STANFORD-O’CONNOR FMRP JEDI VISION

We aspire to cultivate a residency program where justice, equity, diversity, and inclusion (JEDI) are not just values, but the very foundation of our training and care. We envision an inclusive community where every resident, faculty, staff member, and patient feels empowered, respected, and supported, in their background and identities. Together, we strive to build a future where health equity is standard of excellent patient care, and where our collective diversity drives innovation and excellence in family medicine.

WHAT WE DO

We are committed to fostering a welcoming training environment where BIPOC (Black, Indigenous, and people of color) residents and all residents succeed and thrive.  We are also committed to providing outstanding medical care to the patients in our Federally Qualified Health Center (FQHC) clinic, public community hospital, and all sites where we provide medical care. As family medicine physicians it is our responsibility to use our positions of privilege to augment the voices of the vulnerable and marginalized in our society.  Our multi-pronged approach includes but is not limited to:

• Holistic Review committee focused on improving the recruitment of underrepresented individuals in medicine, significantly diversifying our pool of interviewees and matriculated residents;

• Continued recruitment of diverse faculty group to mirror the multicultural population of San Jose;

• Justice, Equity, Diversity, and Inclusion (JEDI) resident and faculty committees, focused on supporting and meeting the needs of underrepresented in medicine (URM) trainees;

• Opportunities for community engagement through local cultural events, political advocacy, and more;

• Collaboration with local schools and community organizations focusing on the needs of the diverse population of Santa Clara Valley;

• Intensive anti-racism training of faculty led by an expert outside consultant;

• Health Equity Curriculum with a two week intensive in intern year, complemented by workshops, didactics, and seminars, and longitudinal diversity and inclusion educational series for all residents;

• Leadership from residents and faculty in DEI Councils across our base institutions (O’Connor Hospital, Stanford, Santa Clara County Valley Medical System);

• Providing social and cultural support (including elder circles, youth groups, powwows, and many other activities) to our American Indian/Alaska Native patients of The Indian Health Center of Santa Clara Valley;

• Screening our clinic patients for social determinants of health needs and referred to community resources as needed.

WhoM do we serve?

Our residency continuity clinic is a Federally Qualified Health Center (FQHC) that is part of the larger Indian Health Center of Santa Clara County network. We have a long history of providing excellent care to San Jose’s diverse community, regardless of their social or economic circumstances. Please see the infographic below for more detailed information on our patient population:

Our primary inpatient hospital is a county-owned community hospital in San Jose. As part of the Santa Clara county system, O’Connor Hospital serves as a safety net for our local community. Please see the "Where We Work" page for further information. 

Health Equity Curriculum Committee

The Health Equity Committee is a faculty-led committee that oversees health equity and advocacy training of residents, including opportunities for residents to work with local and state community-based and advocacy organizations.

Curricular Highlights

• Two-week intern block covering a range of health equity, policy, and advocacy topics complemented by a longitudinal series of didactics, seminars, and workshops on a variety of additional equity and advocacy topics

• Tour of community partnerships during orientation, and additional site visits during Family and Community Medicine (FCM) months

• Overview of Santa Clara County health system during orientation

• Annual FCM month rotation in which each resident develops a community or clinical research project in an area of choice (including topics in health equity and community health)

• Adverse Childhood Experiences (ACEs) training and implementation in continuity clinic

• Specialized clinical training in:

  • Addiction medicine including MAT (Medications for Addiction Treatment) Waiver Training

  • LGBTQ+ care including hormone therapy for transgender and nonbinary patients

  • Integrated Behavioral Health model rollout in continuity clinic

• Work with local community-based organizations including Andrew Hill High School, Indian Health Center intertribal elders circle, Next Door Solutions to Domestic Violence, and others

• Resident participation in county's public MediCal (Medicaid) plan Provider Advisory Council

• Opportunities to participate in local and statewide CAFP advocacy activities

BIAS INCIDENT REPORTING AND DEBRIEFING SYSTEM

The Stanford-O’Connor Family Medicine Residency Program works very intentionally to provide a warm, supportive, and welcoming environment for all.  As part of these efforts, our program has a Bias Incident Reporting Form.  If a bias incident occurs, residents or faculty can report the incident, which is automatically forwarded to our Behavioral Science faculty.  Those faculty will review and forward to any necessary persons to assure the incident is quickly and appropriately addressed.  The form also includes a Bias Incident Debriefing Guide outlining steps residents and faculty can take to debrief any incident that may occur.

JEDI (Justice, Equity, Diversity, Inclusion) Committees

Faculty committee: Longitudinal intensive anti-racism training of a subset of core faculty led by an expert outside consultant, with rollout to the full residency program.

Resident-faculty committee:  Focused on supporting and meeting the support needs of underrepresented in medicine (URM) trainees as well as additional supplementary educational and activities for residents 

Highlights of Past and Present Resident Projects Centered on Inclusivity and Advocacy

• Improving Care of MSM at a residency FQHC Clinic - aimed to improve routine care of MSM patients by creating easy-to-access EMR tools to guide residents through common primary care concerns of MSM patients.

• Establishing a Patient Advisory Council at the IHCSCV Residency Clinic - explored the facilitators and barriers to creating a PAC in our residency clinic and developed a pilot program to implement the PAC in the Indian Health Center FMC.

• Diabetes self-management class for monolingual Spanish speaking patients - empowering monolingual patients through a culturally-sensitive curriculum to give patients autonomy and resources to identify barriers and solutions for management of their diabetes.

• Psychoeducational intervention for Latinx patients with depression - after recognizing the under-utilization of mental health services among the Spanish-speaking patient population, conducted a needs assessment and formed an intervention group educating patients and devising treatment plans.

• Aspiring health professionals mentorship program - collaborated with pre-health students of local universities to recruit underrepresented and socioeconomically disadvantaged groups to increase diversity among those pursuing health careers.

• Community partnership with Andrew Hill High School and Lincoln High School - partnered with a local high school (85% minority groups, predominantly Latinx) to have various resident-led health talks; aimed to provide earlier exposure to pre-health fields to help foster early interest and passion among traditionally URM groups.

• Partnership with Second Harvest of Silicon Valley - recognizing the overwhelming prevalence of food insecurity in the Bay area, established partnership with Second Harvest to help provide free healthy groceries and meals to our patients in need.

• Improving care for transgender patients at residency FQHC clinic - drawing from experienced faculty, local practitioners, and community resources, a manual for residents was created to educate and guide residents in the routine care for transgender patients in our clinic. This project also included updates to the EMR system so that it displays the correct name and pronouns for each patient.

• Medical Mandarin elective course - created and designed by a Stanford-O’Connor faculty member and resident for Stanford medical students, the multi-session course covered language and cultural sessions to help students provide optimal care to Mandarin-speaking patients