, and just workplace for all.  We hope the entire SMPH community will embrace this challenge and participate in our commitment to Building Community.

The UW Collaborative Center for Health Equity shares the conclusions reached in the new article by Dr. Filut and her colleagues and the sentiments of Dr. Byars-Winston and Dean Golden. We recognize and support the value added of the BEAM program to advance an inclusive and excellent diverse medical workforce and appreciate the SMPH efforts towards Building Community.

Find the JAMA article here.