ACT for Adolescent Health provider resources
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Combating Bias in Health Care
After completing my pediatric training in Philadelphia, I came to Rochester in 1979 to start my two-year fellowship in adolescent medicine. In the outpatient clinic here, I was on a team with a Pediatric Nurse Practitioner. I had no idea what a Nurse Practitioner did. Several weeks into our working together, she gave me an article to read. Because I was training in academic pediatrics, I looked at the bottom of the page to see the journal in which it was published. Then, my eyes scanned the middle of the page for author. Finally, at the top of the page I read the title of the article. 

With that, I handed her back the article saying: “Thank you, but I don’t read nursing journals (it was the premier nursing journal, the American Journal of Nursing). And, I’ve never heard of the author (Dr. Judith D. Goldsborough was a nationally recognized leader in pediatric palliative care and oncology nursing). And, besides, I’m non-judgmental (the title of the article was On Becoming Nonjudgmental).” 

With that, she took the article, and tossed it back at me saying, “And that’s why you need to read this.”

Anyone who believes that they do not have any implicit bias, needs to learn about implicit bias. Following are some resources to help facilitate recognizing and minimizing biases that we ALL have.
 
- Dr. Richard E. Kreipe
‌

ACT for Adolescent Health is a newsletter for health care providers who work with adolescents. It is produced by the
ACT for Youth Center for Community Action at Cornell University with the
University of Rochester Medical Center
Division of Adolescent Medicine.

January 2021
To see past issues of
ACT for Adolescent Health visit:
Dr. Richard E. Kreipe
Dr. Richard E. Kreipe, Editor
Dr. Taylor Burke Starr
Dr. Taylor Burke Starr, Editor
Virtual Conferences Coming Soon!

SAHM Annual Meeting 2021
March 10-12, 2021
(Early registration discounts end January 27)

Society of Adolescent Health and Medicine

Under the theme Mapping an Agenda to Transform the Future of Adolescent Health, the Society of Adolescent Health and Medicine will offer a virtual annual meeting this year. SAHM invites multidisciplinary professionals to connect, engage, and generate strategies that ensure all young people achieve healthy and meaningful lives in the next decade and beyond.
2021 Conference on Adolescent Health
May 13-14, 2021
Earlybird registration opens February 15

Adolescent Health Initiative, Michigan Medicine

The Adolescent Health Initiative has announced that its annual conference will be entirely virtual this year (with reduced prices). You can expect an interdisciplinary schedule of speakers, opportunities for Continuing Education credits, exciting new sponsorship and exhibiting opportunities, and even a virtual networking session.
Bias: Policy Statements and Commentary
Inaction is Not an Option: Using
Antiracism Approaches to Address Health Inequities

Journal of Adolescent Health

This commentary has two goals: to discuss the role of antiracism as a strategy to address pernicious health inequities affecting youth and to expand on the Seven Cs model of positive youth development as a buffer against the toxic effects of racism on development.
AAP Issues First Policy on Racism’s Impact on Child Health 

American Academy of Pediatrics

In a 2019 policy statement, the American Academy of Pediatrics addressed racism’s impact on child and adolescent health. This article by the lead author gives a brief overview.
Black Lives Matter: A Commentary on Racism and Public Health

American Journal of Public Health

Commentators emphasize how race and racism in our society are central to the field of public health. The intent of this commentary is to (1) acknowledge racism as a critical public health concern, (2) distinguish between the constructs of race and racism for public health, (3) discuss the pervasiveness of structural racism in our society, and (4) offer calls to action.
Racism Is a Public Health Issue

Systemic Racism is a Public Health Crisis
NICHM Foundation

This infographic clarifies the relationship between long-standing social and economic inequities and health disparities affecting Black Americans, over the life course and in relation to COVID-19.
Advancing Racial Equity
American Public Health Association

This webinar series and discussion guide offer an in-depth look at racism as a driving force of the social determinants of health and equity. Presenters highlight collective and individual actions we can take to advance racial equity and justice. Links are also provided to many additional APHA racism and health resources.
Understanding and Combating Bias
Implicit Biases Have an Explicit Impact on Healthcare Outcomes
 
American Journal of Managed Care
 
This newsletter article gives an overview of implicit bias using obesity stigma as an example.
Implicit Association Tests
 
Project Implicit, Harvard University
 
Implicit Association Tests (IAT) measure attitudes and beliefs that people may be unwilling or unable to acknowledge.
SAHM Anti-Racism Toolkit
 
Society for Adolescent Health and Medicine
 
SAHM’s Diversity Committee has created this toolkit to provide access to resources to help adolescent health professionals combat racism, promote racial justice, reduce health disparities, and advance health equity for youth.
Promoting Culturally Responsive Care for Adolescents

Adolescent Health Initiative

In this recorded webinar, presenters discuss key concepts about providing culturally responsive health care to young people and reflect on various cultural norms unique to adolescence.
Starter Guide: LGBTQ+ Youth-Friendly Services
 
Adolescent Health Initiative

The Starter Guides are mini-toolkits that offer concrete, actionable steps to improve adolescent care. LGBTQ+ individuals are more likely to have had negative experiences with health care systems, affecting their likelihood of seeking services. There are several practices that can help us deliver respectful care and improve patient experience.
National CLAS Standards
 
HHS - Think Cultural Health

The National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care offer a blueprint to advance health equity, improve quality, and help eliminate health care disparities.
CLAS in School Nursing
 
HHS - Think Cultural Health

This presentation discusses culturally and linguistically appropriate services in school nursing. It presents ways that school nurses can provide the best care possible to every student and family they serve, no matter their cultural or linguistic background.
Video Units
 
HHS - Think Cultural Health

Watch case study videos about a culturally and linguistically appropriate clinical encounter to learn more about applying the National CLAS Standards in daily work. Videos are specifically geared toward pediatrics, surgery, and obstetrics and gynecology.
Continuing Education
A Physician's Practical Guide to Culturally Competent Care
HHS - Think Cultural Health

Earn credits while exploring engaging cases and learning about cultural competency in health care.
Unconscious Bias in Medicine
Stanford University School of Medicine
 
This CME activity provides education on unconscious bias in the academic medicine workplace. Case studies with examples of unconscious bias, self-assessment opportunities, and exploring bias-busting strategies will enable learners to understand how to bring the content into their own unique environments.

How Does Implicit Bias by Physicians Affect Patients' Health Care?
American Psychological Association

This article discusses research into bias and possible interventions to improve patient-physician interactions.
Think Cultural Health: Education
HHS

These free continuing education e-learning programs are designed to help health care providers deliver culturally and linguistically appropriate services.
Bias Research

Implicit Bias and Racial Disparities in Health Care
 
American Bar Association

This brief article describes some of the research behind the assertion that unconscious racial bias impacts health for Black Americans.

Implicit Bias in Healthcare Professionals: A Systematic Review
 
BMC Medical Ethics

This 2017 review examines the evidence that health care professionals display implicit biases towards patients.
This newsletter was developed with funding provided by the New York State Department of Health, Bureau of Maternal & Child Health, Division of Family Health. Its contents are solely the responsibility of the ACT for Youth Center for Community Action and do not necessarily represent the views of the New York State Department of Health.
ACT for Youth [www.actforyouth.net]