Addressing Racism and Health Inequities with Ndidi Unaka, MD and David Turner, MD

Entrustable Professional Activities, or EPAs, are a concept that was developed by Olle ten Cate in 2005 as a way to operationalize and assess competency-based medical education. EPAs are observable, routine activities that a general pediatrician or subspecialist should be able to perform safely and effectively to meet the needs of their patients. The American Board of Pediatrics, or ABP, collaborated with the education community several years ago to develop 17 core EPAs that are essential activities needed for practice in general pediatrics and that can be used as a framework for curriculum and assessment. The ABP also worked with the subspecialty community to develop EPAs that define what patients need from our subspecialty physicians. However, the original pediatric EPA framework developed by the ABP in conjunction with the general pediatrics and subspecialty communities did not adequately address structural racism, discrimination, and social determinants of health and their contribution to inequities. Today, we are going to hear about the development and content of a revised EPA entitled: Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination, and Other Contributors to Inequities Among Pediatric Populations.

Today, I am happy to be speaking with Dr. Ndidi Unaka and Dr. David Turner. Ndidi is a pediatric hospitalist who is involved in Cincinnati Children's Community Health initiatives, medical director of QI and data analytics for Cincinnati Children's ACO called HealthVine and until recently was the associate program director of the pediatric residency program at Cincinnati Children's. David is the Vice President of Competency-Based Medical Education at the American Board of Pediatrics.