Inequitable Access and Outcomes: Health Care Disparities in Surgical Weight-Loss Procedures

This activity is part of a series


Monica E. Peek, MD, MPH, MSc
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.

Dexter G. Turnquest, MD, FACS, FSAMBS
General and Bariatric Surgeon
Diplomate Board of American Obesity Medicine
Regional Medical Director for Bariatrics - HCA Gulf Coast Region
Medical Director, Bariatric Program at HCA Northwest and Houston Methodist Willowbrook Hospitals, Houston, TX
Dexter G. Turnquest, MD, FACS, FSAMBS
General and Bariatric Surgeon

Dr. Turnquest is a private practice general and bariatric surgeon practicing in the northwest Houston area for 22 years. He has served the medical community during this time in numerous capacities; he serves as the regional Medical Director for bariatrics at HCA Gulf Coast region, Medical Director for bariatrics at HCA Northwest and Houston Methodist Willowbrook Hospitals, and as a member of the board of directors at TOPS Surgical Specialty Hospital. Dr. Turnquest has served as Chairman of the board at his primary hospital, Chief of Staff, Chief of Surgery, Chair of the Bariatric Committee and Trauma Committee as well as quality, collaborative practice, bylaws, and various ad hoc duties. Dr. Turnquest is an active member of the Harris County Medical Society (HCMS), where he currently serves on the Executive Board as the 4th year member-at-large, Chair of the HCMS Survey Committee, delegate to the Texas Medical Association, Chairman of the Board of Houston Academy of Medicine Education, and Research Roundation, and President of Houston Academy of Medicine. He has previously held positions as President of the HCMS Northwest branch, Communications Chair, Boards of Medical Legislation, Socioeconomics, and Trauma/EMS Committees as well.

Dr. Turnquest is married to his beautiful bride, Tyra, and enjoys his two children, Krysti and Jordan.

Statement of Need

Structural racism and systemic barriers to health care access can lead to increased risk and burden in surgical weight-loss procedures. Twenty-four states and the District of Columbia report a 35% or higher prevalence rate of obesity in non-Hispanic Black adults. It is well established that obesity contributes to worse health outcomes. In order to mitigate disparities and ensure access to surgical weight-loss procedures, it is imperative that health care providers (HCPs) are aware of their own implicit/explicit biases about candidacy for weight loss treatment or bariatric surgery. Similarly, there is a need to develop interprofessional team approaches to care in order to improve on both preventative and follow-up care in patients with obesity.

This CMEOCast podcast will focus on the negative impact of inequitable access on surgical weight-loss procedures, including the key contributing factors for disparities in weight-loss surgery and strategies for mitigating these disparities.

Learning Objectives

At the end of this CME/CE activity, participants should be able to:

  • Assess key contributing factors for health care disparities in surgical weight-loss procedures.
  • Identify strategies to mitigate racial and ethnic disparities in surgical weight-loss procedures and outcomes.

Financial Support

Supported by an educational grant from the Johnson & Johnson Institute and the Johnson & Johnson Family of Companies.

Target Audience

Physicians, nurse practitioners (NPs), physician associates (PAs), nurses, and pharmacists

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Interprofessional (IPCE) 0.5

This activity was planned by and for the healthcare team, and learners will receive 0.5 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 0.5

CME Outfitters, LLC, designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 0.5

This activity is designated for 0.5 contact hours.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists (ACPE) 0.5

This application-based activity is approved for 0.5 contact hours (0.05 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-21-067-H01-P

PAs (AAPA) 0.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.5 AAPA Category 1 CME credits. Approval is valid until expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

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 attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Peek has no disclosures to report.

Dr. Turnquest has no disclosures to report.

Disclosures were obtained from the CME Outfitters, LLC staff: No disclosures to report:

  • Michael Franks, APRN, AGACNP-BC, FNP-BC (peer reviewer)
  • Noreen Iftikhar, MD (planning committee)
  • Kathleen A. Blake, PhD (planning committee)
  • Jan Perez (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.

Obtaining Credits

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Questions about this activity?

Call us at (877) CME-PROS or (877) 263-7767.



Inequitable Access and Outcomes: Health Care Disparities in Surgical Weight-Loss Procedures
Event Date: 12/27/2021