{"id":6246,"date":"2020-01-20T12:18:35","date_gmt":"2020-01-20T17:18:35","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/emergencymedicine\/?page_id=6246"},"modified":"2024-12-13T10:41:10","modified_gmt":"2024-12-13T15:41:10","slug":"health-equity-global-public-health","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/emergencymedicine\/program-welcome\/health-equity-global-public-health\/","title":{"rendered":"Global and Local Health Equity"},"content":{"rendered":"<p>Our Emergency Department offers mentorship and experience in global and local health equity. Faculty and residents engage in programmatic, education and research efforts to address inequities and mitigate health disparities in our local community and around the world. We seek to provide an environment where interested residents and fellows can develop into the next generation of national and global leaders in health equity in emergency medicine.<\/p>\n<p>Local health equity work has included strengthening ED linkages to substance use treatment, improving care for victims of sexual assault in the ED, supporting pipeline programs to introduce local high school students to medical careers, distribution of harm reduction supplies in the ED and universal screening for Hepatitis C. Many residents have also engaged in locally-focused public health work through the Violence Intervention Advocacy Program (VIAP) and Project ASSERT, our program to make substance abuse treatment accessible to all our patients (see below for more information on these programs).<\/p>\n<p>Residents with an interest in global work have participated in train-the-trainer programs, conducted research, and helped develop educational programs worldwide, most recently in Zambia, Kenya, Uganda, South Africa, Thailand, Vietnam, China, Mexico, Haiti, Nicaragua, and Guatemala. Residents who wish to work outside of the US are mentored in helping to design an elective rotation that will be safe and beneficial to both the residents and the local population. We do not encourage exclusively clinical rotations because they are of limited benefit to local populations. Residents have also worked on local projects with refugee patients and patients with limited English proficiency.<\/p>\n<h3>Global Health Educational Resources<\/h3>\n<p><a target=\"_blank\" href=\"http:\/\/feminem.org\/2015\/11\/24\/practitioners-guide-global-health\/\" rel=\"noopener noreferrer\">The Practitioner&#8217;s Guide to Global Health information<br \/>\n<\/a><a target=\"_blank\" href=\"https:\/\/www.edx.org\/course\/practitioners-guide-global-health-part-1-bux-globalhealthx-1#!\" rel=\"noopener noreferrer\">The Practitioner&#8217;s Guide to Global Health course<\/a><\/p>\n<h1>Public Health Initiatives at Boston Medical Center<\/h1>\n<h3>Violence Intervention Advocacy Program<\/h3>\n<p><img loading=\"lazy\" width=\"348\" height=\"109\" class=\"alignright wp-image-317\" alt=\"VIAP\" src=\"\/emergencymedicine\/files\/2014\/07\/VIAP-e1406248049250.jpg\" \/><\/p>\n<p>Boston Medical Center\u2019s Violence Intervention Advocacy Program (VIAP) helps guide victims of community violence\u00a0through recovery\u00a0from physical and emotional trauma. Using a trauma informed model of care, VIAP empowers clients and families, facilitates recovery by providing services and opportunities. VIAP presents options for families that bring hope and healing to their lives.\u00a0In turn, this guidance helps strengthen others who are affected by violence and contributes to building safer and healthier communities.<\/p>\n<p><a href=\"https:\/\/www.bmc.org\/programs\/violence-intervention-advocacy-program\" target=\"_blank\" rel=\"noopener noreferrer\">VIAP<\/a> is a founding member of the National Network of Hospital-based Violence Intervention Programs and has helped spawn similar programs at other hospitals around the country. Learn more about VIAP and how many patients they&#8217;ve helped.<\/p>\n<h3>Project ASSERT<\/h3>\n<p><a href=\"\/emergencymedicine\/files\/2014\/08\/BMC-Project-ASSERTslides-for-BPHC.jpg\"><img loading=\"lazy\" width=\"322\" height=\"202\" class=\"size-full wp-image-1202 alignright\" alt=\"BMC Project ASSERTslides for BPHC\" src=\"\/emergencymedicine\/files\/2014\/08\/BMC-Project-ASSERTslides-for-BPHC.jpg\" \/><\/a>Project ASSERT (Alcohol &amp;\u00a0Substance Abuse Services,\u00a0Education, and\u00a0Referral to\u00a0Treatment) is a team of peer educators at the Boston Medical Center Emergency Department. Since 1994, Project ASSERT has provided over 100,000 patients with health information and support, and facilitated patient access to primary care, substance treatment, and other services. Project ASSERT&#8217;s motto is &#8220;unconditional service.&#8221; Recently, Project ASSERT has taken the lead to make substance treatment more accessible to LGBTQ patients and to provide overdose education and naloxone rescue kits, in partnership with the Massachusetts Department of Public Health (MA DPH) and the Boston Public Health Commission (BPHC), to patients with opioid-related ED visits.<\/p>\n<ul>\n<li>Learn more\u00a0about\u00a0Project ASSERT\u00a0and how many patients they&#8217;ve helped.<\/li>\n<li>Watch a\u00a0<a href=\"https:\/\/www.facebook.com\/video.php?v=1057469894270544&amp;set=vb.169260176424858&amp;type=2&amp;theater\" target=\"_blank\" rel=\"noopener noreferrer\">video<\/a>\u00a0explaining Project ASSERT&#8217;s history and role in the community.<\/li>\n<li>Watch\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=fCYltYO1xTU&amp;list=UUnvdVucpbmuoOePwolxxeCQ\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Ed Bernstein&#8217;s presentation<\/a>\u00a0on Project ASSERT and opioid overdose prevention at the White House Summit on Heroin and Prescription Drugs. Dr. Bernstein&#8217;s cutting-edge ED Intranasal Naloxone Kit Distribution efforts has been hailed as an example of &#8220;practice-driving policy and scientific research.&#8221; Advance the cursor to the 29 minute mark to see Dr. Bernstein&#8217;s presentation.<\/li>\n<li>Watch the\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=M8PgHoFymHw&amp;feature=youtu.be\" target=\"_blank\" rel=\"noopener noreferrer\">Office of National Drug Control Policy<\/a>\u00a0Director, Michael Botticelli, commend Project ASSERT during its\u00a0<a title=\"Project ASSERT Celebrates 20 Years of Service and Research\" href=\"https:\/\/www.bumc.bu.edu\/emergencymedicine\/2014\/11\/13\/project-assert-celebrates-20-years-of-service\/\" target=\"_blank\" rel=\"noopener noreferrer\">20th anniversary<\/a>\u00a0celebration.<\/li>\n<li>Read about how our interns join Project ASSERT to learn about the communities we serve during intern orientation\u00a0<a href=\"\/emergencymedicine\/files\/2015\/09\/BERNSTEIN-final-2.pdf\">here<\/a>.<\/li>\n<li>Read about Project ASSERT&#8217;s partnership with the cutting-edge <a href=\"https:\/\/www.bmc.org\/programs\/faster-paths-to-treatment\" target=\"_blank\" rel=\"noopener noreferrer\">Faster Paths to Treatment Substance Use Disorder Urgent Care Center<\/a>.<\/li>\n<\/ul>\n<h3>Domestic Violence and Sexual Assault<\/h3>\n<p><a href=\"http:\/\/www.mass.gov\/eohhs\/gov\/departments\/dph\/programs\/community-health\/dvip\/violence\/sane\/\" target=\"_blank\" rel=\"noopener noreferrer\"><img class=\"alignright size-full wp-image-314\" alt=\"adult-sane-logo-sm\" src=\"\/emergencymedicine\/files\/2014\/07\/adult-sane-logo-sm.bmp\" \/><\/a><\/p>\n<p>BMC has an active domestic violence intervention program with three advocates. They perform acute safety assessments, offer multi-cultural and multi-lingual trauma informed support services like safety planning and connecting with community services.\u00a0The ED at BMC has 24\/7 sexual assault nurse examiner (SANE) and Boston Area Rape Crisis medical advocate coverage. Advocates are available to assist in supporting and caring for victims of sexual assault.\u00a0Dr.\u00a0<a title=\"Judy Linden, MD\" href=\"http:\/\/profiles.bu.edu\/Judith.Linden\">Judy Linden<\/a>, who serves as Executive Vice Chair for the department, is a sexual assault examiner for the state of Massachusetts and oversees the training of EM residents in sexual assault evaluation and treatment.<\/p>\n<h3>Other Social Services at BMC<\/h3>\n<p><a href=\"https:\/\/www.bmc.org\/boston-center-refugee-health-and-human-rights?utm_campaign=yextserviceline&amp;utm_source=serviceline_listing&amp;utm_medium=yext\" target=\"_blank\" rel=\"noopener noreferrer\">Boston Center for Refugee Health and Human Rights<\/a><br \/>\n<a href=\"https:\/\/www.bhchp.org\" target=\"_blank\" rel=\"noopener noreferrer\">Boston Health Care for the Homeless <\/a><br \/>\n<a href=\"https:\/\/www.bmc.org\/programs\/faster-paths-to-treatment\" target=\"_blank\" rel=\"noopener noreferrer\">Faster Paths to Treatment Substance Use Disorder<\/a><br \/>\n<a href=\"https:\/\/www.bmc.org\/programs\/preventive-food-pantry\" target=\"_blank\" rel=\"noopener noreferrer\">Preventative Food Pantry<\/a><br \/>\n<a href=\"http:\/\/www.bostonglobe.com\/metro\/2014\/03\/27\/new-program-will-allow-boston-medical-center-doctors-prescribe-bike-sharing-program\/zjwfLfCEtAEGfWYxVn4CiN\/story.html\" target=\"_blank\" rel=\"noopener noreferrer\">Prescribe a Bike<br \/>\n<\/a><a href=\"http:\/\/www.bostonprojecttrust.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Project\u00a0TRUST<\/a><br \/>\nFounding site of <a href=\"http:\/\/www.reachoutandread.org\/about-us\/\" target=\"_blank\" rel=\"noopener noreferrer\">Reach Out And Read<\/a><br \/>\n<a href=\"https:\/\/www.bmc.org\/support-patients\/social-work\" target=\"_blank\" rel=\"noopener noreferrer\">Social Work and Case Management<\/a><\/p>\n<p>Residents can pursue additional projects through\u00a0<a href=\"http:\/\/www.cirseiu.org\/what-we-do\/advocacy\/patient-care-funds\/\" target=\"_blank\" rel=\"noopener noreferrer\">CIR&#8217;s Patient Care Fund<\/a><\/p>\n<h3>Collaboration with the School of Public Health<\/h3>\n<p>Many opportunities exist for interested residents and faculty to collaborate with the\u00a0<a href=\"http:\/\/www.bu.edu\/sph\/\" target=\"_blank\" rel=\"noopener noreferrer\">Boston University School of Public Health<\/a>. Residents can participate in public health research as well as help teach courses to MPH students.<\/p>\n<h3><strong>Global\/Local Health Equity Faculty<\/strong><\/h3>\n<p><img loading=\"lazy\" src=\"\/emergencymedicine\/files\/2023\/09\/Emily-Cleveland-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" class=\"alignnone size-thumbnail wp-image-11378\" srcset=\"https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Emily-Cleveland-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Emily-Cleveland-300x300.jpg 300w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Emily-Cleveland-100x100.jpg 100w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><br \/>\n<strong>Emily Cleveland Manchanda<\/strong><br \/>\nDirector of Social Justice Education and Implementation (AMA)<\/p>\n<p><a href=\"http:\/\/profiles.bu.edu\/Thea.James\"><img loading=\"lazy\" src=\"\/emergencymedicine\/files\/2023\/09\/Thea-James-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" class=\"alignnone size-thumbnail wp-image-11395\" srcset=\"https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Thea-James-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Thea-James-300x300.jpg 300w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Thea-James-100x100.jpg 100w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><br \/>\n<strong><a href=\"http:\/\/profiles.bu.edu\/Thea.James\">Thea James<\/a><\/strong><br \/>\nVice President of Mission: Associate CMO<\/p>\n<p><a href=\"https:\/\/profiles.bu.edu\/Demian.Szyld\"><img loading=\"lazy\" src=\"\/emergencymedicine\/files\/2023\/09\/Demian-Szyld-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" class=\"alignnone size-thumbnail wp-image-11376\" srcset=\"https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Demian-Szyld-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Demian-Szyld-300x300.jpg 300w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Demian-Szyld-100x100.jpg 100w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><br \/>\n<a href=\"https:\/\/profiles.bu.edu\/Demian.Szyld\"><strong>Demian Szyld<\/strong><\/a><br \/>\nVice Chair of Faculty Affairs<br \/>\nFellowship Director, Global\/Local Health Equity (Interim)<\/p>\n<p><a href=\"https:\/\/www.bumc.bu.edu\/camed\/profile\/colleen-laurence\/\"><img loading=\"lazy\" src=\"\/emergencymedicine\/files\/2023\/09\/Colleen-Laurence-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" class=\"alignnone size-thumbnail wp-image-11374\" srcset=\"https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Colleen-Laurence-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Colleen-Laurence-300x300.jpg 300w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Colleen-Laurence-100x100.jpg 100w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><br \/>\n<a href=\"https:\/\/www.bumc.bu.edu\/camed\/profile\/colleen-laurence\/\"><strong>Colleen Laurence<\/strong><\/a><\/p>\n<p><img loading=\"lazy\" src=\"\/emergencymedicine\/files\/2023\/09\/Karrin-Weisenthal-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" class=\"alignnone size-thumbnail wp-image-11384\" srcset=\"https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Karrin-Weisenthal-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/emergencymedicine\/files\/2023\/09\/Karrin-Weisenthal-100x100.jpg 100w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><br \/>\n<strong>Karrin Weisenthal<\/strong><br \/>\nAssociate Medical Director for Faster Paths<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Our Emergency Department offers mentorship and experience in global and local 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