Root Cause Analysis: Examining Structural Racism and SDoH to Combat Inequities in Cancer Care

Faculty

Edith Peterson Mitchell, MD, MACP, FCPP, FRCP
Clinical Professor of Medicine and Medical Oncology Department of Medical Oncology
Director, Center to Eliminate Cancer Disparities Associate Director, Diversity Affairs
Sidney Kimmel Cancer Center at Jefferson Philadelphia, PA 116th President of the National Medical Ass
Edith Peterson Mitchell, MD, MACP, FCPP, FRCP

Edith Peterson Mitchell, MD, MACP, FCPP, FRCP, is board certified in Internal Medicine and Medical Oncology and is Clinical Professor of Medicine and Medical Oncology at Sidney Kimmel Medical College at Thomas Jefferson University and Associate Director for Diversity Programs and Director of the Center to Eliminate Cancer Disparities for Sidney Kimmel Cancer Center at Jefferson.

Dr. Mitchell has spent her medical career helping individuals in medically underserved areas and has demonstrated the importance of community service and outreach, especially to underserved populations. Her research in breast, colorectal, and pancreatic cancers and other GI malignancies involves new drug evaluation and chemotherapy, development of new therapeutic regimens, chemoradiation strategies for combined-modality therapy, patient selection criteria, and supportive care for patients with gastrointestinal cancer.

Dr. Mitchell served as the 116th President of the National Medical Association, and is a member of the American Medical Association, National Medical Association, Aerospace Medical Association, Association of Military Surgeons, Medical Society of Eastern Pennsylvania, ECOG/ACRIN Cancer Research Group, and Radiation Therapy Oncology Group. Because of her experience in the cancer research community, Dr. Mitchell served as a member of the National Cancer Institute Blue Ribbon Panel convened to advise the National Cancer Advisory Board on then Vice President Biden’s National Cancer Moonshot Initiative. In 2019, Dr. Mitchell began service as a member of the President’s Cancer Panel. In 2020, she became a Fellow of the Royal College of Physicians.

In addition to her medical achievements, Dr. Mitchell is a retired United States Air Force Brigadier General.

Statement of Need

Institutional and structural racism, those social inequities deeply engrained or built into a society, include policies and conditions that disadvantage a group. These factors, whether intended or not, create inequities, such as reduced funding for remote or under-resourced cancer care centers, poor or no insurance for patients, few people from under-resourced communities within health care, and low clinical trial participation by members of these communities. Additionally, unconscious or conscious bias from health care professionals compounds structural barriers. To address systemic disparities in cancer care and to deliver high-quality care to all patients, health systems and institutions must recognize those factors that create inequities within their community. Analyses use patient-level quality measures to identify institution-specific gaps, and disparities in care delivery and outcomes, and use systems-level factors related to race, ethnicity, sexual orientation, gender, insurance status, geography, and more. By respecting and welcoming opportunities for introspection, institutions and HCPs can change their organizations and practices to improve care and outcomes for everyone.

In this CME Outfitters OnDemand Webcast, expert faculty will discuss how structural inequities rooted within health systems impact members of historically marginalized groups. They will describe major health care barriers and outline how institutional analyses can help identify and rectify these disparities. Resources to improve health equity, including partnerships with organizations such as Project ECHO, will demonstrate how these programs can be implemented. Finally, opportunities for introspection within the health care systems will be presented.

Learning Objectives

At the end of this CME/CE activity, participants should be able to analyze causes of disparities in the quality and delivery of cancer care.

Financial Support

Supported by educational grants from Bristol Myers Squibb and Merck Sharpe & Dohme Corp.

Target Audience

Physicians, PAs, nurse practitioners, nurses, nurse navigators, pharmacists, social workers, and case managers specializing in oncology, emergency medicine and/or primary care

Credit Information

Physicians (ACCME) .75

CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CME Outfitters, LLC, designates this enduring activity for a maximum of .75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) .75

This activity is designated for 0.75 contact hour. Nurse practitioners can apply for AMA PRA Category 1 Credit(s)™ through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 Credit(s)™ from Jointly Accredited Organizations. Nurse practitioners can also apply for credit through their state boards.

PAs (AAPA) .75

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 0.75 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.

ABIM MOC .75

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 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

This activity counts towards MIPS Improvement Activity requirements under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). 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 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. Mitchell reports financial relationships with: Advisory Board: Corvus Pharmaceuticals, Inc. Consultant: Amgen Inc.; Astellas Pharma Inc.; Bristol Myers Squibb; Genentech, Inc.; and SEMA4 OpCo Inc.


Dr. Florez reports the following financial relationships: Advisory board: AstraZeneca; DSI; Janssen Pharmaceuticals, Inc.; Merck & Co., Inc.; Mirati Therapeutics, Inc.; and Pfizer Inc. Speakers Bureau: NeoGenomics


Dr. Rivers reports no financial relationships.


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

  • David Modrak, PhD (planning committee)
  • Kathleen Blake, PhD (planning committee)
  • Thomas Mitchell (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee and peer reviewer)
  • 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 Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

WCV-050-071122-90

Root Cause Analysis: Examining Structural Racism and SDoH to Combat Inequities in Cancer Care
Event Date: 07/11/2022