Take Action: Optimizing Equity in Gastroenterology Care

Faculty

Monica E. Peek, MD, MPH, MSc
Moderator
Ellen H. Block Professor of Health Justice
Vice-Chair for Diversity, Equity and Inclusion
Department of Medicine
University of Chicago
Chicago, IL 
Neilanjan Nandi, MD, FACG, AGAF, FACP
Associate Professor of Clinical Medicine
Division of Gastroenterology & Hepatology
The Raymond and Ruth Perelman School of Medicine of the University of Pennsylvania
Penn Presbyterian Medical Center, University of Pennsylvania
Philadelphia, PA
Neilanjan Nandi, MD, FACG, AGAF, FACP

Neilanjan Nandi, FACG, AGAF, FACP, is Associate Professor of Clinical Medicine at Penn Presbyterian Medical Center at the University of Pennsylvania. Dr. Nandi’s practice focuses on the management of inflammatory bowel disease (IBD) (e.g., Crohn’s disease, ulcerative colitis) and recurrent Clostridium difficile (C. difficile) infection via fecal microbiota transplantation (FMT). Dr. Nandi serves on the executive council of the Philadelphia Crohn’s & Colitis Foundation (CCF) and on the medical advisory board of the United Ostomy Associates of America (UOAA), coordinates outreach on the American College of Gastroenterology Patient Care Committee, and is a founding board member of the South Asian IBD Alliance (SAIA). He also regularly peer reviews research publications and serves on the social media editorial board for the premier journals Inflammatory Bowel Diseases and Crohn’s & Colitis 360. His research has focused on studying conditions co-morbid to IBD quality of care, namely the diagnosis and management of refractory C. difficile infection and the application of FMT in C. difficile; also, characterizing the management and consequences of iron deficiency anemia and non-alcoholic fatty liver disease in patients with IBD. Dr. Nandi has authored numerous book chapters on the diagnosis and management of various viral, parasitic, mycobacterial, and bacterial infections of the gastrointestinal (GI) tract.

Dr. Nandi’s fervor for clinical education has been recognized with multiple teaching awards. He was honored as the 2019 Physician Hero by the Philadelphia/Delaware Valley Crohn’s and Colitis Foundation at their annual Take Steps for Crohn’s & Colitis event, and wields digital and social media platforms to amplify education, outreach, and advocacy in IBD to clinicians and patients. He was also awarded the Philadelphia CCF’s Chairman’s Citation in 2022. He is the regular host of the academic podcast GI Insights: IBD Crosstalk, which features high-yield, evidence-based medicine discussions with guests from different interdisciplinary fields critical to providing comprehensive IBD care. Dr. Nandi’s passions include fitness, cooking, virtual reality gaming, reading, and dancing. Follow him on social @fitwitmd.

Statement of Need

Health inequities in the diagnosis, treatment, and outcomes of gastrointestinal disorders significantly impact racial, ethnic, and immigrant populations. Patients born outside the U.S. are less likely to be diagnosed with inflammatory bowel disease (IBD) before age 16 and often face milder disease progression compared to U.S.-born patients. South Asian, Latine, and Asian patients in Western countries are at greater risk for IBD, suffering from more extensive inflammatory progression and facing challenges in accessing IBD specialists. Furthermore, patients of color report poor symptom control, lower quality of life, and greater financial and social challenges, which exacerbate disparities in IBD care.

In this CME Outfitters BriefCase, part of a collection on health equity, expert faculty will explore strategies to improve health equity in gastrointestinal care. The focus will be on understanding upstream, midstream, and downstream drivers of health inequities, such as socioeconomic status, immigration status, and lack of social support. Learners will gain actionable strategies, including utilizing case managers, interpreter services, culturally aligned dieticians, and community support workers to address social drivers of health. These strategies aim to improve diagnosis, treatment, and outcomes for underserved populations, fostering equitable gastrointestinal care delivery.

Learning Objectives

At the conclusion of this activity, learners will be able to better:

  • Identify health inequities in the diagnosis, treatment, and outcomes of patients with gastrointestinal disorders
  • Implement actionable strategies to improve health equity in your own practice

Financial Support

Supported by an educational grant provided by Johnson & Johnson.

Target Audience

Physicians specializing in gastroenterology, surgery, or primary care, physician associates (PAs), nurse practitioners (NPs), nurses, pharmacists, front office staff and administrators, finance staff, executives, support staff, and patients

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physicians (ACCME) 1.0

CME Outfitters, LLC, designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Pharmacists (ACPE) 1.0

This application-based activity is approved for 1.00 contact hours (0.1 CEUs) of continuing pharmacy credit (JA0007185-0000-24-069-H01-P).

Nurses (ANCC) 1.0

This activity is designated for 1.00 contact hours.

California Residents: This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Interprofessional (IPCE) 1.0

This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education Credit for learning and change.

Physician Assistants (AAPA): 1.0

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 AAPA Category 1 CME credits. Approval is valid until 08/29/2027. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 1.0

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

Dr.  Peek reports the following financial relationships:

Advisory Board: Abbott–Diabetes Health Equity Advisory Board (2022)

Dr. Nandi reports the following financial relationships:

Consultant: AbbVie Inc.; Boehringer-Ingelheim; Bristol Myers Squibb Company; Janssen Pharmaceuticals, Inc.; and Pfizer Inc.

The following individuals have no financial relationships to disclose: 

Rebecca Vargas-Jackson, MD  (Peer Reviewer)
Albert Eubanks, Jr., RN  (Peer Reviewer)
Thomas Mitchell, MSW (Planning Committee)
Keshia Pitt, PhD (Planning Committee)
Jessica Whelan, DNP, APRN, FPMHNP-BC, RN-BC (Planning Committee)
Scott J. Hershman, MD, FACEHP, CHCP (Planning Committee)
Sandra Caballero, PharmD (Planning Committee)
Sharon Tordoff (Planning Committee)

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

BC-124-08294-57

Take Action: Optimizing Equity in Gastroenterology Care
Event Date: 08/29/2024