Addressing Racial Disparities in Orthopedic 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.

Melvyn Harrington Jr., MD, FAOA
Residency Program Director and Adult Reconstruction Fellowship Director
Vice Chair for Diversity and Inclusion, Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX
Melvyn Harrington Jr., MD, FAOA

Melvyn A. Harrington Jr, MD, is a Professor, Residency Program Director, Adult Reconstruction Fellowship Director, and a Vice Chair for Diversity and Inclusion for the Joseph Barnhart Department of Orthopedic Surgery at the Baylor College of Medicine in Houston, TX. He is a graduate of the AAOS (American Academy of Orthopaedic Surgeons) Leadership Fellows Program and served two terms on the Diversity Advisory Board of the AAOS. He is past president of the J. Robert Gladden Orthopedic Society. Dr. Harrington served on the Executive Committee of the American Orthopaedic Association and is a member of the Council of Residency Directors™ Academic Committee. He is a member of the Steering Committee for Movement is Life Musculoskeletal Health Disparities National Caucus. Locally, he is past chair, and a member of, the Houston Leadership Board for the Arthritis Foundation. Dr. Harrington is a board- certified orthopaedic surgeon specializing in arthritis and joint replacement surgery.

Statement of Need

Racial and ethnic minorities undergo fewer surgical procedures, face longer delays for necessary procedures, and have worse postoperative outcomes across surgical disciplines. This is particularly prevalent in orthopedic surgeries for debilitating musculoskeletal conditions. Despite presenting with more advanced osteoarthritis, African American patients reported longer surgical wait times when compared with White patients. This, combined with increased risk of complications and/or mortality after orthopedic surgical intervention, has led to a need for health care providers (HCPs) to improve awareness of surgical disparities in arthroplasty procedures and address interpersonal racism/biases that play a role in this health inequity.

This CMEO BriefCase episode will focus on factors for disparities in joint arthroplasty procedures and strategies clinicians can implement to improve racial equity in orthopedic arthroplasty and surgical care.

Learning Objectives

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

  • Assess factors for disparities in joint arthroplasty (replacement) procedures.
  • Implement strategies to improve racial equity in orthopedic arthroplasty and surgical care.

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) 0.75

This activity was planned by and for the healthcare team, and learners will receive 0.75 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 0.75

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) 0.75

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.

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) 0.75

This application-based activity is approved for 0.75 contact hour (0.075 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-21-074-H04-P

PAs (AAPA) 0.75

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 0.75

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

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.

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.

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 has no disclosures to report.


Dr. Harrington reports that he is a consultant for Zimmer Biomet. He is on the steering committee for Movement is Life.


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

  • S. Michelle Franks, MSN, APRN, 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.

BC-039-121321-57

 

Addressing Racial Disparities in Orthopedic Care
Event Date: 12/13/2021