KU Med School

some health disparities resources …

Brandon McCray: Beloved Preacher by Mark Wiebe in Kansas Leadership Center Journal. The story of a Black Kansan who died of Covid-19 and his community’s response. JAMA/Sandro Galea introduction to health inequities with emphasis re the current pandemic. JAMA/Yancy on health inequities with emphasis on African Americans. JAMA/Berwick piece on the moral determinants of health.

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Structural violence …

The medical school is moving to integrate structural vulnerability competencies into the curriculum. Key resources include … Structural competency: Theorizing a new medical engagement with stigma and inequality Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities (appendices are key … in particular participant workbook) Structural

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pain mgmt intro …

Pain is what the patient says it is … but not all pain is mu-opioid responsive … Bio-Psycho-Social-Spiritual assume most acute pain is predominantly “bio” assume most chronic pain has elements of “psycho-social-spiritual” + neuropathy   pain mgmt case #1 78 female severe lower extremity ulcerations – circumferential on right diabetes, morbid obesity, s/p multiple

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more than policies and procedures …

Curry et. al. demonstrate that an organizational culture of trust and teamwork is the foundation for high performing quality patient care. “ … achieving high performance may require long-term investment and concerted efforts to create an organizational culture that supports full engagement in quality, strong communication and coordination among groups, and the capacity for problem

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