San Diego EXPORT Center

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San Diego EXPORT Center

• Improving Health Equity through
• Research, Training, Education, Outreach

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Health Disparities

• National Institute of Health
• Health Disparities are differences in the
  incidence, prevalence, mortality, and burden of
  diseases and other adverse health conditions that
  exist among specific population groups in the
  United States
• Health and Human Services Agency
• One of Healthy People 2010s overarching goals is
  to eliminate health disparities.

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Leading Health Disparities

• Cardiovascular Disease
• Cancer
• Diabetes
• HIV/AIDS
• Infant Mortality
• Asthma
• Mental Health

National Institute of Medicine Unequal
Treatment Confronting Racial and Ethnic
Disparities in Health Care
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San Diego EXPORT Overview
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PRIME-HEq

• Program in Medical Education - Health Equity

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California San Diego Today

• Medical education is of high quality, but
  insufficient in quantity distribution
• California is currently losing physicians

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University of Californias Goal

• To produce culturally linguistically competent
  physicians
• To train physicians to address the needs of
  underserved communities
• Expanded medical school enrollment with focused
  programs of excellence specialized curricula
• Through creation of
• PRIME Program in Medical Education

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UCSDs PRIME

• Program in Medical Education Health Equity
  (PRIME-HEq)
• Developed by faculty from the EXPORT Center to
  eliminate health disparities
• 6 Million/5 year grant from NCMHD
• Promote participation in disease prevention,
  intervention, research, dissemination
• Implement a joint minority health disparities
  curriculum for UCSD SOM SDSU graduate students
  in public health

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Why PRIME-HEq in San Diego?

• One of the busiest international border crossings
  in the world - over 48 million people in 2003
• Community that spans both predominately urban and
  rural areas on the US/Mexico border
• In the top 15 metropolitan areas for immigration
  - almost 13K legal immigrants in FY 2003
• More refugees resettled in San Diego than any
  other metropolitan area in Southern California

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Other Community Diversity

• 18 Indian reservations more than any other
  county in the US
• 1/3 of households are non-English speaking
• Approximately 1,000 deaf or hard of hearing
  students receive special education services in
  San Diego

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Assets, Resources Opportunities

• At UCSD SOM
• San Diego EXPORT Center
• Native American Research Center for Health
• Hispanic Center of Excellence
• UCSD Academic Center of Excellence on Youth
  Violence Prevention
• National Center of Leadership in Academic
  Medicine
• Deaf Culture Training Program
• NIH funding to UCSD research and training

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Assets, Resources Opportunities

• Existing Community/University Partnerships
• SDSU Graduate School of Public Health
• Center for Iberian Latin American Studies
• County of San Diego Health and Human Services
  Agency
• Council of Community Clinics
• Border Health Education Network Scripps Area
  Health Education Center
• Mid-City CAN

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UCSD PRIME-HEq

• Inclusive program that trains physicians to
  provide better health care services to
  underserved and at risk populations
• Provides a new option for dual degrees in
  minority health and health disparities
• Evolves from community/university partnerships
  formed over the last two decades

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Potential PRIME-HEq Dual Degrees

• Public Health
• Leadership of Healthcare Organizations
• Humanities
• Bioengineering
• Advanced Studies in Clinical Research
• Business Administration
• Advanced Studies in Law Medicine

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UCSD Health Science Pipeline

• Health Careers Opportunities Program
• San Diego EXPORT Center
• Basic Science and Behavioral Training
• Minority Supplement Research Training
• Native American Research Center for Health

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UCSD Health Science Pipeline

• Continuing Umbrella of Research Experience
• NIH Scholars, McNair Scholars Young Native
  Scholars
• Minority Biomedical Research Support
• UniversityLINK Community College Program

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Benefits of Health Science Pipeline and PRIME-HEq

• Attracts a diverse population of highly qualified
  students
• Expands dual degree opportunities
• Increases the number of physicians providing
  services to underserved populations

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UCSD Trained Physicians in PRIME

• Provide health care to underserved and at risk
  populations and are excellent clinicians prepared
  to be
• Physician/Advocates,
• Physician/Scholars, and
• Physician/Healers

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Questions?