Program Overview

The Minority Health and Health Disparities Research and Education Act of 2000 (US Public Law 106-525), states that a health disparity exists in a population if the overall rate of incidence, prevalence, morbidity, mortality, or survival differs significantly from that of the general population. In 2003, The Institute of Medicine (IOM) confronted the issue of disparities in healthcare, outlining both the historical underpinnings of racial/ethnicity biases and the ongoing challenge of them in healthcare systems. Today, 20 years later, racial/ethnic disparities continue to be a substantial burden on the black community, and in particular, black patients with cancer. The more than 40 million black individuals in the U.S. have the highest death rate and shortest survival of any racial or ethnic group in the US for most cancers. Black men have the highest cancer incidence rate. Black women have a 40% higher breast cancer mortality as compared to white women. The causal factors of racial/ethnic disparities are multifactorial and complex and occur at the individual provider as well as the infrastructural level. At this critical time when racism is at the center of our national conversations, we must ignite a passion in the healthcare community to reduce disparities through identification and active improvement of equity in the delivery of cancer care.

The goal of this curriculum is to reduce individual and systemic barriers to actively address disparities in the delivery of cancer care impacting outcomes for black men and women facing cancer.
 

Learning Objectives: At the conclusion of the activity, learners should be better able to:

1. Recognize personal and infrastructural implicit biases in the care of diverse patient
   populations to effect change in healthcare parity.
2. Integrate an awareness of disparate oncologic healthcare provision and sociodemographic
   risk, in which black patients are disproportionately represented, to effectively execute an
   evidence-based plan of care.
3. Discuss strategies proven to improve racial equity in healthcare practices and settings.
4. Assess, develop, implement, and report an action plan to reduce healthcare disparity and
   promote appropriate treatment delivery and treatment -seeking behavior among black
   patients in accordance with guidelines.

Provided by Albert Einstein College of Medicine-Montefiore Medical Center in Collaboration with National Association for Continuing Education

Accreditation Statement - CME Provider
In support of improving patient care, Albert Einstein College of Medicine-Montefiore Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statements

Physicians
Albert Einstein College of Medicine-Montefiore Medical Center designates this other (blended live and enduring curriculum) activity for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Interprofessional Continuing Education (IPCE) Credit
This activity was planned by and for the healthcare team, and learners will receive 3.75 Interprofessional Continuing Education (IPCE) credits for learning and change.
 

Accreditation Statement - AANP Provider
National Association for Continuing Education is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 121222. This activity is approved for 3.75 contact hours.

NACE Policy on Faculty and Provider Disclosure

Educational programs sponsored by the National Association for Continuing Education (NACE) must demonstrate balance, independence, objectivity, and scientific rigor. All faculty, authors, editors, staff and planning committee members participating in a NACE-sponsored activity are required to disclose any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services that are discussed in an educational activity. Any potential conflicts of interest will be resolved prior to the activity.

Per the ACCME, a Commercial Interest is defined as an entity producing, marketing, re-selling or distributing health care goods or services consumed by or used on, patients. Providers of clinical service directly to patients are not considered to be commercial interests - unless the provider of the clinical service is owned, or controlled by, a defined commercial interest.

Policy on Faculty and Provider Disclosure - Albert Einstein College of Medicine-Montefiore Medical Center 
The “Policy on Collection of Relevant Financial Relationships and Resolution of COI” of Albert Einstein College of Medicine-Montefiore Medical Center requires that faculty participating in any CME activity disclose to the audience any relevant relationship(s) with a commercial interest*. Any presenter whose disclosed relationships prove to create a conflict of interest, with regard to their contribution to the activity, will not be permitted to present.

Albert Einstein College of Medicine-Montefiore Medical Center also requires that faculty participating in any CME activity disclose to the audience when discussing any unlabeled or investigational use of any commercial product or device not yet approved for use in the United States.

Albert Einstein College of Medicine-Montefiore Medical Center resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities. All relevant financial relationships and potential conflicts of interest have been mitigated prior to the activity.

*The ACCME defines a Commercial Interest as an entity producing, marketing, re-selling or distributing health care goods or services consumed by or used on, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests - unless the provider of the clinical service is owned, or controlled by, an ACCME-defined commercial interest.

Privacy
Albert Einstein College of Medicine-Montefiore Medical Center, Center for Continuing Professional Development protects the privacy of personal and other information regarding participants and educational collaborators. We will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting to the ACCME.

Albert Einstein College of Medicine-Montefiore Medical Center, Center for Continuing Professional Development maintains physical, electronic, and procedural safeguards that comply with federal regulations to protect against the loss, misuse, or alteration of information collected from you.

Additional information regarding Albert Einstein College of Medicine-Montefiore Medical Center's Privacy Policy can be viewed at https://www.mecme.org/PrivacyStatement.aspx.

Disclosure of Commercial Support
This educational activity is supported by an educational grant from Pfizer, Inc. 

Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients’ conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Course Director
Rasim A. Gucalp, MD, FACP 
Professor, Department of Medicine (Oncology)
Director, Hematology/Oncology Fellowship Program
Montefiore Medical Center
Bronx, NY

Faculty
Edith P. Mitchell, MD
Clinical Professor
Director, Center to Eliminate Cancer Disparities
Program Leader, Gastrointestinal Oncology
Jefferson University Hospitals
Philadelphia, PA

Seema Yasmin, MB BChir
Clinical Assistant Professor, Primary Care & Population Health
Director, Research and Education Programs, Stanford Health Communication
Stanford University
Stanford, CA

Medical Writer
Sara R. Fagerlie, PHD, CHCP

Planning Committee

Sandy Bihlmeyer, MEd
Senior Project Manager
National Association for Continuing Education

Michelle Frisch, MPH
Vice President, Operations
National Association for Continuing Education
Plantation, FL

Angela Golden, DNP, FNP-C, FAANP
Family Nurse Practitioner
NP Obesity Treatment Clinic and NP from Home, LLC
Assistant Professor (Ret), Northern Arizona University
Past President, American Association of Nurse Practitioners
Munds Park, AZ

Laurl Ann Matey MSN RN-BC CHPN
Scientific Director, Medical Affairs
Haymarket Medical Education

Gregg Sherman, MD
Chief Medical Officer
National Association for Continuing Education
Plantation, FL

Disclosure of Unlabeled/Investigational Uses of Products
The content of the presentations may include discussion of unapproved or investigational uses of product or devices.

Individual Disclosure Statements

Edith Miller, MD has disclosed the following financial relationships:
Consultant: Genentech, Merck, Taiho, Bristol Myers Squibb, and Exelixis
Researcher: Amgen and Genentech

All relevant financial relationships and potential conflicts of interest have been mitigated.

Planners and moderators for this educational activity not listed above have no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

How to claim credit

1. Read the learning objectives and faculty disclosures.
2. Participate in the activities.
3. Once your group completes all modules of the course, you will receive a notification with a link to complete the post-test, activity evaluation and claim your CME/CE credit.
4. Physicians who successfully complete the post assessment and evaluation will receive CME credit.
5. Nurse Practitioners who successfully complete the post assessment and evaluation will receive AANP CE credit.
6. You must score 70% or higher on the post assessment to receive credit for this activity.
7. Once your group completes all modules of the course, you will receive a notification with a link to complete the post-test, activity evaluation and claim your CE credit.
8. All other participants who successfully complete the post assessment and evaluation will receive a certificate of participation.

Credit Breakdown

• Racial Disparities in Cancer Care: Baseline Assessment

• 0.50 AMA PRA Category 1 Credit™
• 0.50 AANP contact hour(s)

• Self Study Module 1: Recognizing and Addressing Racial Disparities

• 0.25 AMA PRA Category 1 Credit™
• 0.25 AANP contact hour(s)

• Self Study Module 2: A 360 degree of Racism in Healthcare

• 0.25 AMA PRA Category 1 Credit™
• 0.25 AANP contact hour(s)

• Self Study Module 3: A Call to Action - Making a Commitment to Address Racial Disparities in Practice

• 0.25 AMA PRA Category 1 Credit™
• 0.25 AANP contact hour(s)

• Racial Disparities in Cancer Care: Final Assessment

• 0.50 AMA PRA Category 1 Credit™
• 0.50 AANP contact hour(s)

• Live Group Discussion 1

• 0.50 AMA PRA Category 1 Credit™
• 0.50 AANP contact hour(s)

• Live Group Discussion 2

• 0.50 AMA PRA Category 1 Credit™
• 0.50 AANP contact hour(s)

• Live Group Discussion 3

• 0.50 AMA PRA Category 1 Credit™
• 0.50 AANP contact hour(s)

• Group Task

• 0.50 AMA PRA Category 1 Credit™
• 0.50 AANP contact hour(s)

Course format/medium: Internet CME Activity
Estimated time to complete the activity: 3 Hours, 45 Minutes 
Supported Browsers:
Internet Explorer 8.0+ for Windows 2000, 2003,
Vista, XP, Windows 7, Windows 8 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6+ for Mac OSX 10.7 and above
For video playback, install the latest version of Flash or Quicktime.
Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above