San Diego EXPORT Center

Improving Health Equity through Research, Training, Education, & Outreach

CCOUNCIL OUNCIL CCOMMUNITY OMMUNITY CCLINICSLINICS

OFOF REHDIREHDICounty of San Diego, HHSA

Health Disparities

National Institute of Health “Health Disparities are differences in the incidence,

prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States”

Health and Human Services Agency One of Healthy People 2010’s overarching goals is to

eliminate health disparities.

Leading Health Disparities

Cardiovascular Disease

Cancer Diabetes HIV/AIDS Infant Mortality Asthma Mental Health

National Institute of Medicine Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care

San Diego EXPORT Overview

Program Advisory Committee

HD EDUCATIONCOMPONENT

PILOTRESEARCH

CORE

TRAINING/MENTORING CORE

CARDIOVASCULARRESEARCH

CORE

HIV RESEARCH CORE

ADMINISTRATIVECORE

Executive Committee

Evaluation Unit

SHAREDRESOURCE

CORE

COMMUNITYOUTREACH

CORE

PRIME-HEq

Program in Medical Education - Health Equity

California & San Diego Today

Medical education is of high quality, but insufficient in quantity & distribution

California is currently losing physicians

University of California’s Goal To produce culturally & linguistically

competent physicians To train physicians to address the needs of

underserved communities Expanded medical school enrollment with

focused programs of excellence & specialized curricula

Through creation of: PRIME – Program in Medical Education

UCSD’s PRIME Program in Medical Education – Health

Equity (PRIME-HEq) Developed by faculty from the EXPORT

Center to eliminate health disparities: $6 Million/5 year grant from NCMHD Promote participation in disease prevention,

intervention, research, & dissemination Implement a joint minority health disparities

curriculum for UCSD SOM & SDSU graduate students in public health

Why PRIME-HEq in San Diego?

One of the busiest international border crossings in the world - over 48 million people in 2003

Community that spans both predominately urban and rural areas on the US/Mexico border

In the top 15 metropolitan areas for immigration - almost 13K legal immigrants in FY 2003

More refugees resettled in San Diego than any other metropolitan area in Southern California

Other Community Diversity

18 Indian reservations – more than any other county in the US

1/3 of households are non-English speaking

Approximately 1,000 deaf or hard of hearing students receive special education services in San Diego

Assets, Resources & Opportunities

At UCSD SOM San Diego EXPORT Center Native American Research Center for Health Hispanic Center of Excellence UCSD Academic Center of Excellence on Youth

Violence Prevention National Center of Leadership in Academic

Medicine Deaf Culture Training Program NIH funding to UCSD – research and training

Assets, Resources & Opportunities

Existing Community/University Partnerships SDSU Graduate School of Public Health Center for Iberian & Latin American Studies County of San Diego Health and Human

Services Agency Council of Community Clinics Border Health Education Network & Scripps

Area Health Education Center Mid-City CAN

UCSD PRIME-HEq

Inclusive program that trains physicians to provide better health care services to underserved and at risk populations

Provides a new option for dual degrees in minority health and health disparities

Evolves from community/university partnerships formed over the last two decades

Potential PRIME-HEq Dual Degrees

Public Health

Leadership of Healthcare Organizations

Humanities

Bioengineering

Advanced Studies in Clinical Research

Business Administration

Advanced Studies in Law & Medicine

UCSD Health Science Pipeline

Health Careers Opportunities Program

San Diego EXPORT Center Basic Science and

Behavioral Training Minority Supplement

Research Training Native American Research

Center for Health

UCSD Health Science Pipeline

Continuing Umbrella of Research Experience

NIH Scholars, McNair Scholars & Young Native Scholars

Minority Biomedical Research Support

UniversityLINK Community College Program

Benefits of Health Science Pipeline and PRIME-HEq

Attracts a diverse population of highly qualified students

Expands dual degree opportunities

Increases the number of physicians providing services to underserved populations

UCSD Trained Physicians in PRIME

Provide health care to underserved and at risk populations and are excellent clinicians prepared to be:

Physician/Advocates,

Physician/Scholars, and

Physician/Healers

Questions?