There are significant racial and ethnic disparities in health, well-being, and life expectancy among people in the United States with individuals who identify as Black, Indigenous, and Latinx/Hispanic experiencing increased morbidity and mortality in many diseases.
Health Equity Thread
The Health Equity Thread (HET) is designed to equip our students with the knowledge and skills needed to understand and respond to the challenges of ensuring an equitable and inclusive healthcare system. Content related to health disparities and health equity is incorporated across the YSM curriculum to enhance knowledge and clinical skills, so students are ready to provide high-quality care for all patients. As such, the HET team, along with its Advisory Group, creates and curates educational content that engages learners from the pre-clerkship phase and extending into the advanced training period.
About Us
The strategic goal of the HET is to educate the next generation of physicians and physician-scientists to understand the mechanism(s) underlying health disparities and understand where there are gaps in our knowledge, and to develop the skills to recognize and surmount structural barriers to high-quality health care.
Pedagogy
The pedagogical approach in the health equity thread is grounded in an educational framework that challenges learners to think analytically about the influence of biological, sociocultural, political, economic, and environmental factors that can impact health.
Domains of the Health Equity Thread
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Race & Ethnicity Disability The HET examines disability from an equity perspective. This involves a careful examination of the environment in which healthcare is delivered, including equitable access to health services that attend to the needs of individuals with disabilities.
Read MoreEnvironmental Effects on Health Climate change poses a threat to human health – however, the risks and consequences of climate change are not evenly distributed across populations.
Read MoreImmigration Health equity for immigrant populations involves addressing barriers to healthcare access, occupational injustice, racism, and xenophobia.
Read MoreCarceral Status There is an urgent need to address the health status of the population affected by carceral systems.
Read MorePoverty Low resource vulnerabilities encompass a range of economic and social factors that can affect health.
Read MoreSex & Gender Health equity related to sex and gender involves recognizing and addressing the biological and genetic differences related to sex and the unique health needs and the challenges faced by people with different gender identities.
Read MoreSexual Orientation & Gender Identity Health equity in the context of sexual orientation and gender identity involves recognizing and addressing the unique health challenges faced by LGBTQIA+ individuals.
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Thread Leaders
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Deputy Leader
Dr. Doug Shenson is the Deputy Leader of the Health Equity Thread. He is an Associate Professor Adjunct, Internal Medicine at Yale School of Medicine. Dr. Shenson is a graduate of the Residency Program in Social Medicine at Montefiore Medical Center in the Bronx, where he was a Chief Resident in the section of Internal Medicine. Following residency, Dr. Shenson received a grant from the Social Science Research Council for Research on Persistent Urban Poverty. In 1992, Dr. Shenson was the lead medical advisor on the legal team that successfully advocated through the federal courts on behalf of HIV-infected Haitian asylum seekers held at the US Naval Station in Guantanamo, Cuba. He is a co-founder of the humanitarian organization, Doctors of the World USA (now HealthRight International), and founder of the Human Rights Clinic at Montefiore Medical Center, the first clinic in New York City to attend exclusively to the documentation and service needs of survivors of torture. He is a board member of the International Association for Indigenous Aging (IA2), which focuses on health issues of concern to elder American Indians. Over the last 20 years, Dr. Shenson has led projects funded by the Centers for Disease Control and Prevention (CDC) to enhance and characterize the provision of preventive services to older Americans. Dr. Shenson was co-leader of the Curriculum Sub-Committee whose recommendations led to the establishment of the Health Equity Thread. Since 2007, he has directed the Yale School of Medicine?s course ?Populations & Methods: The Application of Epidemiology and Biostatistics to Public Health,? which runs over 12 months in the pre-clinical curriculum. Dr. Shenson is a graduate of the University of Pennsylvania, Oxford University, Tulane University School of Medicine, Tulane University School of Public Health and Tropical Medicine, and Harvard School of Public Health.Thread Leader
Beverley J. Sheares, MD, MS (she, her, hers) is the inaugural Leader of the Health Equity Thread. She is an Associate Professor of Pediatrics in the Respiratory, Allergy/Immunology, and Sleep Medicine Section at the Yale School of Medicine. Dr. Sheares earned her undergraduate and medical degrees at the University of North Carolina at Chapel Hill. She completed her residency in Pediatrics at the Children?s Hospital of New York ?Presbyterian (Columbia College of Physicians & Surgeons) where she served as Chief Resident in Pediatrics. Following residency training, Dr Sheares worked for 3 years as a pediatric emergency medicine physician at Harlem Hospital Center in New York City. It was during this time that her interests in health inequities in respiratory outcomes for children was sparked. She returned to Columbia to complete a post-doctoral fellowship in pediatric pulmonary medicine focusing on physician-patient communication and asthma education as a way to help close the disparities gap. Following fellowship training, she joined the faculty at Columbia. Dr. Sheares earned a Masters degree in biostatistics in patient-oriented research at Columbia?s Mailman School of Public Health. She was the principal investigator on NIH-funded studies focused on improving asthma outcomes for patients with limited health literacy, understanding the impact of receiving subspecialty care for asthma in marginalized patients, and developing behavioral and education sleep interventions for early school-aged minoritized children. She chaired the Workforce Diversity Governance Committee for the Department of Pediatrics. After a long career at Columbia, Dr. Sheares joined the faculty at Yale in 2018. Her clinical, teaching, and research experiences all coalesce around reducing health disparities and promoting equity. Dr. Sheares has taught pre-clerkship and clerkship courses and integrated issues of equity in her teaching. Her clinical work has focused on providing pulmonary care for children in marginalized and economically disadvantaged communities. Her research interest is in improving health outcomes for children with asthma and behavioral sleep problems and in closing the health outcomes disparities gap in children with respiratory problems. She develops and tests educational and behavioral interventions for physicians and families. Dr. Sheares is a nationally recognized expert in health equity. She has served in several leadership roles including Co-Chair of the working group examining issues related to the pediatric pulmonary workforce for the Pediatric Assembly of the American Thoracic Society. In her capacity as Health Equity Thread Leader, Dr. Sheares develops health equity content for the medical school curriculum, partners with faculty and students to enhance health equity related content in existing courses, and creates opportunities for faculty and student education in health equity. In addition to clinical care and research, Dr. Sheares has served as the Director for the Pediatric Pulmonary Fellowship program, and continues to mentor medical students, residents, fellows, and junior faculty members. She is the recipient of numerous teaching and mentorship awards.
Advisory Group
The Health Equity Thread Advisory Group (AG) is comprised of a group of Yale School of Medicine faculty, students, and New Haven community members who provide input for the betterment of the Health Equity Thread.
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What is Health Equity?
- More about Health Equity ResearchHealth equity focuses on ensuring that every individual has a fair opportunity to attain and maintain their highest level of health. It requires a commitment to studying the many and diverse factors that influence health, including biological, social, and economic drivers, and to taking action to remove obstacles such as inadequate scientific understanding, poverty, discrimination, and lack of access to quality healthcare services. Health equity efforts at YSM emphasize the importance of scientific research in identifying and addressing the root causes of health disparities, ensuring that interventions are evidence-based and effective.