Health Inequities in Inflammatory Bowel Disease Care

This activity is part of a series

Faculty

Monica E. Peek, MD, MPH, MSc
(she/her/hers)
Ellen H. Block Professor of Health Justice in the Department of Medicine
Associate Director, Chicago Center for Diabetes Translation Research
Director of Research, MacLean Center for Clinical Medical Ethics
The University of Chicago
Chicago, IL
Monica E. Peek, MD, MPH, MSc

Monica Peek, MD, MPH, MSc is an Ellen H. Block Professor of Health Justice in the Department of Medicine. She is also the Associate Director, Chicago Center for Diabetes Translation Research, and Director of Research, MacLean Center for Clinical Medical Ethics. She is a practicing internist, medical educator, and clinician investigator. Her research pursues health equity and social justice, with a focus on promoting equitable doctor/patient relationships among racial minorities, integrating the medical and social needs of patients, and addressing health care discrimination and structural racism impacting health outcomes (e.g., diabetes, COVID-19). Dr. Peek has authored more than 200 peer-reviewed publications and abstracts on health care disparities, diversity, and bias; has been the principal investigator of multiple grants to address health disparities; and has been invited to speak at numerous local and national medical meetings.

Sophie Balzora, MD, FACG
Clinical Associate Professor of Medicine, NYU Grossman School of Medicine
Division of Gastroenterology and Hepatology, NYU Langone Health New York, NY
Sophie Balzora, MD, FACG

Sophie M. Balzora MD, FACG, is a Clinical Associate Professor at the NYU Grossman School of Medicine. Dr. Balzora has focused her academic efforts on improving physician engagement and enhancing the patient experience through objective structured clinical exams (OSCEs). She is Vice Chair of the American College of Gastroenterology (ACG) Diversity, Equity, and Inclusion Committee; Co-founder of ACG’s #DiversityinGI Social Media Campaign; and former Chair of the ACG Public Relations Committee. Dr. Balzora also serves on the Patient Education Sub-Committee of the Crohn’s and Colitis Foundation (CCF)’s National Scientific Advisory Committee, the social media team of CCF’s Inflammatory Bowel Diseases (IBD) Journal, Fight CRC’s Health Equity Committee, and the Gastroenterology Intersociety Group on Diversity (IGD), comprised of leadership representatives from the four major national gastroenterology societies. She has recently been accepted into the inaugural cohort of the Office of Diversity Affairs’ Faculty Leadership Development Program through the NYU Langone Academy, and is a 2020 recipient of the ACG Presidents Special Recognition Award for efforts in leadership, exemplary service, and guidance promoting diversity, equity, and inclusion. Dr. Balzora currently resides in New York City with her husband and daughter.

Nana Bernasko, CRNP, DNP, WHNP-BC
Assistant Professor of Medicine, Hershey, PA
(she/her/hers)
Assistant Professor of Medicine
Division of Gastroenterology and Hepatology
Penn State Hershey Medical Center
Hershey, PA
Nana Bernasko, CRNP, DNP, WHNP-BC
Assistant Professor of Medicine, Hershey, PA

Nana Bernasko, CRNP, DNP, WHNP-BC, is a Nurse Practitioner with specialization in inflammatory bowel disease (IBD). She has over a decade of diverse experiences in Women’s Health, IBD, and general Gastroenterology.

She joined Penn State after 5 years at Yale University in New Haven, Connecticut, where she earned her Doctor of Nursing Practice. She is also a board-certified Women’s Health Care Nurse Practitioner.

Dr. Bernasko’s clinical focus is in the care of patients with general gastroenterology conditions and multidisciplinary care of patients with IBD. Her research interests include effective use of Electronic Health Records in care of patients with IBD and women’s health in IBD.

She’s the Chair of the Nurse and Advanced Provider Committee of the Crohn’s and Colitis Foundation National Scientific Advisory Committee (NSAC).

She has been an invited faculty presenter on topics of interest in IBD at several local and national meetings.

Statement of Need

The incidence of inflammatory bowel disease (IBD) is increasing in all patient groups but rates are rising fastest in non-Hispanic Black patients. Clinicians are failing to recognize IBD in these high- incidence populations, leading to delays in diagnosis and worse long-term outcomes. Inequities in preventative care, health care worker bias, and social determinants of health (SDoH) are all barriers to the prompt recognition of IBD and achieving the best possible outcomes in IBD care.

Specific steps must be taken to achieve equitable IBD care. All health care staff members should be included in diversity and inclusion training efforts and education to address unconscious bias. Practicing U.S. gastroenterologists are not representative of the population they care for and concerted efforts are needed to improve diversity, starting with undergraduate trainees interested in gastroenterology.

In this podcast installment of a multi-prong diversity, equity, and inclusion (DEI) series, Monica E. Peek, MD, MPH, MSc; Sophie Balzora, MD, FACG; and Nana Bernasko, CRNP, DNP, WHNP-BC, will discuss strategies vital to combating inequities in IBD. The conversation will describe modern-day issues in how unconscious bias, health disparities, and health inequities all influence quality of care, and will provide real-world strategies to improve IBD care for all patients.

Learning Objectives

At the end of this CME/CE activity, participants should be able to analyze the influence of unconscious bias, health disparities, and health inequities on the care of patients with inflammatory bowel disease.

Financial Support

Supported by an educational grant from Johnson & Johnson.

Target Audience

Physicians, physician associates (PAs), nurse practitioners (NPs), nurses, pharmacists, and dieticians specializing in gastroenterology, surgery, primary care, or internal medicine

Credit Information

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Activity UAN: JA0007185-0000-22-147-H01-P

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Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.


Dr. Peek reports the following financial relationships:

Consultant: Pfizer Inc.


Dr. Balzora reports the following financial relationships:

Advisory Board: Janssen Pharmaceuticals, Inc. and Pfizer Inc.

Consultant: AbbVie Inc.


Dr. Bernasko reports the following financial relationships:

Advisory Board: AbbVie Inc.; Boehringer Ingelheim GmbH; Bristol Myers Squibb Company; Eli Lilly and Company; and Janssen Pharmaceuticals, Inc.

Speakers Bureau: AbbVie Inc.; Bristol Myers Squibb Company; and Janssen Pharmaceuticals, Inc.


The following peer reviewer and CME Outfitters staff have no financial relationships:

  • Shirley Michelle Franks, MSN, APRN, FNP-BC (peer reviewer)
  • Meghann Taft-Lockard (planning committee)
  • Susan Perry (planning committee)
  • Kasey Brandt, PharmD (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

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PD-092-112122-57

 

Health Inequities in Inflammatory Bowel Disease Care
Event Date: 11/21/2022