Charting Pediatrics12 Jul 2022

Addressing Racism and Health Inequities with Ndidi Unaka, MD and David Turner, MD

Entrustable Professional Activities, or EPAs, are a concept that was developed by Olle ten Cate in 2005 as a way to operationalize and assess competency-based medical education. EPAs are observable, routine activities that a general pediatrician or subspecialist should be able to perform safely and effectively to meet the needs of their patients. The American Board of Pediatrics, or ABP, collaborated with the education community several years ago to develop 17 core EPAs that are essential activities needed for practice in general pediatrics and that can be used as a framework for curriculum and assessment. The ABP also worked with the subspecialty community to develop EPAs that define what patients need from our subspecialty physicians. However, the original pediatric EPA framework developed by the ABP in conjunction with the general pediatrics and subspecialty communities did not adequately address structural racism, discrimination, and social determinants of health and their contribution to inequities. Today, we are going to hear about the development and content of a revised EPA entitled: Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination, and Other Contributors to Inequities Among Pediatric Populations.

Today, I am happy to be speaking with Dr. Ndidi Unaka and Dr. David Turner. Ndidi is a pediatric hospitalist who is involved in Cincinnati Children's Community Health initiatives, medical director of QI and data analytics for Cincinnati Children's ACO called HealthVine and until recently was the associate program director of the pediatric residency program at Cincinnati Children's. David is the Vice President of Competency-Based Medical Education at the American Board of Pediatrics.

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Episoder(500)

Reducing Prescriptions with Acute Otitis Media

An earache. A fussy toddler. A worried parent. And often, a familiar prescription: antibiotics. Acute otitis media is one of the most common reasons children receive antibiotics. But as we continue to...

6 Okt 38min

AAP Vaccine Recommendations: A 2026-2027 Update

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29 Sep 35min

New Pediatric Atopic Dermatitis Guidelines

Atopic dermatitis may be common, but it can be anything but simple. For children and their families, sleepless nights from persistent itch and discomfort from recurrent flares can take a real toll, an...

22 Sep 35min

Is It Really Asthma?

Wheezing, cough and increased work of breathing are common pediatric presentations that can quickly lead clinicians to consider asthma. But not every child with lower -airway symptoms has asthma. Vir...

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Building Systems for Better Pediatric Primary Care

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8 Sep 35min

Iron Deficiency Anemia in Kids

Iron deficiency anemia is one of the most common nutritional deficiencies in children and adolescents, but it can sometimes be easy to miss. From the toddler who drinks almost exclusively milk to the ...

1 Sep 31min

Tics and Tourette Syndrome in Children

Tics are common in childhood, but recognizing when they are part of typical development, and when they may indicate Tourette syndrome or another tic disorder, can be challenging for pediatricians. A c...

25 Aug 32min

The Health Benefits of Recess for Kids

When adults look back on school, they often remember more than lessons and worksheets. They remember recess — the playground, movement, friendships, laughter and freedom. Yet in many schools today, re...

18 Aug 27min