Hispanic Center of Excellence Albert Einstein College of Medicine

Hispanic Center of Excellence Albert Einstein College of Medicine

Principal Investigator Dr. A. Hal StrelnickPrincipal Investigator Dr. A. Hal Strelnick Program Director Dr. Nereida CorreaProgram Director Dr. Nereida Correa Co-Director Dr. Elizabeth Lee-ReyCo-Director Dr. Elizabeth Lee-Rey Administrator Yesenia Vega ProvencherAdministrator Yesenia Vega Provencher

The Hispanic Center of Excellence

Why?Why? What?What? Who?Who? When?When?

WHY?

One in eight Americans is HispanicOne in eight Americans is Hispanic The United States will soon become the second The United States will soon become the second

largest Spanish speaking country in the World largest Spanish speaking country in the World after Mexicoafter Mexico

In about 20 years, one in four children will be In about 20 years, one in four children will be HispanicHispanic

When adjusted for age, Latinos have one of the When adjusted for age, Latinos have one of the worst health status in this countryworst health status in this country

The United States medical schools have produced The United States medical schools have produced only about 5% Hispanic physiciansonly about 5% Hispanic physicians

Minorities Believe They Would Receive Better Health Care If They Were of a

Different Race and/or Ethnicity

5%

1%

15%

13%

11%

0%

5%

10%

15%

20%

Total White AfricanAmerican

Hispanic AsianAmerican

Source: The Commonwealth Fund 2001 Health Care Quality Survey

What is going on?

Educational Attainment of Persons Age 25 and older, 1998

0

5

10

15

20

25

30

35

40

45

Less thanH.S.

H.SGraduate

SomeCollege

CollegeGraduate

All Races

White

Black

Hispanic

Collins, Hall, and Neuhaus, U. S. Minority Health: A Chart Book, 1999The Commonwealth Fund

Who?

U.S. Physicians by Race and Ethnicity, 1990

Black/Hispanic/NativeAmerican 7%Asian/Pacific Islander9%White 84%

Collins, Hall and Neuhaus, U. S. Minority Health: A Chart Book, 1999The Commonwealth Source

Who?

U.S. Medical School Graduates by Race, 1997

URM 11%

Asian/Pacific Islander16%Other 5%

White 68%

Collins, Hall and Neuhaus, U.S. Minority Health: A Chart Book, 1999The Commonwealth Fund

•Black, Mexican American, mainland Puerto Rican,• and Native American

When?

Projections of the Resident Population by Race and Ethnicity

0 20 40 60 80

Asian

Hispanic

AfricanAmerican

White

1990

2000

2005

2010

2030

2050

Source Data for 2005; Population projections program, Population Division, U.S. Census Bureau, January 2000

INSTITUTE OF MEDICINEReport to Congress Minorities in America- even those with private Minorities in America- even those with private

health insurance- receive lower quality care than health insurance- receive lower quality care than that given to whitesthat given to whites

Highlighted health care disparities in areas of Highlighted health care disparities in areas of cardiovascular disease,HIV/AIDS,cancer and cardiovascular disease,HIV/AIDS,cancer and diabetesdiabetes

Other areas of inequities identified: Language Other areas of inequities identified: Language barriers, inadequate insurance coverage, bias barriers, inadequate insurance coverage, bias among doctors and nurses, and a lack of minority among doctors and nurses, and a lack of minority physicians physicians

INSTITUTE OF MEDICINEReport to Congress “ “a wake up call for every health care a wake up call for every health care

professional”professional” Called for increased awareness, more Called for increased awareness, more

interpreters, more minority physicians, interpreters, more minority physicians, better data and more money for the Office better data and more money for the Office of Civil Rights, which enforces equity lawsof Civil Rights, which enforces equity laws

Background

Hispanic Center of Excellence

First Hispanic Center of Excellence in New York First Hispanic Center of Excellence in New York StateState

Home-Albert Einstein College of MedicineHome-Albert Einstein College of Medicine

Department of Family Medicine and Community Department of Family Medicine and Community HealthHealth

Institute of Family Medicine and Community Institute of Family Medicine and Community HealthHealth

Only one other in the Northeast at the UMDNJOnly one other in the Northeast at the UMDNJ

Mission Statement

Shall be to catalyze and operationalize the Shall be to catalyze and operationalize the College’s institutional commitment to College’s institutional commitment to underrepresented minorities in the Bronxunderrepresented minorities in the Bronx

Provide leadership in research and Provide leadership in research and education in Hispanic health issueseducation in Hispanic health issues

Develop innovative methods to strengthen Develop innovative methods to strengthen and enhance academic performance by and enhance academic performance by minority studentsminority students

Mission Statement

Improve education in diversity and cultural Improve education in diversity and cultural competency for all students and facultycompetency for all students and faculty

Foster minority and junior faculty Foster minority and junior faculty development and promotiondevelopment and promotion

Committees

Campus Outreach and Applicant PoolCampus Outreach and Applicant Pool Cultural Competency Curriculum & Cultural Competency Curriculum &

Clinical ExperienceClinical Experience Evaluations, Mentoring & CounselingEvaluations, Mentoring & Counseling Faculty & Research DevelopmentFaculty & Research Development

Projects

Clinical Research Training Program Clinical Research Training Program Medical Spanish Clinical ExperienceMedical Spanish Clinical Experience Faculty Development Workshops:Faculty Development Workshops:

Cultural CompetencyCultural Competency

Grant WritingGrant Writing

Projects

Medical Student Research SymposiumMedical Student Research Symposium AECOM Undergraduate Summer AECOM Undergraduate Summer

Mentorship ProgramMentorship Program October Event- Hispanic Heritage MonthOctober Event- Hispanic Heritage Month Website DevelopmentWebsite Development Health Careers Opportunity ProgramHealth Careers Opportunity Program