RJCC-Related Letters
Open Letter to GUSOM Administration
June 3, 2020
Dear Georgetown University School of Medicine Administration,
John J. DeGioia, PhD, President of Georgetown University
Edward B. Healton, MD, MPH, Executive Vice President for Health Sciences and Executive Dean of the School of Medicine
Stephen Ray Mitchell, MD, MBA, MACP, FAAP, FACR, Dean for Medical Education
Lucile L. Adams-Campbell, PhD, Senior Associate Dean, Community Outreach and Engagement
Susan Cheng, EdLD, MPP, Senior Associate Dean for Diversity and Inclusion
Elliott Crooke, PhD, Senior Associate Dean, Faculty and Academic Affairs
Ellen M. Dugan, MD, Senior Associate Dean for Admissions
Rebecca Evangelista, MD, Associate Dean for Clinical Faculty
Irma Frank, DDS, Senior Associate Dean for International Programs
Mary Furlong, MD, Senior Associate Dean for Curriculum
Diana M. Kassar, Senior Associate Dean for Finance & Administration
Princy N. Kumar, MD, Senior Associate Dean for Students
Jett McCann, MS, Senior Associate Dean for Knowledge Management
David Taylor, MEd, Senior Associate Dean for Student Learning
L. Whitman Brown, MBA, Associate Dean and Chief of Operations
H. Carrie Chen, MD, PhD, Associate Dean of Assessment and Educational Scholarship
Yvonne Hernandez, PhD, Associate Dean for Pre-Clinical Education
Maria Marquez, MD, Associate Dean for Reflection and Professional Development
Eileen Moore, MD, Associate Dean for Community Education and Advocacy
Jamie S. Padmore, DM, Associate Dean for Graduate Medical Education and Educational Scholarship
David Pollock, Associate Dean for Student Financial Aid
Joseph Timpone, MD, Associate Dean for Student Research
Deborah Topol, MD, FACP, Associate Dean for Medical Education at MedStar Washington Hospital Center
Marian Wulf-Gutierrez, MD, Associate Dean for Clinical Education
Annaliese Heussler, Assistant Dean for Student Affairs
Nicole M. Houle, EdD, Assistant Dean for Admissions
Yumi Jarris, MD, Assistant Dean for Population Health and Prevention
Dustyn J. Wright, MA, Assistant Dean for Curriculum Management
John Yosaitis, MD, Assistant Professor of Anesthesiology, Director of the Integrated Learning Center and SiTEL
We are suffering. From George Floyd, Breonna Taylor, and Ahmaud Arbery to Philandro Castile, Treyvon Martin, Michael Brown, Eric Garner, Sandra Bland, and countless other senseless murders of Black souls. We mourn alongside our fellow Black students and the Black community at large. We stand in solidarity with our classmates and our community against racism and we need you to do the same.
We write to you today in the context of yet another tragedy rooted in a society built on racism and inequity. Dr. DeGioia’s recent statement illustrated how these devastating reminders of injustice appear in the headlines all too frequently. The murders in recent headlines are only a glimpse into the pervasive racism that infects our society. From microaggressions to murder, we denounce all forms of racism and encourage everyone to actively decolonize our institutions and dismantle anti-Black racism and white supremacy.
As members of an institution guided by the Jesuit principles of “faith that does justice,” “men and women for others,” and “contemplatives in action,” we cannot stand by and claim we uphold these values without more meaningful action. As Dr. DeGioia said in September 2016, “We must discover new ways of being a university — new ways of exercising our institutional agency.” It is not sufficient to verbally condemn racist acts and provide statements alone. The time for exercising institutional agency to create tangible change is long overdue. We implore our colleagues and our institution to stand with us and be the change that is desperately needed.
We must envision these changes as intentional, aggressive, and beneficial steps towards addressing racism as a historically-ignored public health crisis plaguing our country. Racism is a well-documented risk factor for adverse health outcomes, and is a root cause of racial health inequities as driven by segregation, discriminatory incarceration, and disparities in healthcare quality. Differences in health status and life expectancy for minorities across the nation have been described in literature for multiple diseases. It is of utmost importance to address the racial inequities in healthcare that have perpetuated disparities — not only because they are wrong, but also to prevent discrimation based on race and/or socioeconomic status.
As with any public health crisis, there must be a concerted effort by all individuals to work tirelessly towards its resolution. We have seen the intensity of our nation’s and school’s response to the current COVID-19 pandemic. Just as the School of Medicine rapidly adapted to the COVID-19 pandemic with curricular and administrative changes, we ask that the administration treat issues of racism with equal, if not more, urgency. Lackluster, intermittent engagement combined with the current sparse education and action on racism in medicine makes us complicit in this public health crisis. If we can create a curriculum for a novel virus within the span of weeks, we are capable of taking actions focused on racism in medicine which have existed for centuries and intimately affects our student body, our ability to be exceptional physicians, and our patients’ health outcomes.
Georgetown itself has highlighted the discrepancy in how Black communities have disproportionately suffered at the hands of COVID-19, and how it is now time to act on the underlying issues causing these outcomes, starting within our own university. In order to adequately create culturally competent and effective physicians, it is imperative we be trained to consider the impact that racism and the history of race-based medicine has on our patients’ lives, clinical encounters, and health outcomes.
Medical education on this topic is imperative for all students so they may identify problems within the healthcare system and work toward creating equitable solutions. This includes implicit bias training, which unveils cognitive dissonance and prompts us to work on ourselves for the betterment of our colleagues and patients. Greater diversity in medicine allows for different perspectives to revolutionize the way we deliver and practice medicine. Stronger curricular education focused on racism in medicine will bolster our ability to care for our diverse population. Being well-versed in the effects of racism allows for deeper bonds between patient and provider.
It is our hope that graduates of the Georgetown University School of Medicine be advocates, unrelenting allies, and leaders in pursuing institutional and societal change wherever they go in their careers. Our responsibility to embody all of these qualities begins now. To begin this work, we — students across all years of training, of different races and ethnicities, and with diverse backgrounds — have come together in the spirit of discovering new ways of being a university. We stand with our peers, and in this letter, we outline a solid framework on how our institution can effect change now.
Below you will find a list of ten action items that are imperative for Georgetown University School of Medicine to institute, as well as a timeline for implementation. We believe that it is a reasonable expectation of our entrusted leaders to be able to act on these items and provide periodic updates on progress made.
(Click on each action item to read more.)
There is no question that Georgetown strives to provide excellent didactic education and strongly advocates care for the whole person. Tackling racism is no small task and requires long-term solutions. It is a task, however, that we know Georgetown is capable of confronting head-on.
We now ask that Georgetown acknowledges its gaps in supporting minority students, particularly Black students, and take swift action to close these gaps. The school should provide adequate support to its Black students. Curriculum on race should be longitudinal and graded. Faculty should be educated and evaluated on their inclusivity. Teaching materials should be reviewed to better reflect root causes of diseases beyond the umbrella term of “race.” Multicultural counselors should be hired to support students, and more faculty of color, especially Black faculty, should be hired and represented on the walls. Lastly, there should be increased transparency regarding these efforts in the form of public annual reports.
Across the nation, racism in medicine is a long overdue component of a well-rounded medical education. Implementing institutional changes at Georgetown that reflect this reality aligns with the University’s values, and would demonstrate a commitment to its mission.
The time to act is now.
Signed,
Members of the Georgetown University School of Medicine Community
From the Office of the Executive Vice President for Health Sciences
June 29, 2020
Subject: Racial injustice/SOM student letter
Dear Colleagues,
I’m writing today to share with you an open letter sent to School of Medicine leadership on June 3 that was penned by several of our medical students (and signed by more than half the student body) about the need for additional efforts to address ongoing racial inequities here at Georgetown.
I wholeheartedly agree with the students who write, “It is not sufficient to verbally condemn racist acts and provide statements alone…. We implore our colleagues and our institution to stand with us and be the change that is desperately needed.”
To that end, several of our colleagues in the School of Medicine and the students have met multiple times to begin organizing around a Racial Justice Committee for Change (RJCC). While this latest effort was borne out of the School of Medicine, I am pleased that it will be homed at GUMC and become an important part of our ongoing work.
I anticipate the RJCC will engage in a specific body of work over the next academic year to produce tangible outcomes. Subcommittees will be formed to allow working groups to focus on specific priorities and deliver actionable recommendations. The work of the RJCC is just beginning but throughout this coming year you will hear about opportunities for participating in this and other actions so that we can ensure our collective work includes perspectives of faculty, staff and students from across our campus.
For now, I’ll close with a statement from the letter: “As members of an institution guided by the Jesuit principles of ‘faith that does justice,’ ‘men and women for others,’ and ‘contemplatives in action,’ we cannot stand by and claim we uphold these values without more meaningful action.”
All the best,
Edward B. Healton, MD, MPH
Executive Vice President for Health Sciences
Executive Dean – Georgetown University School of Medicine
Georgetown University Medical Center
July 19, 2020
Subject: Welcome to Georgetown/Racial Justice Committee for Change
Dear Georgetown School of Medicine Class of 2024,
It is my great pleasure to welcome you to Georgetown University School of Medicine. I look forward to (virtually) meeting you in just a few short weeks at your orientation. I regret that we won’t be able to gather in person to mark this important step in your path to becoming physicians, but we will remain on this journey together until May 2024!
I’m writing today to share with you an important message that I sent to the Georgetown University Medical Center community this afternoon about our quest to pursue racial justice at our institution. By sharing this message with you, it is my intent to set an expectation of deepening our collective commitment to the values and principles that will guide us toward racial equity.
For this work, we are looking inward. As you’ll see below, we have taken some immediate actions to address systemic racism. But this is only the beginning of our work ahead.
One new change that impacts you immediately is the addition of a required orientation session for first-year students on anti-racism. As you may know, you will be asked to participate in small group discussions of excerpts from Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-first Century. The timing for this reading is critical: racism and the misuse of race as a relevant characteristic in clinical care have dire consequences: misdiagnosis; differential treatment; and ultimately, gross inequities in health outcomes.
Please continue to read on to learn more about the work underway. I wish you the very best and look forward to seeing you soon.
Yours truly,
Edward B. Healton, M.D., M.P.H.
Executive Vice President for Health Sciences
Executive Dean, School of Medicine
July 18, 2020
Subject: Formal launch: Racial Justice Committee for Change
Dear Members of the GUMC Community:
I am very pleased that yesterday afternoon we formally launched the Georgetown University Medical Center Racial Justice Committee for Change (RJCC).
I convened the RJCC, led by two faculty co-chairs — Dr. Tamika Auguste and Dr. Michelle Roett — and two student co-chairs — Jerome Murray (M3) and Stephen Kane (M4). The RJCC comprises five subcommittees: well-being, experience and responsiveness; safety and campus policing; recruitment, retention & success of URM students, staff and faculty; and racial justice curriculum reform (the full membership roster can be viewed here). This is a starting point and we anticipate this work broadening to include faculty, staff and student representation from our School of Nursing & Health Studies and Biomedical Graduate Education in the coming weeks.
The expected outcomes and responsibilities in the RJCC’s charge and its structure reflect the goals outlined in an open letter written by 27 medical students and signed by more than half the SOM student body that we received June 3. I remain grateful for the student leadership that has been a critical driving force behind this initiative. Their dedication to an inward institutional focus intended to create a culture of mutual respect and support and to directly address racism has been inspiring. I also commend them for tenaciously pursuing a robust pace of action.
Standing up the RJCC is an important goal, but it is by no means an end. It is one of our important vehicles for change, and its establishment marks only the beginning of the impactful work that lies ahead.
In a letter to the students earlier this week, I shared with them that change at Georgetown can be slow because of the desire to be inclusive in all that we do, but that these past six weeks have demonstrated that it is possible to move swiftly and be inclusive. With the assistance of several leaders from across our campus, we have been able to harness the momentum for addressing racism to make important changes that will have an impact on the new academic year, and especially our new students.
A summary of immediate actions implemented include:
Reviewing Curriculum For Racialized Content
The SOM Office of Medical Education is actively planning a faculty development workshop focused on removing racialized content in clinical correlates. These workshops will be scheduled for the fall. This is in addition to action being taken now by the Department of Dermatology to diversify the curricular content for the dermatology section of the Immunology, Rheumatology and Dermatology module for this academic year. I have also asked the leaders of our other schools and programs at the medical center to take similar steps in reviewing their curricula to ensure inclusivity, and that we remove any potentially offensive material.
Outreach, Recruitment and Retention of URIM Students
The SOM Committee on Admissions has formed a Subcommittee on Racial Justice and Diversity, which held its first meeting last month. The focus for the subcommittee is to bolster current efforts to create more robust and involved recruitment, outreach and retention strategies of URIM applicants. For the coming admissions cycle, the Office of Admissions aims to engage more faculty and student involvement in recruitment, outreach and retention of URIM applicants. The Admissions Office will also continue to require ongoing unconscious bias trainings for all admissions interviewers, as well as the Committee on Admissions, in assessing candidates for admission into the medical school.
Broadening the Learning Societies’ Representation
Last week, I had the pleasure of meeting with the leadership of the SOM’s Learning Society Advisory Committee to discuss options for being more inclusive in our representation of society names. As a group, we decided to change the name of the John C. Rose, MD, Learning Society to the Earl H. Harley Jr., Learning Society. This change will take effect at the beginning of the 2020-2021 school year. A Navy veteran, Dr. Harley has been a pediatric otolaryngologist here at Georgetown University for nearly three decades, training more than a thousand medical students and about 100 otolaryngology residents. We look forward to a time when we can come together to celebrate the newly named Harley Society. We’re also pleased to share that Dr. Harley will administer the Hippocratic Oath during the White Coat Ceremony this August.
Diversification of Portraiture Across GUMC
We will continue to diversify our portraiture of diverse physicians, celebrating both the racial/ethnic and gender diversity of our physician leaders across GUMC. After sharing your open letter with our medical center faculty and leadership, we obtained an oil painting of Cliff Leftridge Jr., MD. Dr. Leftridge was a beloved pediatric radiologist for decades at Georgetown and a legendary teacher in the radiology department, exemplified by his many Golden Apple awards. We thank Dr. Spies for reaching out to share the portrait. We look forward to displaying it in a prominent place on our campus. Building upon our collaboration with the Georgetown Women in Medicine, we look to continue to expand our efforts of the “Women on the Walls” Campaign as well. Just before COVID impacted our medical center, we were able to celebrate the portrait unveiling of Princy N. Kumar, MD. You’ll find it in the Goldberg Auditorium when we’re able to return to campus. We will continue to find additional ways to highlight the important contributions of our diverse physicians.
Responding to Unsettling National Events
The students have emphasized the importance of hearing from university leadership in a timely manner following events such as the killing of George Floyd and the attempt by the Department of Homeland Security (DHS) policy (now rescinded) to use the pandemic to block international students who were not taking in-person classes from staying in the U.S. Following the death of George Floyd, I and many of our colleagues around the Georgetown campus issued letters of support for the Black community, which is deeply affected by repeated acts of police brutality. Likewise, following a legal review of the DHS guidance, we voiced our support for those impacted. We will continue to speak out in the moment against acts of racism and discrimination.
Anti-Racism Prematriculation Materials
Our School of Medicine has added a required orientation session for first-year students on anti-racism, during which facilitators will lead small group discussions of excerpts from Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-first Century by Dorothy Roberts. In the coming days, I will be sharing information about this effort with other GUMC leaders, faculty and staff, encouraging them to engage on this important issue and to incorporate anti-racism content into their curriculum.
Safety and Campus Police Relations
Early last week, my office reached out to Jay Gruber, associate vice president of public safety and leader of our Georgetown Police Department, to share with him our collective interest in engaging with him on numerous concerns. He responded favorably and looks forward to working with the subcommittee. His office is assembling helpful documents in one location that will be shared with the subcommittee so that they have a baseline of information to inform their work.
Video Statement Against Racism
I’ve asked the GUMC communications office to move forward with a planned video statement against racism and in support of the Black Lives Matter initiatives. I want to thank Jerome Murray, student co-chair of the RJCC, and the others who are leading this effort. I understand there is a working script and that plans are being made for videotaping the messages.
RJCC Updates To Be Featured on the Dedicated GUMC Webpages
I’ve also asked the GUMC communications team to work in consultation with the students to create dedicated webpages that will feature regular progress updates on the work of the RJCC and to promote accountability and transparency with regard to our collaboration around the recommendations stated in the open letter. The first of these webpages were launched today.
Our Work With MedStar Health
Apart from the work specific to our campus, we also are collaborating with MedStar Health as it develops a Working Group for Racial Justice. The intended audience of this working group is MedStar Health residents, fellows, and teaching faculty. You can read about the proposed scope of work and subcommittee here. I am hopeful that the interdigitation of our faculty will allow us to elevate concerns and realize potential solutions for best practices across GUMC and MedStar.
The immediate steps we have already taken are important, but more needs to be done. We will continue to work on the remaining recommendations in the open letter in the coming weeks. We will also provide updates to our community, and where appropriate connect with racial justice work across the university.
Again, I’d like to thank the RJCC committee members for their commitment, including those who are leading the various subcommittees. We anticipate additional opportunities in the coming year for those who wish to join us in this effort to identify and eliminate racism in its many forms. It is not only a societal imperative, but one that is inextricably linked to our mission as a medical center as we pursue health equity through patient care, education and research.
And as the 27 medical students so eloquently stated in their letter: “As members of an institution guided by the Jesuit principles of ‘faith that does justice,’ ‘men and women for others,’ and ‘contemplatives in action,’ we cannot stand by and claim we uphold these values without more meaningful action.”
All the best,
Edward B. Healton, M.D., M.P.H.
Executive Vice President for Health Sciences Executive Dean, School of Medicine