Abstract Details

Title Diversity of Grand Rounds Presentations at Large Academic Medical Centers

Topic Education, Research, and Methodology

Presentation(s) P13 - Poster Session 13 (8:00 AM-9:00 AM)

Poster/Presentation
Number 7-001

Background Disparities in healthcare exist across all medical subspecialties, including Neurology. A 2018 study found black and Hispanic patients receive significantly less mechanical thrombectomy and tPA than white patients. Another study found black patients were 30% less likely than their white counterparts to see a neurologist for self-reported neurologic conditions. Educating providers about disparities in healthcare is vital. Historically, large medical centers have used GR as a means to educate departments about the latest developments in their fields. With the increasing need for social justice reform, many institutions use GR as a vehicle to educate the medical community about these health disparities. However, information about GR presentations are not always made publicly available.

Objective Identify Grand Rounds (GR) discussions that focus on diversity, equity, and inclusion (DEI) in various departments at large medical centers.

Design/Methods We evaluated GR speaker topics at 28 academic medical centers across the United States. Using publicly available data online, we examined the Grand Rounds presentations from the departments of Neurology, Internal Medicine, and Psychiatry at various institutions that focused on DEI topics from June 2019 – July 2021.

Results From 28 institutions, we identified 211 talks that focused on DEI topics. These were divided between 20% Neurology, 41% Internal Medicine, and 38% Psychiatry. Thirty-seven talks on systemic racism, implicit bias, and health disparities in underrepresented minorities took place in the 6 months following the social justice movements of 2020.

Conclusions Compared to Internal Medicine and Psychiatry counterparts, Neurology departments do not list as many GR talks focused on social justice issues. As GR is a way to reach a broad audience, Neurology departments should strive to find speakers that address these topics to help reduce health disparities that underrepresented minorities experience. Departments should make their talks available online to the public, with hopes of reaching an even broader audience.

Authors/Disclosures
Trusha Shah (University of Washington, Neurology) PRESENTER	Dr. Shah has nothing to disclose.
Alec Gibson, MD, PhD (University of Pennsylvania)	Dr. Gibson has nothing to disclose.
Jerome J. Graber, MD, MPH, FAAN (University of Washington)	Dr. Graber has received personal compensation in the range of $500-$4,999 for serving as a Consultant for American Academy of Neurology. Dr. Graber has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Dickie McCamey Attorneys at Law. Dr. Graber has a non-compensated relationship as a Editorial Board member with Neuro-Oncology: Practice, published by Oxford that is relevant to AAN interests or activities. Dr. Graber has a non-compensated relationship as a Editorial Board Member with Journal of Pain and Symptom Management that is relevant to AAN interests or activities. Dr. Graber has a non-compensated relationship as a Board of Directors with American Society of Neuroimaging that is relevant to AAN interests or activities. Dr. Graber has a non-compensated relationship as a Board of Directors and Certification Exam Committee Member with United Council of Neurogical Subspecialties that is relevant to AAN interests or activities. Dr. Graber has a non-compensated relationship as a Question of the Day 'app' committee and NeuroSAE and Continuum with American Academy of Neurology that is relevant to AAN interests or activities. Dr. Graber has a non-compensated relationship as a Editorial Board Member with Practical Neurology (BMC) that is relevant to AAN interests or activities.