San Diego EXPORT Center
Improving Health Equity through
Research, Training, Education, & Outreach
COUNCIL OF
COMMUNITY CLINICS
REHDI
County of San Diego, HHSA
Health Disparities

National Institute of Health


“Health Disparities are differences in the incidence,
prevalence, mortality, and burden of diseases and other
adverse health conditions that exist among specific
population groups in the United States”
Health and Human Services Agency

One of Healthy People 2010’s overarching goals is to
eliminate health disparities.
Leading Health Disparities

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Cardiovascular
Disease
Cancer
Diabetes
HIV/AIDS
Infant Mortality
Asthma
Mental Health
National Institute of Medicine
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
San Diego EXPORT Overview
Program Advisory
Committee
ADMINISTRATIVE
CORE
Executive
Committee
Evaluation Unit
HIV RESEARCH
CORE
SHARED
RESOURCE
CORE
CARDIOVASCULAR
RESEARCH
CORE
COMMUNITY
OUTREACH
CORE
PILOT
RESEARCH
CORE
TRAINING/
MENTORING CORE
HD EDUCATION
COMPONENT
PRIME-HEq
Program in Medical Education Health Equity
California & San Diego Today


Medical education is of
high quality, but
insufficient in quantity
& distribution
California is currently
losing physicians
University of California’s Goal
To produce culturally & linguistically
competent physicians
 To train physicians to address the needs
of underserved communities
 Expanded medical school enrollment with
focused programs of excellence &
specialized curricula

Through creation of:
 PRIME – Program in Medical Education
UCSD’s PRIME
Program in Medical Education – Health
Equity (PRIME-HEq)
 Developed by faculty from the EXPORT
Center to eliminate health disparities:
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$6 Million/5 year grant from NCMHD
Promote participation in disease prevention,
intervention, research, & dissemination
Implement a joint minority health disparities
curriculum for UCSD SOM & SDSU graduate
students in public health
Why PRIME-HEq in San Diego?

One of the busiest international border crossings
in the world - over 48 million people in 2003

Community that spans both predominately urban
and rural areas on the US/Mexico border

In the top 15 metropolitan areas for immigration
- almost 13K legal immigrants in FY 2003

More refugees resettled in San Diego than any
other metropolitan area in Southern California
Other Community Diversity
18 Indian reservations – more than any
other county in the US
 1/3 of households are non-English
speaking
 Approximately 1,000 deaf or hard of
hearing students receive special education
services in San Diego

Assets, Resources & Opportunities
At UCSD SOM
 San Diego EXPORT Center
 Native American Research Center for Health
 Hispanic Center of Excellence
 UCSD Academic Center of Excellence on Youth
Violence Prevention
 National Center of Leadership in Academic
Medicine
 Deaf Culture Training Program
 NIH funding to UCSD – research and training
Assets, Resources & Opportunities
Existing Community/University Partnerships
 SDSU Graduate School of Public Health
 Center for Iberian & Latin American Studies
 County of San Diego Health and Human
Services Agency
 Council of Community Clinics
 Border Health Education Network & Scripps
Area Health Education Center
 Mid-City CAN
UCSD PRIME-HEq
Inclusive program that trains physicians to
provide better health care services to
underserved and at risk populations
 Provides a new option for dual degrees in
minority health and health disparities
 Evolves from community/university
partnerships formed over the last two
decades

Potential PRIME-HEq Dual Degrees

Public Health

Leadership of Healthcare Organizations

Humanities

Bioengineering

Advanced Studies in Clinical Research

Business Administration

Advanced Studies in Law & Medicine
UCSD Health Science Pipeline
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Health Careers
Opportunities Program
San Diego EXPORT Center
 Basic Science and
Behavioral Training
 Minority Supplement
Research Training
Native American Research
Center for Health
UCSD Health Science Pipeline
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Continuing Umbrella of
Research Experience
NIH Scholars, McNair
Scholars & Young
Native Scholars
Minority Biomedical
Research Support
UniversityLINK
Community College
Program
Benefits of Health Science Pipeline and
PRIME-HEq


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Attracts a diverse
population of highly
qualified students
Expands dual degree
opportunities
Increases the number of
physicians providing
services to underserved
populations
UCSD Trained Physicians in PRIME

Provide health care to underserved and at
risk populations and are excellent
clinicians prepared to be:

Physician/Advocates,

Physician/Scholars, and

Physician/Healers
Questions?