Conscious and Unconscious Biases in Health Care:
A Focus on Lupus

Part One: Epidemiology, Disparities, and Social Determinants of Lupus

Overview

ACTIVITY DESCRIPTION

This series of CME activities is designed to: a) bring awareness to members of the healthcare community about the impact of conscious and unconscious bias on healthcare and how bias contributes to health care disparities; and b) increase knowledge of how to recognize and mitigate bias in the diagnosis, treatment, and management of lupus for diverse patient populations.

Part one of the series, Epidemiology, Disparities, and Social Determinants of Lupus, explores health disparities that currently exist in health care, the disparities in both prevalence and outcomes of SLE, and how we can address these disparities. Participants will read a variety of essays and view videos of experts in the fields of rheumatology, lupus, and cultural competency online. It is estimated that this module will take participants thirty minutes to complete. 

DATES AVAILABLE

  • Release date: April 15, 2013
  • Expiration date: April 15, 2016

TARGET AUDIENCE

This activity is intended for internists, emergency medicine physicians, ophthalmologists, OB-GYNs, dermatologists, rheumatologists, and other health professionals.

NEEDS ASSESSMENT

There is evidence that bias (race, ethnicity, obesity, age, sexual orientation, other) exists in health care, that it impacts the kind of treatment that patients from diverse racial and ethnic backgrounds receive, and that health care providers often are not consciously aware of their biases and, therefore, are unable to interrupt their biases.

LEARNING OBJECTIVES

Upon completion of this activity, participants should be able to:

  • Examine the relationships between race, class, and ethnicity, including the impact of social determinants of health on disparities
  • Describe five key epidemiological facts about systemic lupus erythematosus (SLE), or lupus 3. Cite the primary demographic groups disproportionately impacted by lupus-related health disparities

CME Info

ACCREDITATION STATEMENT

The American College of Rheumatology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

DESIGNATION STATEMENT

The ACR designates this enduring material 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.

CONTENT VALIDATION

The ACR follows the ACCME policy on Content Validation for CME activities, which requires:

  • All the recommendations involving clinical medicine in a CME activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.
  • All scientific research referred to, reported or used in CME in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection and analysis..

Disclosure

ACR DISCLOSURE POLICY

The ACR is an independent, professional organization that does not endorse specific procedures or products of any pharmaceutical/biotech concern. It is the policy of the ACR to ensure that its CME activities are independent and free of commercial bias. To ensure content objectivity and balance, and guarantee that the content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control the content must disclose all relevant financial relationships with any commercial interest if the relationship is financial and occurred within the past 12 months. If there are relationships that create a conflict of interest, these must be resolved by the Planning Committee chair in consultation with the ACR's Committee on Education designee(s) prior to the participation of the individual in the development or presentation of CME content.

Any individual who refuses to disclose relevant financial relationships will be disqualified from being a planning committee member, a presenter, or an author of a CME activity, and cannot have control of, or responsibility for, the development, management, presentation or evaluation of the CME activity. Disclosures will be published prior to the start of each activity.

The activities included in the Conscious and Unconscious Biases in Health Care: A Focus on Lupus series have been independently planned by the Lupus Initiative® and the National Center for Cultural Competence, Georgetown University Medical Center work group under the ACR Committee on Education.

COMMERCIAL SUPPORT

The production of this activity was supported by Grant Number 7 MPCMP111064-01-00 from the U.S. Department of Health and Human Services Office of Minority Health (HHS, OMH) in partnership with the Office on Women’s Health (OWH) and Office of the Surgeon General (OSG). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the HHS, OMH. No commercial support was obtained.

Copyright Material Policy

The educational resources of The Lupus Initiative® are free of charge and liberal distribution and usage for the education of health care professionals is encouraged and authorized by the ACR.

Use of The Lupus Initiative’s content for commercial purposes, which includes, but is not limited to oral presentations, audiovisual materials used by speakers, and any downloadable handouts without the written consent of the ACR is prohibited.

ACR DISCLOSURE POLICY
Disclaimer: Disclosure information is considered accurate at the time of publishing.

FACULTY CONFLICT OF INTEREST/ DISCLOSURE STATEMENTS

As an educational provider accredited by the Accreditation Council for Continuing Medical Education (ACCME) it is the ACR’s policy to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. Faculty participating in an ACR-sponsored activity must disclose to the planning committee and audience any financial or other relationship(s) including, but not limited to:

  1. Stock, stock options or bond holdings in a for-profit corporation or self-directed pension plan
  2. Research grants
  3. Employment (full or part-time)
  4. Ownership or partnership
  5. Consulting fees or other remuneration (payment)
  6. Non-remunerative positions of influence such as officer, board member, trustee or public spokesperson
  7. Receipt of royalties
  8. Speakers' bureau
  9. Other

In accordance with ACR policy an individual who refuses to disclose relevant financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for the development, management, presentation or evaluation of the CME activity. The contributing authors of the CME content reported the following disclosures:

David H. Chae, Sc.D., M.A.
Assistant Professor
Department of Behavioral Sciences and Health Education
Rollins School of Public Health, Emory University
No relevant relationships to disclose

Cristina Drenkard, MD, Ph.D.
Assistant Professor of Medicine
Division of Rheumatology
Emory University School of Medicine
No relevant relationships to disclose

Glenn Flores, MD, FAAP
Director, Division of General Pediatrics
Professor of Pediatrics, Clinical Sciences, and Public Health
The Judith and Charles Ginsburg Chair in Pediatrics
University of Texas Southwestern and Children's Medical Center Dallas
No relevant relationships to disclose

S. Sam Lim, MD, MPH
Associate Professor of Medicine
Division of Rheumatology
Emory University School of Medicine
No relevant relationships to disclose

David Newhouse, MD, MPH, APIC
Assistant Physician-in-Chief for Diversity, Service, and Marketing
Advisory Board Member for the Institute for Culturally Competent Care
Kaiser Permanente
Program Director Fremont IVF Center
No relevant relationships to disclose

Kimberly Papillion, Esq.
Faculty
National Judicial College
No relevant relationships to disclose

Elena Rios, MD, MSPH
President and CEO
National Hispanic Medical Association
No relevant relationships to disclose

David Wofsy, MD
Professor of Medicine
Associate Dean for Admissions
UCSF School of Medicine
No relevant relationships to disclose

The Planning Committee Chairs, all planning committee members and/or staff who are in a position to influence content disclosures are as follows:

Suzanne Bronheim, Ph.D.
Senior Policy Associate
Associate Professor
National Center for Cultural Competence
Center for Child and Human Development
Georgetown University Medical Center
No relevant relationships to disclose

Tawara Goode, MA
Assistant Professor and Director
National Center for Cultural Competence
Center for Child and Human Development
Georgetown University Medical Center
No relevant relationships to disclose

Vivian H. Jackson, Ph.D., LICSW
Senior Policy Associate
Assistant Professor
National Center for Cultural Competence
Center for Child and Human Development
Georgetown University Medical Center
No relevant relationships to disclose

Sheryl McCalla, Esq.
Director
The Lupus Initiative of the
American College of Rheumatology
No relevant relationships to disclose

Disclaimer:
Disclosure information is considered accurate at the time of publishing.

Systems Requirements

ACR SYSTEM REQUIREMENTS

Browser

  • Microsoft Internet Explorer V5.01 and higher
  • Recommendation is Internet Explorer 5.5 and higher

Operating System

  • Windows
  • Macintosh
  • Recommendation is Windows

Internet Connection

  • Broadband connection (DSL, cable or T1) recommended
  • While it is in the best interest of participants to take the exam through a broadband connection (DSL, cable or T1) rather than through a much slower dial-up connection, it is not an absolute requirement. Please realize that a dial-up connection may slow down the examination process.

Screen Resolution

  • 800 x 600 or better
  • 1024 x 768 is preferred

For technical support please complete the ACR online contact form.

Other Info

USE OF PROFESSIONAL JUDGMENT

The information presented relates to basic principles of diagnosis and therapy, and is meant in no way to substitute for an individual patient assessment based upon the healthcare provider’s examination of the patient and consideration of laboratory data and other factors unique to the patient.

DRUGS AND DOSES

When prescribing medications, the health professional is advised to check the prescribing information accompanying each drug to verify conditions of use and to identify any changes in drug dosage schedule or contraindications.

ACR POLICY ON PRIVACY

Read the ACR Policy on Privacy

Registration & Credit

To Login and Register

By logging-in to participate in activities, you will be able to track the number of credits you have earned and print/reprint certificates as needed.

If you are not already logged in, click here to be taken to the login page where you will either need to login or create an account. The fields required to create an account include information that must be on file at the ACR and provided, upon request, to the ACCME to verify participants in CME activities. Information collected as part of the course evaluations will also be aggregated anonymously and supplied to the ACCME upon request.

TO OBTAIN CME CREDIT/CME CERTIFICATE

To receive CME credits for this activity you must pass the post-test with a score of 75% or higher and complete the CME activity evaluation. Learners are offered two attempts to pass. After completing the activity evaluation, your CME certificate will be available to download and print.

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