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Browsing by Author "DeBenedectis, Carolynn M."
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Item Health Care Disparities in Radiology: A Primer for Resident Education(Elsevier, 2018) Americo, Lisa; Ramjit, Amit; Wu, Michelle; Caplin, Drew; Mazzie, Joseph; Jensen, Leif; Patel, Maitray D.; Millburn, James; Ho, Christopher P.; Gaviola, Glenn C.; DeBenedectis, Carolynn M.; Heitkamp, Darel E.; Radiology and Imaging Sciences, School of MedicineAs the population of the United States grows increasingly diverse, health care disparities become vital to understand and mitigate. The ethical and financial implications of how groups of Americans gain access to health care have evolved into some of today's most challenging socioeconomic problems. Educators in radiology are just beginning to tackle the concepts of health care disparities, unconscious bias and cultural competency. In July 2017, the Accreditation Council for Graduate Medical Education required that all trainees and teaching faculty of accredited training programs receive training and experience in new areas of quality improvement to include an understanding of health care disparities as part of the core competencies. To our knowledge, there is no centralized curriculum regarding health care disparities for radiology residents and fellows. Many programs, in fact, have yet to introduce the concept to their trainees, who may have difficulty recognizing that this is even a problem affecting radiology. This manuscript serves as a primer for radiology trainees on health care disparities, with the goal of defining major concepts and providing examples of how variable access to radiological care can have substantial impact on patient outcomes.Item Strategies to Improve Racial and Ethnic Diversity in Breast Imaging Training and Beyond(Oxford University Press, 2022) Monga, Natasha; Davis, Katie M.; Cardona-Del Valle, Alejandra; Sieck, Leah; DeBenedectis, Carolynn M.; Spalluto, Lucy B.; Radiology and Imaging Sciences, School of MedicineDiversity and inclusion in breast imaging can improve creativity and innovation, enrich the workplace environment, and enhance culturally appropriate care for an increasingly diverse patient population. Current estimates predict the racial and ethnic demographics of the United States population will change markedly by the year 2060, with increases in representation of the Black demographic projected to comprise 15% of the population (currently 13.3%) and the Hispanic/Latinx demographic projected to comprise 27.5% of the population (currently 17.8%). However, matriculation rates for those who are underrepresented in medicine (URM), defined as “racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population,” have remained largely stagnant. Black students comprise only 7.1% of medical student matriculants, and Hispanic/Latinx students comprise only 6.2% of medical school matriculants compared to the general population. The matriculation rate of URM students into diagnostic radiology is even lower, with Black trainees comprising 3.1% of radiology residents and Hispanic/Latinx trainees comprising 4.8% of radiology residents. This lack of URM radiology resident representation leads to a lack of URM potential applicants to breast imaging fellowships due to the pipeline effect. Strategies to improve diversity and inclusion in breast imaging include recruiting a diverse breast imaging workforce, establishing robust mentorship and sponsorship programs, fostering an inclusive training and workplace environment, and retaining and promoting a diverse workforce.