31 Works

Should Place of Death be Added to the Index of Disparities Between Black and White Breast Cancer Patients?

Sarah Marion
Background: Compared to their white counterparts, Black women with breast cancer suffer from earlier onset of diagnosis, higher mortality rates, and are at risk of racial bias from healthcare providers and treatment plans that do not align with the standard of care. Place of death can be considered a metric for high quality end-of-life care as hospital death is associated with both physical and emotional distress. Given Black patients’ particular vulnerability, the purpose of this...

Racial Bias in the Assessment of Pain among HBCU Trainees

Kovosh Dastan
The objectives of our study were to assess whether U.S. medical students and resident physicians (collectively referred to as trainees) at Historically Black Colleges & Universities (HBCUs) – particularly Howard University College of Medicine and Howard University Hospital – displayed any racial bias in the assessment of pain or treatment recommendations; if they held any false beliefs about biological differences between Black and White people; if any of their existing biases and/or beliefs were the...

COVID Vaccine Education Efforts and Uptake Among People Experiencing Homelessness in Charlottesville

Jessica Lin
Objectives: Address questions about COVID-19 vaccination among people experiencing homelessness in Charlottesville before initial vaccine distribution. Methods: As an extension of existing homeless health outreach services, a team of seven University of Virginia medical students and one undergraduate student offered ten educational outreach sessions at three local shelters over two weeks to promote COVID-19 vaccination events and combat vaccine hesitancy and misinformation. These outreach sessions involved 1-2 students approaching shelter guests to discuss their COVID-19...

Telemedicine at the Charlottesville Free Clinic - A Qualitative Study of a Natural Experiment

Rachel O'Brien
At the beginning of the COVID-19 pandemic, essentially all in-person visits at the Charlottesville Free Clinic (CFC) were stopped and telemedicine appointments were offered instead, a care delivery model never before implemented at CFC. This complete switch offered an opportunity to study the impact of telemedicine on the care of the unique free clinic population. We conducted a small-scale qualitative study through semi-structured interviews with both CFC patients and providers. Our study aimed to explore...

Neighborhood-Based Community Health Workers: Addressing Charlottesville’s Healthcare Access Inequity

Betsy Peyton
Introduction to WellAWARE, a neighborhood-based Community Health Worker program that aims to help medically underserved communities overcome obstacles to good health and healthcare. Outlines their core values: (1) Health Equity We believe that equitable health care is a fundamental human right. Our goal is to partner with our clients to overcome their barriers to good health and healthcare, including racism, inadequate public transportation, lack of internet access, and inability to pay. (2) Community-Led We believe...

Hair Loss in Women of Color Toolkit: A step toward closing the gap

Landon Hobbs
Hair loss is a primary reason for women of color to seek dermatologic care. In addition to physical disfigurement, patients with hair loss are more likely to report feelings of depression, anxiety, and low self- esteem. There exists a critical gap in advocacy efforts and educational information intended for this demographic. We investigated the American Academy of Dermatology resources and advocacy efforts and found that none of the six main public programs (https://www.aad.org/public/public-health) nor any...

Differences in treatment and outcomes among racial and highest-attained education level in Peripheral Arterial Disease patients in an imaging study performed at UVA

Helen Sporkin
Peripheral arterial disease (PAD) is a prevalent atherosclerotic disease characterized by atherosclerotic lesions in the limbs. Patients with PAD have been shown to have a delayed phosphocreatine recovery due to chronic ischemia. Patients with PAD may be candidates for revascularization, but outcomes are variable. CrCEST allows for creatine concentrations to be monitored at high spatial resolution, while ASL quantifies perfusion into tissue. We use this combination to assess revascularization in patients undergoing both endovascular and...

A systems immunology investigation of pregnancy immune phenotypic differences between racial groups

Remziye Erdogan
In the United States the non-Hispanic black (NHB) infant mortality rate is more than twice the non-Hispanic white (NHW) rate. Further, NHB infants of US-born mothers have statistically worse birth outcomes than infants born to first-generation US immigrants from Africa, indicating trans-generational influences beyond genetics (epigenetics) that impact neonatal health. A successful pregnancy requires a series of well-timed immunological events to support fetal growth and maintain fetal tolerance, including the balance of pro- and anti-inflammatory...

Compounding Inequity: Structural Racism, Allostatic load, and Implications for Behavior Change

Dawson Brown
The impact of modifiable health behaviors (smoking, alcohol consumption, lack of exercise, etc.) on downstream health disparities has become a subject of magnified interest amongst researchers, practitioners, and policymakers alike. This interest stems from the significant impact that modifiable health behaviors have on the total burden of disease in the United States, with almost 40% of deaths each year attributed to these behaviors. This burden of harmful health behaviors disproportionately impacts Black Americans - as...

Perspectives on Creating an Inclusive Clinical Environment for Sexual and Gender Minority Patients and Providers

Jasraj Raghuwanshi
Background: Sexual and gender minorities (SGMs) face discrimination based on their sexual orientation and gender identity (SOGI). This discrimination permeates healthcare and hinders SGM patients and providers. Objectives: The aim is to determine if discrimination against SGM providers is present in hospice and palliative care (HPC). An auxiliary goal is to determine how to improve HPC for SGM patients. The ultimate goal is to create an inclusive environment for patients and providers. Methods: A convenience...

Multidisciplinary Course on Medical Care for LGBTQ+ patients

Dana Redick
Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) -identified patients comprise a large proportion of the overall patient population: 4.5% in the United States (1). Patients who identify as LGBTQ+ often face unique health risks, requiring an individualized approach to cancer screenings, infectious disease screenings, and vaccinations. LGBTQ+ patients are also more likely to have mental health needs, due to the significant minority stress they experience. Discrimination by healthcare providers and lack of provider knowledge about...

Transgender Community Beauty Event in Charlottesville

Laura Fuhr & Krishna Patel
The estimated transgender population of Virginia is 34,500 (0.55% of the state population). As an academic health center, UVA Health serves a large proportion of transgender patients from Central Virginia. According to recent statistics, approximately 800 transgender patients are served through gender-affirming care clinics at UVA. However, transgender Virginians continue to experience widespread discrimination in both healthcare and daily life. Given UVA Health’s widespread reach in providing gender-inclusive care across Central Virginia, there remains an...

Remote Social Determinant of Health Screening for University Medical Associate Patients

Zuhayr Shaikh
University Medical Associates (UMA) is one of the largest clinics at UVA with 13,000 established patients. The medical group sees over 150 patients per day and over 35,000 visits per year and serves a diverse patient population that experiences many social determinants of health (SDOH). Social determinants of health are nonmedical factors like housing and food insecurity, cell/internet access, access to transportation, feelings of loneliness, and health literacy, that can significantly impact medical outcomes. Despite...

Working with the Monticello Area Community Action Agency to reduce disparities in central Virginia

Ani Chandrabhatla
Introduction: The Monticello Area Community Action Agency (MACAA) is a non-profit organization dedicated to improving the lives of low-income individuals throughout central Virginia. Intervention: As part of the School of Medicine’s “Social Issues in Medicine” curriculum, we engaged in three initiatives to improve MACAA’s operations. First, we completed an asset mapping project to update MACAA’s database of local organizations’ capabilities during the COVID-19 pandemic. Second, we conducted resource analyses to quantify the areas in which...

Data-driven Operation in Fire/EMS

Hezedean Smith
Describes use of data in Charlottesville Fire Department operations including neighborhood risk reduction, response time analysis, unit hour utilization, overtime dashboard, drive-time analysis, call volume analysis , personnel workload, incident heat mapping, patient disposition analysis, turn out time tracking. Analyzes data-driven changes made to Neighborhood Risk Assessment procedures including sending the closest ”appropriate" ambulance to ALS & BLS level calls.

Retrospective Chart Review of Melanoma Outcomes in Non-Hispanic Black Patients and Case-Matched Non-Hispanic White Patients

Nicole Edmonds
Background: It has long been studied that non-Hispanic black (NHB) patients have a lower incidence rate of melanoma but are typically diagnosed at a later stage and have poorer survival rates than non-Hispanic white (NHW) patients. No study has ever compared melanoma outcomes in NHB and NHW patients in our region, however. This study was performed to compare melanoma outcomes in NHB and NHW patients when melanoma depth of invasion is controlled. Methods: A retrospective...

Diversity Representation On Integrated Plastic Surgery Residency Websites

Hannah Jacobs-El
Background: Recruitment and retention of a diverse healthcare workforce is a common residency program requirement as outlined by the American Council of Graduate Medical Education (ACGME). Surgical subspecialties (plastic surgery, orthopedic surgery, etc.) still face longstanding low racial and ethnic representation among healthcare providers. Diversifying the healthcare workforce is paramount to addressing healthcare disparities. Methods: The websites of all integrated plastic surgery programs acknowledged by the ACGME in December 2020 were analyzed. All websites attributed...

Variability in Pulmonary Function Tests (PFTs) Between White and Black Patients is Not Explained by Environmental Impacts

Tiana Walker
Introduction: Training in sensitive discussions, such as the topic of race and discrimination, is necessary to help medical students develop skills to forge meaningful patient-physician relationships. However, there is little consensus about how to implement learning activities to promote skill development for use in clinical settings. A pilot activity incorporating a simulated patient encounter was implemented for clerkship phase students to meet the following learning objectives: practice strategies to reject racism expressed by patients and...

A Medical Student-Run Inpatient Homelessness Consult Service

Jacqueline Carson
Objective: The inpatient homelessness consult service at the University of Virginia was created to provide continuity of care, connect patients to local resources, facilitate safe discharges, and ultimately reduce length of stay, emergency department visits, and readmissions for this vulnerable population. Methods: A specific pager number was generated for the consult service. Any member of the inpatient care team can page a trained student team member once they identify their patient to be experiencing homelessness....

Use of the BEATDiabetes mHealth Program to Improve Glycemic Control in Type 2 Diabetes

Susan Blank
Introduction to the BEATDiabetes program, whose mission is to empower people with Type 2 diabetes and prediabetes to improve their health through the use of clinically proven mobile technology solutions, with a special focus on underserved populations that face barriers to care.

Designing Scalable Syntaxes for Interface-Modifying Digital Self-Control Tool Interventions

R.X. Schwartz & Panagiotis Apostolellis
How can interface-modifying digital self-control tools “scale up” so that they can become widely used, adaptable, and reliable systems in a user's digital lifestyle? This paper is motivated by ad blockers and password managers, two types of popular user interface modification tools (outside of the digital self-control area) which provide reliable user experiences among a large scale of websites. We apply a framework based on the syntaxes of ad blockers and password managers to the...

The Impact of Free Clinic Services on Healthcare Utilization among Charlottesville Residents Experiencing Homelessness

Steven Neal
The UVA Community Outreach Clinic is a free clinic run by UVA physicians and medical students that provides access to healthcare for Charlottesville residents currently experiencing homelessness. The study population includes patients experiencing homelessness who have had at least one visit at this free clinic. The primary objective of this study is to assess changes in the frequency of emergency department visits before and after a patient’s initial UVA Community Outreach Clinic visit. Secondary objectives...

Covid-19 in Native America

Brianna Baldwin
According to CDC data, American Indians, and Alaskan Natives (AI/AN) have insofar experienced the highest rates of COVID-19 cases, hospitalizations, and deaths among any ethnic group in the U.S., despite the highest rate of vaccinations among any ethnic group. AI/AN peoples suffer 1.7x cases, 3.5x hospitalizations, and 2.4x deaths when compared to White, Non-Hispanic persons. In June 2020 in particular, the Navajo Nation reported a 3.4% COVID-19 infection rate, higher than any U.S. state. The...

COVID-19 Vaccination Status Surveying and Education

Cam Stadlin & Caroline Cotton
We travelled throughout Charlottesville and the surrounding counties to conduct research regarding why community members chose not to receive the COVID-19 vaccine, where they obtained vaccine information, and what the demographics were of this population. We collected this information through anonymous, voluntary paper surveys. Concurrently, we also distributed informational handouts on the virus, vaccine, free rides to vaccinations, and lists of vaccination sites nearby. 215 surveys were completed by community members and 264 online surveys...

Academic Productivity Among Underrepresented Minority Urologists at Academic Institutions

Caleigh Smith
Background: This study compares academic productivity among underrepresented minorities (URMs) and genders within urology. Methods: A database of residents and faculty was created from 145 urology residency programs including demographics, URM status, and publications (pubs). URM equals Black, Hispanic, or Native Hawaiian/Pacific Islander. Multivariable analysis included URM status, gender, years of practice, and Doximity institution rank. Results: Among 1,644 residents, 145 (9%) were URMs, with a median of 2 (IQR 1,5) pubs for URMs and...

Registration Year

  • 2022
    31

Resource Types

  • Conference Paper
    31

Affiliations

  • University of Virginia
    23