Understanding Financial Toxicity and Health Equity

CPSolvers: Anti-Racism in Medicine Series

Episode 25 – Live from SGIM 2024: Best of Antiracism Research at the Society of General Internal Medicine’s 2024 Annual Meeting

Show Notes by Ashley M. Cooper

September 19, 2024

Summary: This episode highlights a selection of antiracism research presentations at a live recording of the podcast at the 2024 SGIM Annual Meeting. This year’s episode, our fourth conducted at SGIM, is focused on the importance of qualitative research and the role it plays in antiracism research, community-based work, and scholarship. During this episode, we hear from Dr. S. Michelle Ogunwole, MD, PhD, an internist and social epidemiologist who specializes in the care of women with chronic medical conditions and racial disparities in maternal health outcomes, and Dr. Caroline Sloan, MD, a general internist whose research focuses on how financial considerations are imbued into medical decision-making. This episode is hosted by Ashley Cooper and Sudarshan (Sud) Krishnamurthy. The show notes for this episode were written by Ashley M. Cooper.

Episode Learning Objectives

After listening to this episode, learners will be able to…

1. Understand how they can better center patient experiences by engaging with, and conducting their own, qualitative research.
2. Describe the positive impacts of qualitative methods on healthcare provision and/or policies in clinical settings. 
3. Identify the critical role that qualitative research plays in antiracism and health equity work.

Credits

• Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, Team
• Hosts: Ashley M. Cooper, Sudarshan Krishnamurthy
• Infographic: Canva
• Audio Edits: Ashley M. Cooper
• Show Notes: Ashley M. Cooper
• Guests: Dr. Michelle Ogunwole and Dr. Caroline Sloan

Time Stamps

00:00: Opening

00:10: Introductions

01:03: Guest Introduction 1 – Dr. S. Michelle Ogunwole

01:54: Guest Introduction 2 – Dr. Caroline Sloan

02:48: Background and Inspiration for Guests

7:21: Barriers to Pursuing Qualitative Research in Medicine

12:31: The Role of Qualitative Research in Cultivating Health Equity

19:37: Qualitative Research as a vehicle towards centering patient experiences in research

28:14: Audience Questions

28:16: Meta-Cognition: Evaluating Biases in Interpreting Qualitative Data

34:05: Trajectory of Qualitative Research’s Incorporation into Medical Curricula

39:33: Qualitative Research at the Nexus of Storytelling and Narrative Medicine

45:42: Honoring Community Stakeholders in Qualitative Research

49:00: Fostering Communal Trust: Advocacy and Patient-Centered Care

52:33: Humility and Community Involvement 

56:55: Closing Remarks

Speaker biographies (Abbreviated)

• Dr. S. Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She has advanced training in Quality Improvement and Patient Safety Science. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Her research is focused on racial disparities in maternal health outcomes among African American women.

• Dr. S. Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She has advanced training in Quality Improvement and Patient Safety Science. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Her research is focused on racial disparities in maternal health outcomes among African American women.

References

Ogunwole, S. M., Chen, X., Mitta, S., Minhas, A., Sharma, G., Zakaria, S., Vaught, A. J., Toth-Manikowski, S. M., & Smith, G. (2021). Interconception Care for Primary Care Providers: Consensus Recommendations on Preconception and Postpartum Management of Reproductive-Age Patients With Medical Comorbidities. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(5), 872–890. https://doi.org/10.1016/j.mayocpiqo.2021.08.004

Ogunwole, S. M., Karbeah, J., Bozzi, D. G., Bower, K. M., Cooper, L. A., Hardeman, R., & Kozhimannil, K. (2022). Health Equity Considerations in State Bills Related to Doula Care (2015–2020). Women’s Health Issues, 32(5), 440–449. https://doi.org/10.1016/j.whi.2022.04.004

Ogunwole, S. M., Oguntade, H. A., Bower, K. M., Cooper, L. A., & Bennett, W. L. (2023). Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (HEAL): A Qualitative Study Applying a Critical Race Feminist Theoretical Framework. International Journal of Environmental Research and Public Health, 20(13), Article 13. https://doi.org/10.3390/ijerph20136283

Sinaiko, A. D., Sloan, C. E., Soto, M. J., Zhao, O., Lin, C.-T., & Goss, F. R. (2023). Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record. JAMA Internal Medicine, 183(10), 1172–1175. https://doi.org/10.1001/jamainternmed.2023.3307

Sloan, C. E., Millo, L., Gutterman, S., & Ubel, P. A. (2021). Accuracy of Physician Estimates of Out-of-Pocket Costs for Medication Filling. JAMA Network Open, 4(11), e2133188. https://doi.org/10.1001/jamanetworkopen.2021.33188

Sloan, C. E., & Ubel, P. A. (2019). The 7 Habits of Highly Effective Cost-of-Care Conversations. Annals of Internal Medicine, 170(9_Supplement), S33–S35. https://doi.org/10.7326/M19-0537

Disclosures 

The hosts and guests report no relevant financial disclosures.

Citation

Ogunwole M, Sloan C, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Khazanchi R. “Episode 25: Live from SGIM 2024: Best of Antiracism Research at the Society of General Internal Medicine’s 2024 Annual Meeting” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/. September 19, 2024.

Show Transcript

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