Present: Acosta, Barceló, Cabrera, Clark, Gardner, Jimenez, Khan, Gebrekidan, Maestas, Marong, Olsen, Schaad, Thomas, Van Dyke, Vazquez, Verduzco, Young, Zuniga

Unable to attend: Bruegl, Danielson, Lhewa, Lukehart, Pitre, Ruvalcaba, Sengupta, Surawicz, Wong

1. Introduction of members.

2. Brief overview of the OMCA mission statement ending with “we are about supporting our students, faculty and adding diversity to the UWSOM curriculum.”(Gardner)

3. Gardner describes the OMCA pipeline and the services which the OMCA provides:

• Olsen briefly describes the Fausto & Delancy Endowment for Native Americans: Nelson Fausto and Ann De Lancey offered a small endowment to establish a middle school program where 6 native American students have the chance to receive exposure to higher education, thus sparking and maintaining student interest in obtaining such education
• Gardner describes the Charles Drew/NIH/NIDDK program, a program which provides the opportunity for 2 or 3 high school students (9th or 10th grade) interested in PhD. To gain exposure to research at the UW.  If you would like to promote any qualified student(s), please let the OMCA know.
• Gardner describes the change in SMDEP.  The OMCA has been offered a new grant cycle for four years to host the program.  The program will only be open to students with Freshman and Sophomore standing during the time of application completion.  The collaboration between the UWSOM and UWSOD during this program has highlighted and stressed.
• Olsen describes a new summer program in the midst of being established and will begin in the summer of 2007.  It will be a 4 to 6 week program for Native students from other medical institutions.  The program will give the students access to the UW curriculum: lectures during the day and clinical exposure afterwards.

5. Student Organizations - representatives from each student group presents:

• SNMA (Student National Medical Association), represented by Serign Marong (Chapter President): a regional conference and meeting will be held at UCLA on October 8th and 9th, respectively.  The group would like to become more involved with undergraduates by arranging a shadowing opportunity between Pre-Med students and current med students.
• LMSA (Latino Medical Student Association), represented by Maria Verduzco (co-Chair): currently trying to establish a UW chapter of the group; 4 regional meetings are necessary to become recognized as a chapter, thus far UW has been represented in 2 of these meetings.  The group’s goal is to establish and provide mentorship for Latino students in high school and undergraduate levels
• CLMN (Chicano-Latino Mentoring Network), represented by Maria Verduzco: The group provides support to Latino students in various departments.
• PALANA, represented by Noelle Thomas: the group would like to become the med student branch of the OMCA.  They would like to assist minority students with interviews, give general support to all med students and establish a community for prospective medical students.
• APIIG (Asian/Pacific Islander Interest Group), represented by Felix Cabrera (co-President): The group sponsors a Bone Marrow drive at the ECC.  And they would like to further strengthen student outreach.
• MWS (Medicine Wheel Society), represented by Emily Van Dyke (chair): the group seeks to provide a haven for AI/AN students.  Host interventions at local communities and community health screenings.  In January will host their biggest event, Elder’s Dinner.
• AAMN (African American Mentoring Network), represented by Bessie Young (chair): began community outreach to establish links with doctors and incoming med students.
• Stonewall Med: Benjamin Vazquez would like to have the group become a part of the OMCA pipeline.

• Discussion of goals and specific aims of the grant.
• The initial steps that need to be done:
• Introduce a new Elective course in undergraduate medical education “Case-Based Studies in Cultural Responsive Care.” 
• Create a list of topics for Triple III projects which are culturally diverse.
• Initiate the Hispanic Health Pathway using IHP as a template. 
• Integrate CC in existing curricula (standardized patients, PBL cases, OSCEs).  It was quoted, “there are two PBL cases which border on the topic of cultural diversity, given the diversity of our community there should be more than just two.” 
• Prepare “Health Disparities Fact Sheets” for lecturers on prevalent health issues for specific racial/ethic populations
• Utilize cultural competency modules developed by Joseph York
• Develop a Web portal for elective clerkship opportunities and CC internet links.
• Begin Cross-Cultural Training for staff, faculty and students
• Add CC lecture series in the Junior Faculty Development Seminar Series
• Host Annual CC-Prime Conference
• Establish the OMCA as a CC Resource Center (information archive, website, speaker’s bureau)

The meeting was adjourned at 7:00 p.m.          -TOP-

Present: Acosta, Anderson, Clark, Danielson, Gardner, Gebrekidan, Lhewa, Lukehart, Olsen, Pitre, Sengupta, Surawicz, Thomas, Van Dyke, Wong, Zuniga

Absent: Barceló, Bruegl, Cabrera, Jimenez, Khan, Maestas, Marong, Ruvalcaba, Schaad, Vazquez, Verduzco, Young

1. Review Minutes from October Meeting - approved.

2. Updates

• OMCA: Jeannette Allen, OMCA Recruiter, was awarded the MAP Distinguished Alumni and Community Award November 5, 2005
• The OMCA has been awarded a new grant from Robert Wood Johnson Foundation - 4 more years of SMDEP.
• Available applicant pool: Freshmen and Sophomores (a choice made by RWJF)
• Lukehart: “It’s a good thing, as the student will get more research exposure earlier”
• Gardner: “There are going to be some gaps that we need to address.”
• Gardner met with MSTP representatives to strengthen the integration of the OMCA and MSTP students
• The Minority Association of Pre-Health Students, undergraduate arm of SNMA, will host another Pre-Health Conference January 21, 2005.
• The conference is for minority/disadvantaged pre-health students
• Barceló invited as speaker
• AAMN had a meeting at Bessie Young’s house
• A good turnout from 1st year students
• Focused on fund-raising
• CLMN will have a meeting next week
• MWS hosted a dinner at the Ronald McDonald House
• Another good turnout with a lot of people and a lot of food
• SNMA is focused on fund-raising for National Conference
• PALANA is also working on fund-raising activities
• Will have a mock interview training workshop led by Johnnie Orozco
• Trying to incorporate Stonewall Med representation into PALANA

• The first two years will be dedicated to development:
• First year (Curriculum Development: Establishing Committees and Task Forces)
• Cultural Competency Theme Curriculum Committee
• Acosta will have a meeting with Dr. Marshall, Associate Dean for Curriculum, 11/14/05 to discuss the development of curriculum
• This committee will provide oversee and insure that all Development Steering Committees are keeping within CC-PriME goals and grant objectives
• Undergraduate Medical Education
• Committee development pending (committee will design curriculum)
• Establish Student Advisory Group to determine what curriculum should look like (a student-driven curriculum)
• Perform needs assessments, syllabus review and evaluate other institutions to develop and integrate cultural competency curriculum into medical school curriculum
• Establish a task force from this committee in regards to developing elective course content: “Case-Based Studies in Cultural Responsive Care,” with the primary topic of discussion being cardiovascular disorders (as per grant).  But content is not limited to such topics.  There are no distinct limitations placed on this task force.
• Another task force to be established in regards to developing Hispanic Health Pathway curriculum
• Graduate Medical Education
• Acosta met with Joseph York, Associate Dean GME, in regards to developing GME Curriculum Development Steering Committee
• Incorporate Cultural Competency Curriculum across the pipeline
• Establish Resident’s Advisory Group
• Cross-Cultural Training (Year 2)
• Training the trainers
• Develop strategies with CCHP for faculty training sessions
• Implement during 1st and 2nd year medical student orientation, future resident orientation and new faculty orientation
• On discussing CC training, Sengupta: “Building internal capacity is critical…Speak to the individuals in the room according to their reality.”
• There was a strong emphasis placed on finding members for these committees.  If you personally cannot play a part, who would you suggest?  Acosta “…it is essential to have a number of committee members not associated with the UW…we need to find the champions (hidden and otherwise) from multiple disciplines.”

• In New Jersey, all physicians must be CC certified.
• Training should mimic CPR training; training should not be a “one-time only thing”

• Global versus National
• Lukehart: “Utilize PA’s via MEDEX program…Utilize Department of Global Health”
• Acosta: “There is no difference between Global and National…Every encounter is cultural encounter.”

• Conduct and return research in a culturally competent manner.

The meeting ended with Acosta asking for your help and ideas.

The meeting was adjourned at 7:00 p.m.                    -TOP-

Present: Acosta, Cabrera, Clark, Danielson, Gardner, Gebrekidan, Hurd, Lhewa, Lukehart, Maestas, Olsen, Sengupta, Schaad, Surawicz, Tsegai, Van Dyke, Zuniga

General Synopsis
• Introductions
• Student Group Updates
• OMCA Updates
• Mission Statement

1. Acknowledgements
• Gardner acknowledges Van Dyke for her efforts with Medicine Wheel Society and hosting dinners at the Ronald McDonald House patients and family members
• Happy birthday to Tsegai

2. Student Group Updates

• Gebrekidan gave an update on the Student National Medical Association (SNMA)
• Group has been doing a lot of fundraising 
• In the process of selecting new officers: election via email February 27
• Cabrera gave an update on Peoples of Pacific Island/Asian/Latino/African American/Native American descent (PALANA)
• Currently arranging meetings with current medical students and those applying
• Helping with admission process: mock interviews and housing
• Cabrera gave an update on the Asian/Pacific Islander Health Interest Group
• The group has not been very active
• Still planning a Bone Marrow Drive next quarter
• The group is interested in establishing connections with community physicians
• Sengupta suggested collaboration with her group Cross Cultural Health Care Program (CCHCP) in regards to qualitative health research
• Acosta suggested that the group work with Dr. Carey Jackson
• Gardner gave an update on the Chicano/Latino Mentorship Network (CLMN) and the Latino Medical Student Association (LMSA)
• LMSA is in the process of becoming recognized as a national group
• Van Dyke gave an update on Medicine Wheel Society (MWS)
• Elder’s Dinner was great success
• Next group meeting will be in March
• Van Dyke met with an individual from Children’s to work with Native patients in regards to traditional healing
• Group is also interested in establishing a pipeline with clinics in regards to food
• Clark suggested that student and group events should be posted on the web
• Action Item: Any community event should be sent to Edison or the DAC listserv for distribution to other groups

• Gardner stated that this week the National Association for Minority Medical Educators will be hosting their annual conference
• Friday, March 3, 2006: there will be a dinner honoring Millie Russell at Bell Harbor.  Admissions costs $65.
• The UW Medical Center will be hosting their bi-annual open house April 28 and 29
• 1000 students are expected with family members
• Individual departments will have booths
• Acosta gave an update on Title VII budget cuts (due to confidentiality issues an extent of that information will not be divulged):
• Budget cuts have been made, but to what extent is not known
• The related grants affected are HCOP and COE
• The OMCA will be looking for other means of funding in the meantime 
• Depending on fund placement the OMCA may have:
• Director of Faculty Development position vacancy
• Medical School Recruiter vacancy
• Limited funds for student travel
• U-DOC only offered in UW site & not at other WWAMI sites
• All summer programs except for SMDEP will be affected
• Action Item: A template letter will be sent to DAC members to use as a letter to be sent to our legislative representatives in support of restoring funding, and the impact of proposed budget cuts. 
• Alternative actions
• It was suggested that the OMCA look towards internal UW and outside/private organizations for additional aid
• Clark suggested that a sub-committee be created in finding available funds/endowment development
• Tsegai gave an update on 2006 School of Medicine Admissions
• The admissions deadline will be March 31
• Current acceptance: 4 Native American, 3 Latino, 0 African American, 0 Pacific Islander
• WWAMI class size expected to be 180 students
• Classification terms were questioned
• In regards to UW applicants, there is a lot of lag time between interview date and acceptance/rejection, which can lead to a lot of anxiety and loss of student matriculation
• Zuniga gave an update on the Center for Cultural Proficiency in Medical Education (CC-PrIME)
• Three committees have been formed: Student Advisory Group, Cultural Competency Theme Committee, & Hispanic Health Pathway Workgroup
• Olsen gave an update on the Native American Center of Excellence (NACOE)
• March 30 and 31 NACOE will be hosting the 8th Annual Native American Center of Excellence Faculty Development Seminar: Walking In Two Worlds
• NACOE Student Graduation will be held on June 1, 2006 at Daybreak Star Cultural Center
• NACOE has received funding to develop the Fausto-DeLancy Middle School Education Initiative

• A general consensus was given to adding more community and faculty outreach: a broadening of the DAC and OMCA
• Action Item: Zuniga will send out OMCA goals and mission statement.  DAC members will continue to develop DAC mission statement
• A DAC change of name was suggested - change to Diversity Advisory Board instead of Committee. Unaminous vote in favor of the name change. The Diversity Advisory Committee will now be known as the Diversity Advisory Board.

The meeting was adjourned at 7:00PM                    -TOP-

Chair: Victoria Gardner

Present: Acosta, Clark, Gardner, Pitre, Schaad, Tsegai, Van Dyke

Unable to Attend: Barcelo, Bruegl, Danielson, Gebrekidan, Hurd, Jimenez, Khan, Lhewa, Lukehart, Maestas, Olsen, Ruvalcaba, Sengupta, Surawicz, Thomas, Vasquez, Wong, Young

I. Review minutes from February meeting

• Correction made by Acosta: Dean to Medical Director
• Under OMCA updates/Title VII budget cuts/Depending on fund placement…
• Medical Director of Faculty Development position vacancy
• Approved

II. OMCA Updates

1. Administrative

• Gardner announces that HCOP and COE budgets will be cut
• Request for a no-cost extension has been filed for both grants;
• No Cost Extension was granted by HRSA re: COE funding which will enable OMCA to utilize unused grant monies from 9/1/06 through 3/1/07.  These  funds will be used to continue recruitment activities through Fall and Winter
• Dean Ramsey has agreed to fund COE from 3/1/07 through 7/1/07 with monies through the Office of the Dean.
• Approval is pending for our HCOP No Cost Extension request.
• ACTION ITEMS
• The OMCA will begin looking for new fund sources
• It was recommended that a Fund Development Sub-Committee be developed – it was suggested that Theresa Clark chair this subcommittee.
• It was also recommended that our Chair request for volunteers to be a part of sub-committee via our listserv.
• Additional Alternatives: Seek donations from OMCA alumni; Campaign UW: Creating Futures <http://www.uwfoundation.org>

• UWSOM received 3700 applications
• 801 students interviewed
• 203 accepted
• 3 African American, 6 Native American, 9 Latinos, 0 Pacific Islander
• MSTP: 5 African American, 1 Hispanic
• 20 withdrew
• May 15 is the deadline withstanding acceptances
• Historically: number of entering underrepresented students has increased from last year, but the number of accepted underrepresented students has decreased

• OMCA hosted Second Look, April 20 thru 23
• 31 students invited, 17 students attended
• Werner Samson, Dean of Admissions, will be retiring
• Internal search for replacement has been conducted
• Lead by Tom Norris
• Solicited feedback from department chairs for possible candidates

• OMCA Graduations will take place Friday, May 2, 2006
• 22 underrepresented students
• 32 total students

• OMCA Diversity Advisory Board website has been created
• <http://faculty.washington.edu/dacosta/DAB/index.html>
• ACTION ITEM
• Website design and information is open for ideas and suggestions: additions/subtractions

• Sub-committees have been developed to assure the progress of CC-PrIME in relation to grant restraints – these include:
• Cultural Competency Theme Committee – addressing UGME curriculum needs
• Student Advisory Group on Cultural Competence(CC)  curriculum – will make recommendations to the theme committee
• Hispanic Health Pathway Working Group – addressing the development of this new pathway modeled after our own Indian Health Pathway
• Advisory Committee on Faculty Development – DA is a member of this committee, which will work on developing faculty development in CC
• Joseph York, Ph.D., Associate Dean for GME, has agreed to form a steering committee to address the needs for resident training in CC
• Amen Tsegai has been named the Project Director for CC-PriME
• NIH/NHLBI Collaborative Group on Cultural Competence will meet on September 29 thru 30, 2006 in Bethesda, Maryland for their 2^nd Annual Face-to-Face meeting to discuss projects and progress. UW is one of 15 grant awardees that participates in this Collaborative.
• Progress Report for the NIH grant is due June 1, 2006
• Acosta facilitated a 3 hour presentation at the Dean’s Retreat at SemiAhmoo entitled “Cultural Competence in Medical Education”
• Ira Sengupta, Executive Director of the Cross-Cultural Health Care Program based here in Seattle,  presented “Making the Case for Cultural Competence Education” and “Best Practices in Delivering Cultural Competency Training”
• Rusty Barcelo, Ph.D., Vice Provost for Diversity, delivered  a call-to-action to the senior leadership
• The need for global faculty development in the area of cultural competence was stressed and well accepted; it was also stressed that the senior leadership plays a key role in “setting the thermostat” for their faculty and staff in our attempts to improve our institutional climate re: diversity.
• ACTION ITEM
• Collaborate with the Diversity Research Institute to increase the diversity with the UWSOM and overall campus

• A review of the mission statement was tabled until the next meeting
• ACTION ITEM
• Diversity Advisory Board Mission Statement will be distributed to the listerv with the OMCA Mission Statement
• Comments and suggestions are welcome for Board members

VII. Proposed Subsequent Meetings

June 12, 2006

September 4, 2006

November 6, 2006

January 8, 2007

March 5, 2007

May 7, 2007

Meeting Minutes
September 11, 2006

1. Call to order: Victoria Gardner called to order the regular meeting of the Diversity Advisory Board at 5:45 pm on September 11, 2006 in T-513 HSC.
2. Introductions were made. The following persons were present: Muyiwa Awoniyi, Emily an Dyke, Mary Walls, Tipu Khan, Bessie Young, Ben Danielson, Amen Tsegai, Emile Petri, Peg Pattee, David Acosta, and Victoria Gardner
3.  Approval of minutes from last meeting - the minutes were approved as read.
4.  Open issues
1. HCOP/COE Budget Cuts – David discussed no cost extension for HCOP until 2/28/07 and for COE until May 31, 2007.  The Dean has supported funding for OMCA staff until July 2007.  David and Victoria are in discussion with Kirsten Roberts and Vice Dean Tom Norris regarding a budget which supports OMCA activities given our mission and direction.  Acosta maintains that OMCA wants all services to continue.  We are looking for other funding opportunities.  Currently applying for an HHMI grant and exploring a shorter, cheaper version of UDOC and Premat. 
• ACTION ITEM:  Keep DAB informed by providing DAB website address to the Board and also providing some areas that need action or volunteers.  Also add mentoring network information and photos.

2.  Student Organizations
• Mu stated that SNMA is sponsoring a regional meeting on Oct 27 and 28 2006 to coincide with the AAMC Premed Career Fair. 
  
• Victoria shared that APAMSA (Asian Pacific American Medical Student Association) was just formally recognized as a chapter by the national organization.
  
• She also shared that LMSA had a welcome meeting last week attended by around 25 students.
• Emily Van Dyke reported that Medicine Wheel Society recently completed berry picking and will set days for jam sessions and lanyard making.  Chairwoman Amanda Bruegl was unable to attend due to clinic schedule.  They are preparing for Elders Dinner in January 2007.  
• Tipu shared that a new organization is starting for Middle Eastern, North African and South Asian students and one activity being discussed is a screening clinic probably through Salvation Army.  
• Bessie Young encouraged students, especially SNMA, to contact the mentoring networks for donations to supplement their meager financial portfolios;
• David encouraged students to contact the local Washington State chapter of NMA, WAFP, and other community organizations for donations to supplement their meager financial portfolios.  The physicians in attendance encouraged the student representatives to “think big” regarding donations. 
  
• ACTION ITEM:  Student organizations must take advantage of the network of professionals around the UWSOM for funding opportunities.  They must work with OMCA staff to access listserves and organizations.

5.  New business
1. Bessie Young is involved with the NIH’s Network for Minority Research Investigators (NMRI) which is holding its regional conference in Seattle on November 6.  A corresponding undergraduate symposium will be held on November 7 to allow promising minority undergraduate researchers to showcase their work.  For more information contact Bessie Young at youngb@u.washington.edu or check with Amen Tsegai or Mary Walls.  
• ACTION ITEM:  Victoria and other OMCA staff will send the information for the conference to premed listserves as well as other campus contacts.
2.  CC-PriME is conducting its second face to face meeting with other NIH NHLBI grantees on Sept 28 in Bethesda MD.  The purpose of the meeting is to discuss and present best practices and other efforts aimed to develop cultural competency curricula in grantee sites.
3. Emile Petri gave a brief update of EOP/OMA activities which include self-assessment project encompassing the feedback of students, staff and the campus wide community.  He feels that OMA is now being more integrated with other campus services and activities related to student life.  Ongoing projects include site visit by OMCA staff to the Meyerhoff Program in Baltimore, MD.

4. DAB Mission Statement was read by Victoria.  Ben suggested a rewrite that would produce a more vivid, succinct, and more emphatic mission statement.  He shared that, in collaborating with other folks at Childrens Hospital on their mission statement, he learned that the current DAB mission statement as written is more appropriate as a vision statement and that we need to rethink our mission statement to reflect more action and to reflect more of “what do we want to do if there are no limits to what we could do”.  Suggested key words could be “action-focused”, “leadership”, “moving forward”, “propel”, “eliminating health disparities”, and other similar strong sentiments.  Mission statements must be brief, dynamic, and yet contain the essence of a group.  It must be readily understandable in a short time, for example, when explaining what DAB is to another person in a quick conversation.

• ACTION ITEM:  It was suggested and agreed that DAB members reflect on our mission and provide suggestions by email or at our next meeting.

• Adjournment: Victoria adjourned the meeting at 7:15 am. Next meeting was moved from November 6 to November 13 2006, to accommodate the NIH Regional meeting and undergraduate symposium.  A notice will be sent regarding the location of the meeting and parking details. 

Minutes submitted by:  Victoria Gardner, vg@u.washington.edu