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Status Key: Completed in AY 2022 Completed & Ongoing for AY 2023 New for AY 2023 On time for AY 2023 Restructured for AY 2023

Infrastructure

  • Dermatology Chair complete 2-day Racial Equity (REI) training and dermatology faculty complete 1hour Bias 101 training

    Status: On time

    Completed, faculty and residents completed Bias 101 training Spring 2020 

    Completed, dermatology Chair and Departmental Diversity Liaison completed 2-day Racial Equity Training in Spring 2020 

    Person/Dept Responsible: Dean’s Office and Dr. Nancy Thomas

  • Include DEI in faculty and staff evaluations (i.e., person is able demonstrate what they have done annually to promote DEI)

    Status: On time

    Completed, occurred during annual faculty and staff evaluations Summer 2021 

    Person/Dept Responsible: HR & OIE and Dr. Nancy Thomas

  • Create a Dermatology Departmental Diversity Committee

    Status: On time

    Completed, committee was created April 2021 

    Person/Dept Responsible: Priyanka Vedak, MD; 
Amy Blake, MD; Lauren Crouse, MD

  • Create a DEI mission statement for our departmental website and highlight DEI activities on social media accounts 

    Status: On time

    Ongoing, creation of DEI mission statement 

    Completed, social media accounts created Spring 2021 

    Person/Dept Responsible: Dr. Priyanka Vedak; Dr. Puneet Jolly; Rebecca Dotterweich

  • Conduct meetings at locations that highlight the achievements of underrepresented minorities 

    Status: On time

    Ongoing, faculty meetings and departmental meetings held at Turkish Cultural Center in Chapel Hill 

    Person/Dept Responsible: Sarah Shipp; Nancy Thomas, MD

Access and Success

  • Student roomer project: high school and college students hired to help department with greeting and rooming patients, providing individuals the opportunity to be exposed to dermatology clinic and the medical field at an early age 

    Status: On time

    Ongoing, one student roomer elected to deepen their exposure to health care by applying for and being hired as a medical scribe for department. Of those who disclosed their ethnicity, 20% were from underrepresented minority backgrounds. 

    Person/Dept Responsible: Dr. Nancy Thomas; Emma Beckham; Bethany Everest

  • Interviewees comprised of at least 25% qualified URM candidates for our residency training program

    Status: On time

    Completed, during 2020 Interview Season 30% of candidates interviewed for 2020 Dermatology Residency application interview cycle were qualified URM candidates 

    Ongoing, 2021 Interview Season  

    Person/Dept Responsible: Dean Morrell, MD; Carolyn Ziemer, MD

  • Increase diversity of nursing management and physicians.

    Status: On time

    Ongoing, Staff member signed up to participate in “Opening Doors: A Personal and Professional Journey” In 2021  

    Person/Dept Responsible: Medical Advisory Committee

  • Medical Scribes: college students and college graduates interested in pursuing a career in healthcare hired to help department with medical documentation during patient visits, providing individuals the opportunity to be exposed to dermatology clinic and the medical field at an early age

    Status: On time

    Ongoing 

    Person/Dept Responsible: Sarah Shipp

  • Increase diversity of medical student research fellows 

    Status: On time

    Ongoing, Dr. Sayed has received an Abbvie Education grant for his hidradenitis suppurativa medical student research fellowship year to provide financial support and allow fellows of more diverse socioeconomic backgrounds access to the fellowship  

    Person/Dept Responsible: Chris Sayed, MD

  • Career development of young faculty by providing networking opportunities 

    Status: On time

    Ongoing, junior faculty added to national database for potential invited speaking opportunities

    Ongoing, junior faculty will be hosting virtual lecturers for invited speaker series during UNC dermatology didactics

    Person/Dept Responsible:

  • Increase diversity of staff

    Status: On time

    Ongoing, department is participating in a pilot program for UNC which allows for medical assistant (MA) trainees to undergo MA training while receiving paid employment by the department

    Person/Dept Responsible: Bethany Everest

  • Continue to enhance teambuilding/group cohesion between staff members 

    Status: On time

    Ongoing, meet and greet events planned for new staff and MA trainees to interact with department  

    Person/Dept Responsible: Dr. Nancy Thomas

Climate and Intra/Intergroup Relations

  • Participation in DEI panels

    Status: On time

    Completed, Dr. Lugo-Somolinos participated in a panel of Hispanic/Latinx Healthcare Professionals with the UNC School of Medicine  

    Person/Dept Responsible: Aida Lugo-Somolinos, MD

  • Reducing microaggressions in the workplace

    Status: On time

    Completed, badges identifying clinical role provided to faculty and staff 

    Ongoing, 360-degree reviews implemented between nursing staff and faculty 

    Ongoing, leadership seminars implemented to facilitate teamwork and positive interactions amongst departmental members including use of 5 dynamics session 

    Person/Dept Responsible: Priyanka Vedak; MD Sarah Shipp; Amy Blake, MD

  • Departmental diversity small group meeting

    Status: Completed

    Ongoing

    Person/Dept Responsible: Priyanka Vedak, MD

Curriculum and Scholarship

  • Support ongoing learning, send out regular emails to residents and faculty (utilizing the above resource) highlighting the comparison between the presentations of various cutaneous disease processes in lighter and darker skin tones.

    Create an educational module/didactic session dedicated to dermatologic disease in skin of color and racial health disparities for inclusion in academics on at least a yearly basis.

    Create an educational module/didactic session on the history of medical (and dermatologic) exploitation of communities of color, including the Tuskegee Study and the Holmesburg prison studies, on at least a yearly basis.

    Create an educational module/didactic session on different hair care practices and products for various hair types.

    Guest lecturers on diversity, health equity, LGBTQ+ 

    Status: On time

    Ongoing, weekly emails of kodachromes to faculty and residents highlighting comparisons of various cutaneous disease processes in lighter and darker skin tones have begun starting Summer 2021 

    Ongoing, resident didactic DEI lectures on these topics have been scheduled into 2021-2022 academic calendar 

    Person/Dept Responsible: Priyanka Vedak, MD; Amy Blake, MD; Lauren Crouse, MD; Julie Mervak, MD

  • Improve patient care experience for non-English speaking patients and patients from diverse backgrounds 

    Status: On time

    Completed, have updated after visit summary information for non-english speaking patients

    Completed, have updated sunscreen after visit summary handout to include recommendations for patients of all skin tones 

    Ongoing, have implemented video interpreter services rather than phone only at main clinical site in Chapel Hill, pending for satellite clinics 

    Person/Dept Responsible: Amy Blake, MD; Sarah Shipp

  • Continue efforts to increase skin of color images for conditions taught in the medical student dermatology curriculum to allow for comparison of presentation of the same disease in different people. 

    Continue efforts to include photos of a wide range of skin types in the lectures/small groups of the overall Foundation Phase (M1/M2 curriculum) when dermatologic conditions are discussed in all blocks 

    Status: On time

    Completed, Image database built of dermatologic diagnoses in a range of skin types for the first- and second-year medical student curriculum. 

    Person/Dept Responsible: Chris Sayed, MD; Julie Mervak, MD

  • Increase education of faculty and residents on diversity and allow opportunities for networking and inter-departmental collaboration

    Status: On time

    Ongoing, monthly DEI Focus newsletter being sent out to department containing DEI highlights from medical literature, lectures, conferences, and everyday resources 

    Completed, Department paid registration fee for resident and faculty to attend Skin of Color Update September 12-13, 2020 and 2021  

    Ongoing, see resident didactic DEI curriculum above 

    Person/Dept Responsible: Dr. Nancy Thomas; Dr. Amy Blake; Dr. Lauren Crouse

  • Examine role of implicit bias in surveys of clinicians

    Status: On time

    Ongoing

    Person/Dept Responsible: Aida Lugo-Somolinos, MD; Priyanka Vedak, MD

Community Engagement

  • Increase collaborative efforts across departments to improve care for disease processes, including those that can disproportionally affect under-represented populations.

    Status: On time

    Completed, worked with UNC Center for Health Innovation to conduct a current state assessment exercise regarding current and potential future wellness offerings with a focus on diversity in the realms of skincare, haircare, and concepts of beauty.

    Person/Dept Responsible: Priyanka Vedak, MD

  • Invite guest lecturers from other departments within UNC and other universities to lecture on their expertise in topics related to diversity and health equity 

    Status: On time

    Ongoing, lectures scheduled for resident didactic curriculum 2021-2022 

    Person/Dept Responsible: Priyanka Vedak, MD; Amy Blake, MD; Lauren Crouse, MD

  • Support groups for diseases that disproportionally affect underserved populations

    Status: On time

    Ongoing, virtual meetings with guest lectures by attending physicians at UNC 

    Ongoing, Drs. Culton and Holahan are mentoring two students doing an Albert Schweitzer Community Service Fellowship focused on supporting patients with pemphigus and pemphigoid. Patients will be supplied with resources such as education pamphlets/webinars, peer support groups, and appointment and medication reminders. Outcomes will be measured based on improved patient understanding and compliance. 

    Person/Dept Responsible: Chris Sayed, MD; Heather Holahan, MD; Priyanka Vedak, MD; Donna Culton, MD

  • Increase dermatologic access for incarcerated individuals.

    Status: Completed

    Ongoing, department of corrections clinic.

    Person/Dept Responsible: Carolyn Ziemer, MD

  • Increase dermatologic access for uninsured Spanish speaking patients.

    Status: On time

    Ongoing, Piedmont  Clinic.

    Person/Dept Responsible: Aida Lugo-Somolinos, MD

  • Increase tele dermatology access for dermatology to help our patients, many of which are rural, seek care.

    Status: On time

    Ongoing, ~3,900 telehealth visits offered from March to December 2020, ~17% of which were performed with patients in rural locations, and ~17% of which involved patients from underrepresented backgrounds.

    Person/Dept Responsible: Amy Fox, MD; Michelle Pearlstein, MD

  • Increase research efforts for diseases that disproportionately affect underserved populations.

    Status: Completed

    Ongoing, clinical trials focused on hidradenitis.

    Person/Dept Responsible: Chris Sayed, MD

  • Increase research efforts for diseases including those which disproportionately affect underserved populations and continue recruiting a diverse patient population for these trials 

    Status: Completed

    Ongoing, clinical trials have capacity to recruit Spanish-speaking patients 

    Ongoing, Dr. Culton is the dermatology advisor on a funded grant through the American Colleg of Rheumatology looking into recruitment of minorities in trials on lupus vulgaris. 

    Ongoing, Dr. Culton is conducting a project on socioeconomic determinants of health in patients with pemphigus vulgaris 

    Person/Dept Responsible: Donna Culton, MD; Aida Lugo-Somolinos, MD; Chris Sayed, MD

  • Increase diversity in patient recruitment for clinical trials and in clinical trial research 

    Status: On time

    Ongoing, clinical trials have capacity to recruit Spanish-speaking patients due to bilingual staff and primary investigators (75% of dermatology clinical trials unit is bilingual) 

    Person/Dept Responsible: Donna Culton, MD; Aida Lugo-Somolinos, MD

  • Increase collaborative efforts across departments to improve care for disease processes, including those that can disproportionally affect under-represented populations with the use of multidisciplinary clinics.

    Status: On time

    Ongoing, inter disciplinary clinics held virtually between departments discussing cutaneous lymphoma, complex oral diseases, melanoma cases. 

    Ongoing, new interdisciplinary clinics between dermatology and rheumatology, and dermatology and nephrology began Spring 2021.

    Person/Dept Responsible: Donna Culton, MD; Galen Foulke, MD; Julie Mervak, MD; Heather Holahan, MD; Edith Bowers, MD; Paul Googe, MD

  • Increase collaborative efforts across departments to improve care for disease processes, including those that can disproportionally affect under-represented populations with interdepartmental lectures 

    Status: On time

    Completed, lecture on:

    • Pain management in Hidradenitis Suppurative for Department of Pain Medicine 
    • Surgical interventions for Hidradenitis Suppurativa for Department of Plastic Surgery 
    • Contact dermatitis cases for Puerto Rico Dermatology Department

    Person/Dept Responsible: Heather Holahan, MD; Chris Sayed, MD; Aida Lugo-Somolinos, MD

  • Increase community clinician education of diseases that disproportionately affect underserved populations 

    Status: On time

    Ongoing, planning a breakout session focusing on Hidradenitis Suppurativa treatment at the North Carolina Dermatology Association Winter Meeting 

    Completed, invited talk on hidradenitis suppurativa by Dr. Sayed at Skin of Color Conference September 2021

    Ongoing, Dr. Sayed serves on board of Hidradenitis Suppurativa Foundation 

    Ongoing, Dr. Sayed will be speaking about hidradenitis suppurativa at 2021 Southeastern Consortium (SEC) for Dermatology meeting during the Diversity, Equity, and Inclusion session 

    Ongoing, Drs. Sayed is organizing a training for Novartis Medical Science Liaisons (MSL) on Hidradenitis Suppurativa. Drs. Vedak and Holahan will also be assisting in the training. 

    Person/Dept Responsible: Chris Sayed, MD; Heather Holahan, MD; Priyanka Vedak, MD