WORKSHOP B.2                              HEALTH PROFESSIONS EDUCATION – Hispanic Health Model Curricula: Tools to Increase, Improve and Facilitate

a More Culturally Competent Health Care Workforce

Margie Gerena Lewis, MDAssistant Professor of Internal Medicine

  Division of Hematology/Oncology  University of Cincinnati

         Founding Member, Latino Health Collaborative of Greater Cincinnati       Member, Initiative on Poverty, Justice, and Health

March 26, 2010

Mission Statement

The Latino Health Collaborative of Greater Cincinnati is a diverse group of individuals from academic and community sites united in partnership to improve the health of the Latino community in the Greater Cincinnati area.

Mission Statement

We work together in research using community-based collaborative methods; in education using service learning; in direct service using culturally competent approaches to health promotions and clinical care delivery and in advocacy on a local and regional scale.

Mission Statement

It is our goal to develop, implement and evaluate projects that improve the health of the local Latino community, based on needs identified by community leaders and members. ● As Academic Partners, we seek to study the impact of these interventions and share our findings with a broader community and our learners through scholarship. ● As Community Partners, we seek to communicate the health status and needs of our local Latino community and to participate in project work and advocacy to improve health. ● As a Collaborative, we recognize the value of diversity of background and perspectives and welcome the addition of new partners and ideas to our work.

FOUNDING MEMBERSFOUNDING MEMBERS

• Tiffany Diers, MD ( Internal Medicine)• Margie Gerena Lewis, MD (Hematology/Oncology)• Lisa Vaughn, PhD (Psychology)• Joan Murdock PhD (Health Administration)• Candy Ireton, MD (Family Medicine)• Liliana Rojas-Guyler PhD (Health Education)• Vanessa Nino MS (Interpreting Services)• Denise Britigan PhD (Health Education)• Ligia Gomez MS (Psychology)• Radha Reddy,MD (ObGYN)

Community outreach activities since 2007 in the Greater Cincinnati area for Hispanics/at-risk populations:

1. Workshop presenter: “ Conferencia--Educarse para Superarse y Celebración Hispana: Educate to Elevate Conference and Hispanic Celebration”. Duke Energy Center, Cincinnati, Ohio. October 13, 2007 (Presentation done in Spanish)

2. Social Work Oncology Group of Greater Cincinnati (SWOG) Half-day Worshop: “Death and Dying: A Hispanic Perspective”. May 16, 2009

3. Cancer and Cancer Prevention for At-Risk Populations: Who Provides the Care? Program Director and speaker. September 19, 2009

OBJECTIVESUnidos Para Una Mejor SaludComo sacar mas provecho de sus visitas con

su doctor

Funded by

Latino Health Collaborative of Greater CincinnatiCooperativa para la Salud Latina de La Gran Cincinnati

BREAST FEEDING PROJECTby

Ligia Gomez,MS

¿Quiere participar en un estudio sobre dar pecho?

¿Puede recibir una tarjeta de Kroger de $30

solamente por responPuede participar si:

Es nacida en un país Hispano

Es mayor de 18 añosEstá embarazada ó tiene

un bebé menor de 2 meses.der unas

preguntas?

Funded by

Latino Health Collaborative of Greater CincinnatiCooperativa para la Salud Latina de La Gran Cincinnati

May 19, 2009

Death and DyingA Hispanic Perspective

CANCER AND CANCER PREVENTION FOR AT RISK POPULATIONS: WHO PROVIDES

THE CARE

September 19, 2009 Keynote Speaker:Lovell Jones, MD

Director Center for Research and Minority Health MD Anderson Cancer Center

Sponsored by University of Cincinnati

OBJECTIVES

Discuss underlying factors and determinants that contribute to health disparities

Examine opportunities for eliminating health disparities.

Minorities

http://thesituationist.wordpress.com/2009/06/19/taking-advantage-of-the-elderly

Elderly

Pic from http://acfya.com) posted by LA's Homeless Blog at 8:52 AM 0 Comments       Wednesday, March 11, 20091 in 50 American Children Experience Homelessness

What’s wrong with these pictures?

Homeless in America, photograph by Tipper Gore. (Image courtesy of the National Archives and Records Administration

http://ocw.mit.edu/OcwWeb/Urban-Studies-and-Planning/11-421Spring-2005/CourseHome/

At Risk Populations

Define At Risk Populations

“We define Populations at Risk broadly, including but not limited to the poor, frail, disabled, economically disadvantaged, homeless, racial and ethnic minorities, persons with low literacy, victims of abuse or persecution, and persons with social risk factors such as isolation”

Improvement of healthcare delivery to at risk populations

Conferences: 1. Help our health care work force become

culturally competent. 2. Provide the public with baseline

knowledge about cancer and cancer prevention.

3. Provide information regarding the available community resources to help lower income individuals.

CANCER AND CANCER PREVENTION FOR AT RISK POPULATIONS: WHO PROVIDES THE CARE

Mixed audience including health care providers and public.

The program reviewed the impact of health disparities on outcomes and cancer for the at risk populations, including cancers of the lung, prostate, cervix, colon, and breast.

At Risk Populations

We had a total of 66 participants including:

* 32 physicians (11 internal medicine, primary care physicians, family medicine and oncology related)

* 14 nurses * 17 Ancillary (included exhibitors

who attended the sessions) * 3 patients.

Recommendations To Advance Hispanic Health:

Education, education, education! Less than 3% of the US physicians are Latinos. For those of us who had the unique opportunity to make it through the process, we need to go back to our community and educate them and our children. After all they are our future.

We need to have a culture change and make health care a priority, not a privilege.

Smoking Prevention: Tobacco smoking has caused 100 million deaths worldwide over the past century. Lung cancer is the single most preventable form of cancer. We know that 85% of lung cancer is caused by smoking. Yet 28.4% of high school students are users of any tobacco product in the USA. http://progressreport.cancer.gov/highlights.asp

Recommendations To Advance Hispanic Health:

Infection Control: In third world countries, infections play a major role in cancer rates. For example, cervical cancer affects more than 500,000 women worldwide and causes more than 200,000 deaths per year. Eighty percent of the cases occur in developing countries.

Lifestyle modifications: such as including exercise as part of our daily routine, increasing fruits and vegetables in our diet, no sunbathing, routine sun protection, and weight loss programs.

Recommendations To Advance Hispanic Health:

Cancer screening for currently accepted forms of screening: Breast cancer Screening, Cervical Cancer Screening, and Colon Cancer Screening. Prostate Cancer Screening remains controversial, but accepted by many.

Finally but not least, increase awareness and knowledge in our communities about clinical, translational and basic research efforts in order to advance science and to learn on how to provide equal, quality care for all.