Resource Center

In the GeriPal podcast (48:38 minutes), Deborah Ejem, a medical sociologist and Assistant Professor in the School of Nursing at the University of Alabama Birmingham, and Deep Ashana, a pulmonary critical care physician and Assistant Professor of Medicine at Duke University, discuss structural, institutional, and interpersonal racism as well as how these different but related constructs negatively impact the care of older adults and people with serious illness.

Topics includes: 1) the differences between structural, institutional, and interpersonal racism, including examples of how these forms of racism operate in the care of seriously ill patients; 2) the importance of attention to religion and spirituality; 3) clinician reluctance to engage in advance care planning with minoritized patients as a driver of disparities; 4) how abandoning support for advance care planning might foreground implicit biases inherent in the heuristics (or nudges, or short cuts in thinking) inherent to time-pressed in-the-moment decision making; 5) lack of diversity in the participants represented in AAHPM State of the Science presentations, as well as lack of focus on disparities; and 6) co-opting of disparities issues by the Alzheimer’s Association in their argument for CMS/Medicare coverage of aducanumab.

Source: GeriPal, 2022
https://geripal.org/tag/podcasts/