Leadership for Health Equity

Physicians are in a unique position to observe the health effects of clinical and public policies that affect patients and their communities, and thereby have a duty to address societal and structural determinants of health, and enact health care systems changes and other strategies that eliminate health disparities.

The leadership for health equity pathway (LHEP) offers residents mentorship, community and training to develop physician leaders who create innovative strategies for confronting social and structural disparities, and achieving health equity in the U.S.

The LHEP curriculum supports resident leaders across multiple disciplines, including those seeking careers in primary care, sub-specialty care, research, medical education, business innovation, hospital administration and other disciplines.

LHEP participants will have protected time to develop a project or product that advances the resident’s goals for promoting health equity in the resident’s area of interest.

Program Features

Health Equity Core Content

  • Community engagement & patient voice
  • Frameworks and theories of health equity
  • Data collection, analysis, and interpretation
  • Mentored projects

Leadership Skills

  • Self-reflection & visioning
  • Institutional leadership and values
  • Change management
  • Team building and managing networks
  • Advocacy and negotiation
  • Branding, communication, and dissemination
  • Fiscal management and sustainability

Hidden Curriculum (pathway function)

  • Building and sustaining social networks
  • Mentors and sponsors
  • Career development

Our curriculum is delivered during two focused two-week blocks each year as well as through longitudinal experiences. The blocks are structured to provide daily content as well as protected time to work on projects, to meet with peers and mentors, and to focus on professional development (September and January). Over the course of the year, residents meet as a group and with LHEP directors for community building and advising. Residents are also encouraged to work on individual and group projects related to health equity with technical and financial support provided by the residency program.

Who We Are

Leadership

Director: Cheryl Clark MD ScD

Associate Director: Morgan Esperance MD MPH

Current Residents

PGY-2

Kelly Skrable

Medical School: The Warren Alpert Medical School of Brown University

Rebecca Lichtin

Medical School: Columbia University Vagelos College of Physicians and Surgeons

PGY-3

Ericka Howard

Medical School: McGovern Medical School at the University of Texas Health Science Center at Houston

Fabiola Molina

Medical School: University of California, San Francisco School of Medicine

Hannah Chen

Medical School: University of North Carolina School of Medicine

Maria Patanwala

Medical School: University of California, San Francisco School of Medicine

Frequently Asked Questions

While all physicians should have training in health equity, not all will be leaders. If you hope to dedicate your career to advancing health equity (in whichever facet of medicine you plan to pursue) than our path is probably great for you!

All LHEP residents are encouraged to develop a project or product during residency. However, this does not have to be a traditional research project, but could be a medical education project, advocacy/policy project, journalistic writing, quality improvement initiative, etc. The reason that we recommend this is because working on a project/product gives you the chance to take a deeper dive into an aspect of health equity that interests you, strengthen your networks, and launch the next stage of your career. Funding is available for all LHEP residents through an application process to support their projects.

At this time, LHEP is not able to provide support for an additional degree, but we hope to be able to do this in the future.

You can sign up for LHEP when you submit your scheduling preferences for the next year. While there is not a formal application process, we will ask you to send a cover letter and CV once you have enrolled so that we can get to know you better. Please email any questions about the pathway to Drs. Cheryl Clark and Morgan Esperance.

Selected publications from or citing LHEP residents

Duaa AbdelHameid. Professionalism 101 for Black Physicians. NEJM 2020. https://www.nejm.org/doi/full/10.1056/NEJMpv2022773

Joe Hodgkin. Next Generation: Taking a Stand Against Nuclear War. Brigham Clinical and Research News 2020. https://bwhclinicalandresearchnews.org/2020/02/07/taking-a-stand-against-nuclear-war-2/

Jennifer Hong. A US doctor on bracing for the worst of covid-19: “We show up despite knowing the risks.” BMJ Blogs 2020. https://blogs.bmj.com/bmj/2020/04/02/us-doctor-bracing-worst-covid-19-we-show-up-despite-knowing-risks/

Sanjay Kishore and Margaret Hayden. Community Health Centers and Covid-19 – Time for Congress to Act. NEJM 2020. https://www.nejm.org/doi/10.1056/NEJMp2020576?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed

[Lauren Malishchak] On the Front Lines with the Underserved. Tufts University School of Medicine 2020. https://medicine.tufts.edu/news/2020/06/front-lines-underserved

[Fabiola Molina and Maria Patanwala] Brigham Rallies to Support Immigrants, Oppose Public Charge Rule. Brigham Bulletin 2020. https://bwhbulletin.org/2018/12/07/brigham-rallies-to-support-immigrants-oppose-public-charge-rule/

[Cameron Nutt] Gina Kolata. Many Medical Decision Tools Disadvantage Black Patients. NYTimes 2020. https://www.nytimes.com/2020/06/17/health/many-medical-decision-tools-disadvantage-black-patients.html