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CC Patient Demographics andStructural Racism InitiativesJohn I. Gallin, M.D.CC Chief Scientific Officer andNIH Associate Director forClinical Research1
OutlineCC Patient DemographicsStructural Racism Initiatives to Change the CC Workforce Local–BSC Membership–CC Staff–Training Programs–Medical Executive Committee Extramural Regional Partnerships2
CC Patient Demographics2019 Total: 23,974 patientsData courtesy of BTRIS team2020 Total: 13,637 patients3
CC Patient DemographicsHispanic/Latino Ethnicity2019 Total: 23,974 patientsTotal Hispanic/Latino: 12.1%Data courtesy of BTRIS team2020 Total: 13,637 patientsTotal Hispanic/Latino: 13.4%4
OutlineStructural Racism Initiatives to Change the CC Workforce Local BSC Membership CC Staff Recruitment Strategies Advancing From Within New TT Positions5
Board of Scientific CounselorsKari Nadeau, M.D., Ph.D. – ChairpersonStanford University School of MedicineReshma Jagsi, M.D., Ph.D.University of MichiganFrederick Southwick, M.D.University of FloridaVasken Dilsizian, M.D.University of MarylandSchool of MedicineDavid Brian Hackney, M.D.Beth Israel DeaconessMedical Center, Harvard MedicalSchoolDolores B. Njoku, M.D.Johns Hopkins UniversitySchool of MedicineSarah Roshini Abraham, Ph.D.Nationwide Children’s HospitalOhio State UniversityJose Aron Lopez, M.D.University of Washington,Seattle6
Research Dept Heads and Town Hall MeetingsOver past year introduced a discussion aboutStructural Racism at each of the above meetings.7
OutlineStructural Racism Initiatives to Change the CC Workforce Local CC Staff Recruitment strategies Advancing from within New Tenure Track positions8
CC Department and Clinical Service Chiefs19 Total68.4% Women15.8% URMR. DeCederfelt, RPh, MS(Acting PHARM)A. Jones, MSOD, RN(Pat. Rep.)A. Cichocki, MS, MSS, RD, LD(Nutrition)K. Kaczorowski, RN, MHSA(Patient Support Service)G. Wallen, PhD, RN(NURS)C. Grady, RN, PhD(Bioethics)K. Frank, MD, PhD, D(ABMM)(Lab. Med.)T. N. Palmore, MDN. O’Grady, MDJ. M. Pollack, MDiv, BCC(HospitalEpidemiology Service)(InternalMed.ConsultService)(Spiritual Care)K. M. Baxley, MHA, MBA,LICSW, LCSW(Social Work)D. P. Merke, MD, MS(Ped. Consult Service)A. Mannes, MD, ME, MBA(Periop. Med.)Barbara Bryant, MD, FCAP, FASCP E. Jones, MD, MPH, MBA(RADIS)(Transfusion Med.)H. Masur, MD(CCMD)A. Berger, MSN, MD(Pain & Pall. Care)L. Chan, MD, MPH(Rehab. Med.)P. Herscovitch, MD(PET)9
CC Tenured Scientists21 Total28.6% Women14.3 % URMGwenyth R. WallenPhD, RNDiane DamianoMDDavid B. SacksSergio D. Rosenzweig Henry Masur Charles Natanson Leighton Chan Deborah P. MerkeMD, MSMB ChB, FACP, FRCPathMD, PhDMDMD, MPHMDDavid S. WendlerMA, PhDChristine GradyMSN, PhDRonald M. SummersMD, PhDDima A. Hammoud Zenaide Quezado Anthony F. SuffrediniMDMDMDJoseph A. KovacsMDBradford WoodMDJoseph A. FrankMDRonald D. NeumannMDRobert L. Danner Jr.MDScott Y.H. KimMD, PhDHarvey AlterMD
CC Recently TenuredDiane Damiano, PhD, PTZenaide Quezado, MDSergio Rosenzeig, MD, PhDGwen Wallen, PhD, RN11
Current CC Tenure TrackDan Chertow, MD, MPHSameer S. Kadri, MD, MSParizad Torazi-Parizi, MDThomas Bulea, PhDJason Elinoff, MDT. N. Palmore, MD12
Building a Pipeline for New InvestigatorsNational SearchesInput from NIH Equity Committee to assurebalance of subject matter and scientificexpertise of members for equity, diversity, andinclusion. Committee members chosen andcharged to insure thorough, fair, and credibleprocess.13
Building a PipelineNew Tenure Track Positions Dept. of Bioethics. New TT search initiated withNIMHD. “Ethics of Underrepresented Minorities inClinical Research” BSC recommended Nicole Farmer, MD for TT withinnew Translational Biobehavioral Health DisparitiesBranch in Nursing. Gwen Wallen PhD, RN, Chief.New Senior Clinician Search BSC recommended Nadia Biassou MD, PhD for SeniorClinician. Dual Appt with NIDCD established. Searchinitiated.14
Building a PipelineAdvancing Clinical Investigators Ifeanyui Anidi, MD, PhD just completed Critical CareMedicine/Pulmonary Fellowship, extended to prepare forAssistant Clinical Investigator (with NHLBI). Ousmane Cisse, Pharm D, PhD in Critical Care Medicine Dept,awarded honorary NIH Associate Scientist title for defining inPneumocystis species genetic diversity and evolutionaryrates and for genetic sequencing of Pneumocytis carinii.15
Outline Training Programs ACGME MRSP Clinical Research Courses16
ACGME Clinical Fellows* Total number of ACGME Fellows17
Medical Research Scholars Program* Total number of scholars18
CC Conference SpeakersCC Grand Rounds SpeakersCC Seminar Speakers* Total number of speakers19
Clinical Research Training Courses (2020-2021)Introduction to the Principles and Practice of Clinical Research (IPPCR)Principles of Clinical Pharmacology (PCP)20
Clinical Research Training Courses (2020-2021)Introduction to the Principles and Practice of Clinical Research (IPPCR)Principles of Clinical Pharmacology (PCP)17,916Total Participants151Participating Countries 77.4% (151/195) of AllCountriesPowered by Bing Australian Bureau of Statistics, GeoNames, Microsoft, Navinfo,TomTom, WikipediaParticipating countries are shaded.21
Clinical Research Training Courses (2020-2021)Introduction to the Principles and Practice of Clinical Research (IPPCR)Principles of Clinical Pharmacology (PCP)IPPCR Top 10 Countries(Number of Participants)17,916Total Participants151Participating Countries 77.4% (151/195) of AllCountriesPCP Top 10 Countries(Number of Participants)United States4,701United il179Saudi Arabia245Saudi China7322
Outline Medical Executive Committee–Social Determinants of Health23
Medical Executive CommitteeSocial Determinants of HealthLead: Anna Maria Nápoles PhD, MPH,Scientific Director, NIMHDHealthy People 2030 – CDCSDOH are conditions in the environments where people are born, live,learn, work, play, worship, and age that affect a wide range of health,functioning, and quality-of-life outcomes and and-data/socialdeterminants-health24
CC Top 10 Social Determinants of HealthUnemployment, unspecifiedOccupational exposure to toxic agents in other industriesPersonal history of physical and sexual abuse in childhoodInsufficient social insurance and welfare supportDisappearance and death of family memberHomelessnessOccupational exposure to toxic agents in agricultureLow incomeSocial exclusion and rejectionOther problems related to housing and economic circumstances25
Outline Extramural Regional Partnerships26
Regional Partnerships27
NIH/Howard University Partnership Master Agreement signed 2019 Benefits To NIH: increased diversity; access to minoritypatientsTo Howard: enhanced research opportunities28
Howard/NIH Partnership Executive TeamCelia Maxwell, MDAssoc. Dean Research,College of MedicineAnthony Wutoh, PhD, RPhProvostHugh Mighty, MDDean, College of MedicineJohn Gallin, MDCSO CC, Assoc. Dir. CRWilliam Southerland, PhDProf. Biochem.Bruce Jones, PhDVP ResearchAnne Zajicek, MD, PharmDDep. Dir. OCRRoland Owens, PhDAsst. Dir., OIRAnna Allen, PhDAssoc. Prof.,Dept. BiologyThomas Mellman, MDProf. Psychiatry,PI GHU CTSACharlene Le Fauve, PhDSr. Advis. to the Chief OSWD29
Howard University and NIH as PartnersHoward Colleges &Schools College of MedicineCollege of PharmacyCollege of NursingCollege of DentistrySchool of Social WorkSchool of DivinitySchool of LawNIH ICs Undergrad Honors Biol. Students Mentorship of Grad Students,Tenure Tracks, Junior Faculty Clinical Research Projects– Pulmonary Hypertension– Sarcoidosis– Behavioral Sciences– Sickle Cell– COVID– Bioethics– Nursing NIAMS NICHD CC-Bioethics-CCMD-Nursing NINDSNIDCRNCININRNIDDKNIAIDNIMHNHLBINHGRI30
NIH UNITE Initiative TeamNIH-Howard Medical School Scholars ProgramCourtney Fitzhugh, MD (UNITE Team Rep)Investigator, Cellular and Molecular Therapeutics Branch, NHLBI, NIHTiffany Powell-Wiley, MD, MPHInvestigatorCardiovascular Branch, NHLBI, NIHIntramural Research Program, NIMHD, NIHProposal: Increase proportion of Howard medical students conducting31research: a three-year mentoring program with NIH.
ConclusionThe CC has initiated numerous approaches to addressStructural Racism thru new recruitments,advancement of staff, training programs andpartnerships with local institutions to change theculture locally within the NIH community.32
Questions/Discussion33
CC Patient Demographics 2019 Total: 23,974 patients. 2020 Total: 13,637 patients Data courtesy of BTRIS team 3
