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The Impact of Surgeon Factors and Education/Training on Disparities in Surgical Care.

Award Number: R01MD013913
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/12/2020
PERIOD OF PERFORMANCE END DATE: 01/31/2025

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The Impact of Surgeon Factors and Education/Training on Disparities in Surgical Care. - Project Summary Evidence indicates that racial and ethnic minority patients undergoing surgery receive worse quality care and experience worse outcomes than White patients do in the U.S. “Clinician factors” are one of five key determinants of surgical disparities identified at the National Institutes of Health and American College of Surgeons Summit in 2015. However, little is known about the characteristics of surgeons who deliver high- quality care to racial and ethnic minority patients, and whether education and training surgeons received affect surgical disparities. These knowledge gaps have hindered efforts to develop interventions that can effectively close the disparity gap in surgical care. The proposed R01 project will create a comprehensive, multi-level database that includes detailed information about patients, surgeons, medical schools surgeons attended, and residency programs surgeons completed, by linking four large, nationally-representative datasets: (1) Medicare data, (2) comprehensive physician database assembled by Doximity, (3) the AAMC Medical School database, and (4) the AMA Residency database. In Aim 1, using this innovative dataset, we will examine whether surgical care (i.e., processes of care, patient outcomes, and utilizations) differ between Black or Hispanic patients versus White patients when they are treated by the same surgeons using multi-level regression models. In Aim 2, we will identify individual characteristics of surgeons (e.g., age, gender, whether surgeons speak languages other than English, and the proportion of patients treating who are racial/ethnic minorities [“minority-serving surgeons”]) that are associated with racial/ethnic disparities in surgical care. Finally, using the information on the characteristics of medical schools and residency programs collected by AAMC and AMA, Aim 3 will determine whether the characteristics of medical schools (e.g., the proportion of racial/ethnic minority faculty/students, the percentage of international students, location in rural vs. urban areas) and residency programs (e.g., the proportion of racial and ethnic minority faculty/students/patients, the presence of cultural competence awareness program, instruction in non-English languages) related to cultural competency lead to improved surgical care received by racial and ethnic minority patients. The proposed R01 project will provide a unique opportunity to advance the field by better understanding the mechanisms of disparities related to surgeon factors, and will identify potentially modifiable attributes of surgeons, medical schools, and residency programs that contribute to disparities in surgical care. This project will provide a strong evidence base for developing interventions, such as evidence-based cultural competency programs and Continuing Medical Education, which can effectively reduce racial and ethnic disparities in surgical care. The research team consists of multiple NIH-funded researchers with expertise in all relevant fields (health services research, disparity research, surgical education, and statistics) to conduct this innovative research. The proposed study aligns well with the NIH strategic plan for research in minority health and health disparities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $623,864 )
2024	2024	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	5	5/29/2024	NON-COMPETING CONTINUATION	$62,386
2024	2024	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	5	12/25/2023	NON-COMPETING CONTINUATION	$561,478
														Subtotal = $623,864

Issue Date FY: 2023 ( Subtotal = $996,637 )
2023	2023	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	002	4	3/11/2023	SUPPLEMENT FOR EXPANSION	$369,142
2023	2023	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	4	12/29/2022	NON-COMPETING CONTINUATION	$564,747
2023	2023	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	4	2/6/2023	NON-COMPETING CONTINUATION	$62,748
														Subtotal = $996,637

Issue Date FY: 2022 ( Subtotal = $636,620 )
2022	2022	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	3	4/28/2022	NON-COMPETING CONTINUATION	$63,661
2022	2022	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	3	2/1/2022	NON-COMPETING CONTINUATION	$572,959
														Subtotal = $636,620

Issue Date FY: 2021 ( Subtotal = $635,441 )
2021	2021	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90095	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	2	1/21/2021	NON-COMPETING CONTINUATION	$571,898
2021	2021	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90095	LOS ANGELES	USA	Minority Health and Health Disparities Research	001	2	3/15/2021	NON-COMPETING CONTINUATION	$63,543
														Subtotal = $635,441

Issue Date FY: 2020 ( Subtotal = $659,814 )
2020	2020	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90095	LOS ANGELES	USA	Minority Health and Health Disparities Research	000	1	6/12/2020	NEW	$659,814
														Subtotal = $659,814

Grand Total All Awards = $3,552,376

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The Impact of Surgeon Factors and Education/Training on Disparities in Surgical Care.

Award Number: R01MD013913

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/12/2020

PERIOD OF PERFORMANCE END DATE: 01/31/2025

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