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Currently attending the @ASNKidney webinar, "Going Beyond the Statement: Dismantling Systemic Racism in Nephrology".
Excellent discussion so far! Will share some points that stand out to me here...
Excellent discussion so far! Will share some points that stand out to me here...
"Race is not a risk factor [for disease] - racism is a risk factor." - Dr. Vanessa Grubbs, @thenephrologist
Piece on the role our reviewers and journal editors have on promoting misconceptions on race in the medical literature.
"On Racism: A New Standard For Publishing On Racial Health Inequities"
https://www.healthaffairs.org/do/10.1377/hblog20200630.939347/full/
"On Racism: A New Standard For Publishing On Racial Health Inequities"
https://www.healthaffairs.org/do/10.1377/hblog20200630.939347/full/
Racism in medicine is a systemic issue.
Pipeline is the problem:
- Re-segregation in K-12 schools
- Lack of minority representation in medical school/residency/fellowship faculty
less recruitment from minority communities
Pipeline is the problem:
- Re-segregation in K-12 schools
- Lack of minority representation in medical school/residency/fellowship faculty
less recruitment from minority communities
Awareness of racism in 'gatekeeping':
"We need to recognize when you get people at the same level and one has gone through a lot of hardships to get there, that needs to be taken into account - without thinking 'well their board scores aren't that great'...."
"We need to recognize when you get people at the same level and one has gone through a lot of hardships to get there, that needs to be taken into account - without thinking 'well their board scores aren't that great'...."
The valuing of publications + RVUs as opposed to consideration of community/institutional involvement, diversity + recruitment, and is problematic.
This current emphasis restricts, inhibits diversity.
This current emphasis restricts, inhibits diversity.
"We need to promote health literacy... it is difficult to understand this system especially if you have been disenfranchised." - Will Ross, MD MPH
Make the txp process more equitable:
-Identify pt-specific limitations (# jobs, work sched, etc) + how they affect healthcare interactions. Don't assume "non-compliance".
-Check race-based, education-based assumptions
-Race in eGFR equation means blacks considered for txp later
-Identify pt-specific limitations (# jobs, work sched, etc) + how they affect healthcare interactions. Don't assume "non-compliance".
-Check race-based, education-based assumptions
-Race in eGFR equation means blacks considered for txp later
We need to accelerate our work on biomarkers of kidney function.
Cr-based eGFR has tons of limitations - not the best fit for everyone. Ex, those with amputations.
Cr-based eGFR has tons of limitations - not the best fit for everyone. Ex, those with amputations.
Personal thought: Let's make cystatin C more accessible + cheaper!
To summarize...
- Stop thinking of race as biological
- Improve diversity in the pipeline
- Hold ourselves accountable at every level (research, publishing)
- Make policies equitable
Thanks for a great session, @ASNKidney!
- Stop thinking of race as biological
- Improve diversity in the pipeline
- Hold ourselves accountable at every level (research, publishing)
- Make policies equitable
Thanks for a great session, @ASNKidney!
