The Evolving Roles for Diversity in Academic Medicine: Challenges and Opportunities

1. The Evolving Roles for Diversity in Academic Medicine: Challenges and Opportunities NAMME NE Annual Conference February 22, 2013 Gary Butts, MD Professor, Pediatrics and Medical Education Associate Dean, Diversity Programs, Policy and Community Affairs, Icahn School of Medicine at Mount Sinai Director, Center for Multicultural and Community Affairs

2. Questions to Address: • How is your school defining diversity and how are programs organized to address diversity? • How has your office or approach to support diversity evolved over the past decade? • What are the current or emerging major challenges? • What factors have contributed to the successes of your office in addressing diversity?

3. Outline • Local and national context • Current and emerging challenges • New York State SOM perspectives • Case example: CMCA mission, evolution and approach to enhancing diversity in academic medicine • Translating challenges into opportunities • Lessons learned

4. Baby Boomer: Brooklyn, NY

5. Brooklyn, 1960’s

6. Pre – Civil Rights NYC

7. The 60’s

8. The 60’s

9. Stuyvesant HS, 1970’s

10. The 70’s

11. Bakke

12. Current and Emerging Challenges

13. AAMC US Matriculant Trends: 2008-11

15. AAMC Faculty Roster -2011

19. Organizational Challenges

20. AMSNY Committee on Diversity and Multicultural Affairs • Regional planning • Response to National issues and priorities • Common ground • Case examples: • Re-defining URM • NYS Regional data trends • Pre-Health Advisor conferences • Pipeline programs • Preparing for Fisher v. UT

21. NYS SOM Survey • How are diversity programs/activities organized in your medical/DO school? • What is the title and degree of the most senior person overseeing diversity? • How has this changed over the past 5 years? • What are the current or emerging major challenges?

22. NYS Medical Schools: Organizational Trends • Few are same over the past 5 years • New positions recruited – • AD for Diversity and Inclusion • AD for Mentoring and Diversity • CDO • Change in functions, broader scope • Reporting relationships changing • Senior Associate Deans (Education, Student Affairs) • Relationships to other Deans

23. NYS Medical Schools: Emerging Challenges for Diversity • Infrastructure support (especially with changing roles) • Financial support for diversity programs • Applicant pool challenges (at all levels) • Defining diversity locally

24. CMCA Evolution of Diversity Affairs: 15 year Case Study

25. CMCA Mission To eliminate health disparities through a nationally recognized center structure using innovative, integrative, and coordinated approaches in the areas of Community, Clinical Care, Education, and Research to improve the health of all populations by diversifying the healthcare workforce and influencing health policy and research

26. CMCA Challenges • Sustaining Infrastructure • Changing and competing interests • Meeting increasing diversity demand • Applicant pools • Defining impact and success

27. ISMM CMCA Organizational Chart (2012) MSSM Diversity Council (G Butts, L Howell, Co-Chairs) Diversity in BioMed Research Committee (Yasmin Hurd, PhD Chair) • External Partners • Community Partners • COE Consortium for MFD • Northeast Regional Alliance • Assoc Medical Schools of NY • NIH WIAM • AAMC • NY Academy of Med • BNGAP • Internal Partners • Outreach and Rec Council • NIH EXPORT • NeuroAIDS Disparities Inst • Ctr for Collab Child Res • CTSA – CONDUITS • Women Faculty Group Dean MSSM (Dennis Charney, MD) CMCA Advisory Board • Dean of Medical Education • (David Muller, MD) • Curriculum (R Karani ,MD) • Admissions (V Parkas, MD) • Student Affairs (P Gliatto, MD) • Academic Affairs • Medical Student Research Office (K. Zier, PhD) • GME (S Barnett, MD) Assoc Dean, Diversity & Com Affairs, Director CMCA (Gary Butts, MD) Diversity Leadership Committee • CORE CMCA Program Areas • HRSA COE Operations • Cultural Health & Illness Curriculum Activities (Undergrad, Graduate) • Student Performance/Academic Support • Community Health Training - Clinical and Community Service Learning • Recruitment and Retention • Faculty Scholars Program • Medical Student Research / Summer Research Programs • Medical Student Journal Club • Faculty and Student Mentoring, Coaching, & Advisement • Minority Faculty/Student/Trainee Database • Educational Pipeline Programs – CEYE • STEP Programs • NERA HCOP • Med-Bound • Medical Student-led Youth Development Activities • Institutional CMCA Activities: • Urban Health Grand Rounds • Medical Education Policy • Alumni Association Diversity Chapter • Culture & Health Work Group • Faculty Development Legend : Collaborative Relationship

28. CMCA - Growing Our Own Approach: Education Pipeline

29. VOL. 75, NO. 2 MARCH/APRIL 2008 VOL. 75, NO. 6 November/December 2008 Issue Theme Issue Theme Issue ThemeDiversity in Academic Medicine: A Call to Action Introduction by Gary Butts,MD, Assoc. Dean for Diversity Programs, Policy, and Community Affairs, Mount Sinai School of Medicine Case for Minority Faculty Development Today History of Battles Lost and Won Struggle for Survival among Leading Diversity Programs Northeast Consortium: Innovation in Minority Faculty Development Successful Programs in Minority Faculty Development: Overview Successful Programs in Minority Faculty Development: Ingredients Clinical Features Predictive Genetic Testing in Minors for Adult-Onset Genetic Diseases Thyroid Nodules: Update on Differential Diagnosis and Management CCR5 Inhiibitors: New Class of Drugs for AIDS Special Features Insulin Strategies for Managing Inpatient and Outpatient Hyperglycemia and Diabetes Hospital-associated Infections: Epidemiology, Infection, and Therapy Evidence-based Medicine: Case Study in Cessation of Smoking Insulin

30. Model of Integration between MSSM Department of Medical Education and the CMCA Admissions Med Ed CMCA Student Affairs Academic Support CMCA Core Activities Student Counseling Professional Development Medical Education Policy Community Service Curriculum

31. Addressing Health Disparities • Diversity of students, faculty and trainees • Education – CHWG formal and informal education and curricula; language proficiency programs; spirituality and health • Community and corporatepartnerships • Promoting, facilitating and partnering in HD research • CTSA • Diabetes • EXPORT • NAIDS • Other

32. Vol. 6, No. 5 September/October 2009 Issue ThemeGenes, Race, Ethnicity and the Environment Issue Theme Issue Theme Hospitalists: A New Team in Forefront of Hospital Quality and Education Theme Editor Gary Butts, MD Race, Ethnicity, Ancestry and Pharmacogenetics Is There a Genetic Basis for Health Disparities in HIV Disease? Yes and No Genetics and Susceptibility to Asthma among Latinos Environmental Justice and Children’s Health Genetic and Environmental Contributions to Racial Disparities in Preterm Birth Justice and Protection against Discrimination in the Use of Genetic Information How Race and Ethnicity Impact Access to Health and Healthcare Special Features New Drugs and the FDA: Prasugrel, a Platelet Inhibitor Epigenetics in Pregnancy and Early Development Athletic Injuries in Adolescent Girls Special Features Ethics of Complicated Medical Discharges: From “I’m Not Staying!” to “I’m not Leaving!” Evidence-based Medicinre: Clinical Prediction Rules for Hospitalists Translational Medicine: Forging a New Cultural Identity

33. CMCA - Measuring Impact and Success • Institutional / Community • Workforce Diversity • Climate • Qualitative outcomes – FGs and interviews • Community Relations, Satisfaction • Access • Local and Regional Educational Pipeline participants • Medical School Applicant Pools • Medical School Matriculant and Trainee Outcomes • Individual / Education and Scholarship • Academic Performance and Progress • Mentorship • Research and scholarship • Leadership • Qualitative outcomes – FGs and interviews • Partnership • Document Process and Evolution • Joint products • Sharing and Applying Best Practices • Qualitative outcomes – FGs and interview

34. MSSM Faculty Diversity Climate Survey Responses

35. Mission Alignment

36. CMCA Funding • Institutional • Grants • HRSA Title VII • Health Careers Opportunity Program • Centers of Excellence • NIH Research Collaborations • Philanthropy • Endowments • Annual Gifts • Fundraising • CMCA Annual Signature Event • Other

37. Lessons Learned • Centralized organization and core diversity functions critical to our success and value • The value of diversity is deeper than individuals; corporate world is well ahead of academia • Creative, forward thinking important, translating national initiatives locally; status quo is no longer acceptable • Focus on larger context and relate diversity interests and goals to institutional priorities • Integrated / collaborative approaches will be essential • Draw on colleagues for expertise, guidance and support