Background: Efforts to advance health equity in the outpatient setting include routine screening for social determinants of health, expanded access to addiction treatment, and addressing pharmaco-equity. However, the question of how to advance health equity for patients who are hospitalized has been underexplored. We sought to understand hospitalists’ perspectives on health equity needs and innovations. [...]

Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA [...]

Background: Microaggressions were first described by Dr. Chester Pierce in 1997 as “subtle and stunning” daily racial offenses and then by Sue et al. as “brief and commonplace daily verbal, behavioral, and environmental indignities, whether intentional or unintentional” which often target marginalized groups. Many studies have demonstrated the harmful effect of microaggressions on the target [...]

Background: The benefits of recruiting health care professionals with lived experiences which reflect the patients they serve are well known. Ethnic and racial concordance between physicians and patients has been shown to improve care for marginalized patients as well as decrease the implicit biases of their fellow colleagues. Systemic racism’s impact on physician representation necessitates [...]

Background: Microaggressions and bias events in the clinical environment are widespread and have both individual and structural consequences. Microaggressions are brief and mundane verbal, environmental, or behavioral slights that communicate bias, hostility, or prejudice toward any group. Microaggressions can occur in a variety of interactions between the physician and patients, learners, colleagues, and staff. Studies [...]

Case Presentation: A 70 year old female with metastatic cholangiocarcinoma, heart failure with reduced ejection fraction, stage 4 chronic kidney disease and pulmonary embolism on anticoagulation presented to a NYC safety net hospital with bilateral lower extremity edema, dyspnea at rest and a recent unwitnessed fall. Her malignancy was diagnosed 7 months prior and her [...]