VOLUME 26 • NUMBER 10 JULY 2016
HISPANICS & HEALTH CARE PSYCHOLOGISTS
Explore Pain in Hispanic Americans
TRAINING
Foreign-Trained Physicians to Become Nurses In The Us
WWW.HISPANICOUTLOOK.COM
TOP 50 SCHOOLS
Granting The Most Health Profession Degrees To Hispanics
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is the only magazine with a 25-year track record of providing illuminating, enlightening and inspirational information and resources that focus like a laser beam on Hispanics in higher education. HO continues to expand its outreach in providing education news, innovations,
networking, resources and the latest trends impacting students from community college through g r a d u a t e s c h o o l w h i l e m a i n t a i n i n g a u n i q u e H i s p a n i c p e r s p e c t i v e . We a re t h e o n l y p u b l i s h e r that makes it our business to exclusively cover the entire Hispanic higher education experience.
THE HISPA NIC O U T LO O K
IN HIGHER EDUCATION
MAGAZINE Every year the Hispanic Outlook in Higher Education Magazine puts out a top 100 Colleges and Universities for Hispanics issue, which consists of several lists from the Department of Education
TOP 1OO
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August 2016 I n a d d i t i o n t o o u r To p 1 0 0 l i s t s , t h e issue also features special top 10 lists from the Department of Education f o r “ B a c h e l o r ’ s D e g r e e s Aw a r d e d t o Hispanics by Academic Programs.”
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LATINO KALEIDOSCOPE LATINO DREAMING IN 2016 Written by Carlos D. Conde
I
t’s the quadrennial of U.S. presidential elections, so it’s apropos to bring up the image of Ben Fernandez who, as many may have forgotten, was the first Latin-Mexican American, to be precise, to run for president of the United States. It brings reminiscences of where he got this pipe dream that a Latino, and Republican at that, could be elected U.S. president. It wasn’t that long ago (actually 1980), but really seems an eternity from the prospect of one day having a Latino sitting in the White House Oval Office. Ethnically speaking, we are not even close, as Cuban-American senators Ted Cruz and Marco Rubio showed in this current presidential party primaries. For the Republicans, it’s Donald Trump who seems to relate to Latinos largely through his workers, many of them Mexican Americans, in his business empire, and he adds they all love him. It hasn’t helped that he said he would build a border wall from Texas to California to keep illegals out, mostly Mexican Americans in particular. Hillary Clinton, the undeniably Democrats’ choice, doesn’t claim to have the affection of all Latinos although by virtue of her party is heir to their predictable support, and she’s much better at finding commonality that someone like Republican Gerald Ford who when campaigning in San Antonio tried to eat a tamale, husk and all. The Chicanos weren’t impressed with this attempt at ethnic relations. In today’s scenario, not many were “feeling the Bern,” Bernie Saunders, that is, and it’s now up to Hillary Clinton to fly the Democrats’ flag with Latinos, and you can safely predict she’s a cinch to reap the rewards, deserved or not. The candidacy of Ben Fernandez
waxes nostalgia about a Latino-Mexican American to be precise--daring to be president, which was just as much a dream then as it is now since no one, not even Rubio or Cruz, have come close to seizing the nomination. Back then, New Mexico Senator Dennis Chavez was the closest Latinos had to political royalty although Texas’ Henry B. Gonzalez, California’s Ed Roybal and New York’s Herman Badillo had started to pioneer the advent of national political figures, but their political ambitions didn’t travel much further than their local jurisdiction. I was a press aide in Nixon’s White House and on a president’s Hispanic Cabinet Committee when I met Ben Fernandez, a political appointee on socio economic posts. We worked on Nixon’s re-election campaign, which earned us both an appearance before Congress’ Watergate committee. His persona was the epitome of a supremely confident, self-made Mexican American, a minority who famously liked to recall, was born in a railroad boxcar in Kansas City. Back then when Latinos still existed in a bifurcated American society enduring civil rights repression and economic discrimination, Ben was the epitome of “Yes I can” success. He worked his way through two elite universities earning graduate and postgraduate degrees in economics and finance. He said he had become a Republican when told it was the party of rich people. “Sign me up, I’ve had enough of poverty,” he said. Ben never made it pass the primaries, and he failed miserably in two later attempts. He retired to an unappreciated
existence--even by his once Republican allies--and died at age 75 in 2005. His name comes up now mostly in trivial political pursuit games. Ben was a success in almost everything he tried except for the ultimate political enchilada. He was an ethnic pioneer though the American constituency was (and still seems not ready) to crown a national figure from this ethnic minority whatever the elements. Rubio and Cruz are passé in presidential ambitions, and they never were in sync with the overwhelming Mexican American community. There are other Latino prospects from both major parties mentioned as potential presidential candidates in the future although, predictably, all disclaim any interest, and no one has yet reached the national political mantle of a national contender. The brightest star is San Antonio’s Julian Castro, currently HUD Secretary and now mentioned as a strong possibility for Hilliary Clinton’s vice president nominee. Others are GOP governors Brian Sandoval of Nevada and Susana Martinez of New Mexico and long-time California Democratic congressman, Xavier Becerra. All are Mexican Americans. Surely, the time has come for a Latino to be elected to the highest office in the land. If Barrack Obama did it, why not a Latino. The ghost of Ben Fernandez beckons. •
Carlos D. Conde, an award-winning journalist, former Washington and foreign correspondent, was a press aide in the Nixon White House. Write to him at CDCONDE@aol.com www.HispanicOutlook.com • 3
THE HISPANIC OUTLOOK IN HIGHER EDUCATION MAGAZINE VOLUME 26 • NUMBER 10
FEATURED ARTICLE State Loan Forgiveness Scholarship Programs
18
PUBLISHER JOSÉ LÓPEZ-ISA EDITOR IN CHIEF MARY ANN COOPER WASHINGTON DC BUREAU CHIEF PEGGY SANDS ORCHOWSKI CONTRIBUTING EDITORS CARLOS D. CONDE, MICHELLE ADAM EDITOR EMERITUS MARILYN GILROY CONTRIBUTING WRITERS GUSTAVO A. MELLANDER CHIEF OF HUMAN RESOURCES & ADMINISTRATION TOMÁS CASTELLANOS NÚÑEZ CHIEF OF ADVERTISING, MARKETING & PRODUCTION MEREDITH COOPER RESEARCH & DEVELOPMENT DIRECTOR MARILYN ROCA ENRÍQUEZ ART & PRODUCTION DIRECTOR RICARDO CASTILLO DIRECTOR OF ACCOUNTING & FINANCE JAVIER SALAZAR CARRIÓN SALES ASSOCIATE SERGIO LUGO ARTICLE CONTRIBUTORS SYLVIA MENDOZA, MICHELLE ADAM
4 • July 2016
PUBLISHED BY “THE HISPANIC OUTLOOK IN HIGHER EDUCATION PUBLISHING COMPANY, INC.” Editorial Policy The Hispanic Outlook in Higher Education Magazine® (ISSN 1054-2337) is a national magazine. Dedicated to exploring issues related to Hispanics in higher education, The Hispanic Outlook in Higher Education Magazine®is published for the members of the higher education community. Editorial decisions are based on the editors’ judgment of the quality of the writing, the timeliness of the article, and the potential interest to the readers of The Hispanic Outlook Magazine®. From time to time, The Hispanic Outlook in Higher Education Magazine® will publish articles dealing with controversial issues. The views expressed herein are those of the authors and/or those interviewed and might not reflect the official policy of the magazine. The Hispanic Outlook in Higher Education Magazine® neither agrees nor disagrees with those ideas expressed, and no endorsement of those views should be inferred unless specifically identified as officially endorsed by The Hispanic Outlook in Higher Education Magazine®. Letters to the Editor The Hispanic Outlook in Higher Education Magazine ® email: info@hispanicoutlook.com Editorial Office 299 Market St, Ste. 145, Saddle Brook, N.J. 07663 TEL (201) 587-8800 or (800) 549-8280 “‘The Hispanic Outlook in Higher Education’ and ’Hispanic Outlook are registered trademarks.’”
on the cover Image Licensed by Ingram Image
THE HISPANIC OUTLOOK IN HIGHER EDUCATION MAGAZINE JULY 2016
Table of
CONTENTS
6
10 21
24
3
KALEIDOSCOPE Political Beat. Latino Dreaming in 2016 by Carlos D. Conde
6
TRAINING FOREIGN-TRAINED PHYSICIANS TO BECOME NURSES IN THE US Many Graduates Work in Hospitals, Clinics, School Systems, Wound Care Centers and Medical Specialties by Gary M. Stern
10
BATTLING CHILDHOOD OBESITY IN HISPANICS Childhood Obesity Can Contribute to Higher Risks for Diabetes, Heart Disease, High Blood Pressure, Cancer and Asthma by Frank DiMaria
14
TOP 50 SCHOOLS GRANTING THE MOST HEALTH PROFESSION DEGREES TO HISPANICS Featuring separate lists for 4-year and 2-year schools by The Department of Education
18
HELPING DREAMERS PURSUING MEDICAL CAREERS QUALIFY FOR STATE LOAN FORGIVENESS, SCHOLARSHIP PROGRAMS Expanded Licensure Helps California Meet the Cultural and Linguistic Needs of Its Diverse, Newly Insured and Medically-underserved Populations by The Office of Senator Ricardo Lara
21
CHRONIC LACK OF SPANISH-SPEAKING DOCTORS IN US RESULTS IN GROWING DEMAND FOR MULTI-LINGUAL HEALTH PROFESSIONALS Shortage of Hispanic Doctors Even as Population Grows by Instituto Cervantes
24
IUPUI PSYCHOLOGISTS EXPLORE PAIN IN HISPANIC AMERICANS University of Miami Study Says ACA Significantly Reduces Cost of Mental Health Care for Young Adults, Especially Minorities by The School of Science at Indiana University-Purdue University Indianapolis
28
PREVENTION REPORT REVEALS HISPANICS ACCESS PREVENTIVE CARE LESS THAN OTHER POPULATIONS The Importance of Taking a Holistic View of Prevention Activities by Tuckson Health Connection
30
MEDICAL ALERTS! News from the Healthcare Field by The University of San Francisco, University of the Incarnate Word, Abuela Lucy Foundation and National Alliance for Hispanic Health
32
OWN IT! Preparation for Higher Education Is Crucial by Marvin F. Lozano and Miquela Rivera
www.HispanicOutlook.com • 5
Training Foreign-Trained Physicians to Become
NURSES IN THE US
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Story by Gary M. Stern
W
hen many doctors move to the U.S. from foreign countries in Central and South America, the Caribbean and elsewhere, they are forbidden from practicing medicine. In order to become certified as a doctor in the U.S., these foreign-born physicians must complete a residency and pass the medicine licensure examination. Based on their own 6 • July 2016
family obligations, many are forced to take less qualified jobs as nurse’s assistants or phlebotomists, drawing blood, which are below their academic credentials. Florida International University, a research university based in Miami, Florida, created a program, Foreign Educated Physicians to Bachelor of Science in Nursing and Master of Science in Nursing
(BSN/MSN), that trains doctors to become nurse practitioners or registered nurses, drawing on their medical background and bilingual skills. The program enables them to stay in the medical field, earn a strong salary and assist patients. Dr. Divina Grossman, a former dean at Florida International University (FIU), observed that the skills that many doctors had ob-
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tained in other countries were being wasted and lost. The program launched in 2001 and offered bachelor’s degrees for registered nurses but was expanded in 2010-11 to specialize in master’s degrees for nurse practitioners. The master’s program lasts eight semesters or three years, and the undergraduate program lasts five semesters or a year and a half. The program attracts students with “an amazing background, including a significant knowledge base of medicine, patients and health care,” explained Maria Olenick, the chair of undergraduate nursing at FIU and its former director for three years. “Many of our students are looking for a second career option in healthcare,” she noted.
Since all students have already trained as physicians, they are older, with an average age of 40 years old. Moreover, it attracts more men into nursing; in fact, 50 percent of the students are men. The program is full-time, though some students continue to work in part time jobs and earn money to meet family obligations. Many need to save enough money, work part-time or take out loans to afford the $41,000 a year tuition for state residents and $90,800 for non-residents. Gaining acceptance into the program is extremely competitive. Olenick said about 400 students applied for the 50 openings in 2015-16, so 80 percent are rejected. Though Cuba and Haiti are the countries
Many graduates of the program work in hospitals, clinics, school systems, wound care centers and medical specialties. www.HispanicOutlook.com • 7
8 • July 2016
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that produce the most students in the program, students hail from China, Czechoslovakia and more than 30 countries. Latinos comprise about 40 percent of all students. To be accepted, students must present their translated transcripts from medical college, equivalent of a U.S. bachelor’s degree, and pass an English language exam or two English classes in the U.S. Their grades and academic performance are evaluated, and they are interviewed. “We’re looking for professionals who have a capacity to communicate in English, who have interest and motivation, and are ready to take the plunge into a full-time curriculum,” Olenick noted. All 50 students are aiming for a master’s degree in nursing. The ones who stop at the bachelor’s degree level aren’t successful in the program or didn’t pass their registered nursing exam. But don’t many students who are trained as physicians feel that becoming a nurse practitioner is below their status? Olenick acknowledged that some students can be disappointed and even angry at the outset. “But most after a semester and a half turn around and say, ‘I didn’t want to do it, but now I love it,’’’ she said. Most are grateful at gaining a second chance at helping others in the healthcare field and expanding their knowledge into a new field. Olenick said the first two years concentrate on undergraduate nursing and preparing students to pass the state board exam to become a registered nurse. The final year is the master’s portion where students prepare to become nurse practitioners and enhance their knowledge of advanced
nursing and improve their prescriptive and diagnostic skills. The program offers four specialties as nurse practitioners in: family, adult, pediatrics (18 years and younger) and psychiatric. Many graduates of the program work in hospitals, clinics, school systems, wound care centers and medical specialties. Olenick said that the starting salary for nurse practitioners is $90,000, and obtaining a six-figure salary is not uncommon. These FIU graduates are coveted by hospitals and other employers for several reasons. “These graduates are really doctors and nurses rolled into one. It’s like obtaining two specialties for the price of one,” explained Olenick, a native of Scranton, Pennsylvania. Moreover, many graduates are bilingual, speaking Spanish and En-
glish, and some speak three to five languages. Speaking Spanish in Florida is clearly an advantage that helps graduates provide better patient care. Erich Companioni, a Miami, Florida, resident and 44-year-old Cuban native who moved to the U.S. at age 13, gained his medical degree in the Dominican Republic. After passing the first of three medical boards, he got married and started to raise a family. He couldn’t afford to take time off for a residency program and instead opened a home health nursing company. When he learned of the FIU program to train foreign-trained physicians, he saw it as a “great opportunity to become a nurse practitioner. It was closest to my dream,” he said. Once you immigrate to the U.S., he said, “You need to work to support a family.”
Maria Olenick
Learning to become a nurse practitioner is different from training to become a physician. Nurse practitioners “see patients in a holistic way. We take care of every single process and social issues. Physicians are more targeted in how they help people,” he said. When he graduated in 2015 as a family nurse practitioner, he accepted a job in a radiation/oncology practice in Miami. His patients have cancer or terminal illnesses. “I’m helping patients not only from a medical point of view but giving them the support and guidance from day one of evaluation until they finish radiation,” he asserted. Nurse practitioners who were trained as physicians are very marketable, Companioni explained. “The combination gives you more extensive knowledge than a regular nurse practitioner,” he observed. Companioni is gratified being patient-centered and employing his medical skills. Some foreign-trained physicians could have a problem dealing with the “ego” issues of not being a doctor since in foreign countries, they’re viewed as gods. He said being a nurse practitioner is a “way of fulfilling his dream of helping people doing exactly what you’re training to do as a doctor with some limitations.” Olenick sees the program as a win/win for graduates, the college and the healthcare system. It enhances diversity at FIU in several ways, “bringing different cultures and ethnic groups and bringing more men into nursing. It brings people with a background in medicine into nursing, and what can be better than that?” • www.HispanicOutlook.com • 9
Battling Childhood Obesity in Hispanics, Still Written by Frank DiMaria
10 • July 2016
ic White Children. In 2013, the CDC looked at children and adolescents ages six-11 years of age. It found that the percentage that were overweight among Mexican American girls was 22.4 as compared to 14 for non-Hispanic White girls. The percentage for Mexican American boys was 24.3 as compared to 18.6 for non-Hispanic white males.
Let’s Move, the initiative launched by Michelle Obama, indicates that childhood obesity in the Hispanic population is growing faster than all other population segments with nearly two in five Hispanic children ages two–19 being overweight or obese. And the National Council of LaRaza says that Hispanic children are more
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n June of 2005, Hispanic Outlook reported on the health of the children living in Rio Grande City, a border town in Starr County, Texas, one of the poorest counties in the U.S. Most of the children living there were Mexican American, and at the time, their rates of obesity were among some of the highest in the nation. Unfortunately, little has changed in the past 11 years for the children of Starr County and for Hispanic children in general, according to Nancy F. Butte, Ph.D, professor of pediatrics, Baylor College of Medicine, Houston, Texas. “In the U.S. we do see higher rates of childhood obesity amongst the lower socio-economic groups, and that tends to be a predominance of Hispanic and African American children and also Native Americans,” Butte said. According to the U.S. Department of Health and Human Services Office of Minority Health, from 2009-2010 Mexican American children were 1.6 times more likely to be overweight than non-Hispan-
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likely to experience obesity than other children. Obese children are more likely to struggle with weight gain throughout adulthood and could have poorer health outcomes. Childhood obesity can contribute to higher risks for diabetes, heart disease, high blood pressure, cancer and asthma. To exacerbate the situation, the treatment of childhood obesity is not a reimbursable healthcare cost. “You can’t refer a child just for childhood obesity. That is an ongoing issue and fight,” Butte said. Stemming the Tide Butte has spent a significant portion of her career trying to pre-
vent, or at least curtail, childhood obesity. Although she has not seen the results she would like, she’s seen steps in the right direction. “The good news in all of this is that we think that childhood obesity has plateaued in the past decade. Although we’d like to see it going south a lot faster, at least a plateau is some degree of success,” Butte said. In fact, there is some evidence that obesity is declining among preschoolers. Another step in the right direction is an increase in funding for obesity researcher. More groups than ever are studying the issue. In 2011, Butte and researchers from San Diego State University and the
Childhood obesity can contribute to higher risks for diabetes, heart disease, high blood pressure, cancer and asthma. To exacerbate the situation, the treatment of childhood obesity is not a reimbursable healthcare cost. www.HispanicOutlook.com • 11
SOURCE: NCLR’S PROFILES OF L ATINO HEALTH - 2015 SOURCE: NCLR’S PROFIL ES OF L AT INO HEA LTH - 2015
12 • July 2016
Massachusetts State Department of Public Health received funding from the CDC to perform obesity intervention on children ages two-12 in underserved areas. The Childhood Obesity Research Demonstration Project (CORD) intervened in the diets of children in rural and urban communities in Massachusetts and in border towns in Texas and San Diego from 2011 to 2015. Although the intervention was not restricted by ethnicity, 85 percent of participants were Hispanic. Butte submitted the results in April and will make them public later this year. Obesity is not a simple issue. Because of its complexity the CDC insisted CORD be multi-sector and multilevel. Nutritionists, doctors and researchers can easily intervene in children’s diets in schools and in clinics but have little influence over dietary preferences at home. This reality means their success in reversing childhood obesity can be limited. To turn the wave, Butte said, nutritionists need to attack the problem from several angles and levels. “There is not going to be one bullet to turn this around,” Butte said. Actionable Interventions During CORD, Butte and her fellow researchers intervened using both primary and secondary prevention. Using secondary prevention, researchers identified children who were already obese and offered them a more intense program. During primary prevention, as its name implies, researchers intervened in schools, clinics, pre-schools and Head Start Programs before children became obese.
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Many low-income parents can’t afford to offer nutritious meals at home. Some can’t afford to offer any meals. Consequently, low-income students are often forced to eat two meals in their school cafeterias. Districts are sensitive to the needs of these students and now provide a variety of healthy selections. “Here in Texas there was an effort to really change the amount of deep fried foods and bring in healthy food options,” Butte said. Some schools removed vending machines. “There’s definitely efforts at many levels to improve the school environment. I think that is an important step in countering obesity,” Butte said. Diet alone may not be enough to stem the tide of childhood obe-
sity. Physical activity and physical education are key components in healthy living. Unfortunately, Butte said, many school districts had eliminated physical education programs. And those that still offered them didn’t make them mandatory. In recent years, however, there has been an upswing in more effective physical education programs in U.S. schools. “There is recognition of the importance of physical activity and it’s being reintroduced at various levels depending on the resources of the school,” Butte said. Butte is a researcher intent on gathering and presenting data. But that was just part of her role in CORD. She truly cares for the individuals she is studying and is
dedicated to improving their quality of life. During the project, Butte got to know her subjects and found that the families she encountered, be they Hispanic or African America, were seeking a better life for their children. In most cases the families who participated in CORD have a long family history of obesity. “There is a very strong genetic component. They know obesity runs in their families. They have family members who have diabetes and have lost limbs. They are very motivated to find a better lifestyle for their children. They seek out information; they seek out resources, and they seek out these types of programs,” Butte said. •
www.HispanicOutlook.com • 13
TOP 50 2 YEAR SCHOOLS Granting the Most Health Profession Degrees to Hispanics Health Professions 2 Year Schools Degrees Granted 2014 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28.
29.
San Joaquin Valley College-Visalia El Paso Community College Central New Mexico Community College Fresno City College Del Mar College San Antonio College Lone Star College System San Jacinto Community College Pima Community College Dade Medical College-Miami Lakes Texas State Technical College-Harlingen CUNY Bronx Community College Amarillo College Mt San Antonio College Houston Community College Austin Community College District SABER College Heald College-Salinas Santa Ana College Galen College of Nursing-San Antonio Heald College-Fresno Heald College-Stockton Hillsborough Community College Cerritos College Heald College-Hayward American Career College-Ontario Eastwick College-Ramsey CUNY LaGuardia Community College East Los Angeles College Heald College-San Jose Ivy Tech Community College Northwest Vista College Lamar State College-Port Arthur Laredo Community College
State
Total
Hispanics
Latino
Latinas
% Hispanics
CA TX NM CA TX TX TX TX AZ FL TX NY TX CA TX TX FL CA CA TX CA CA FL CA CA CA NJ NY CA CA IN TX TX TX
1,589 342 537 444 264 284 716 415 369 171 119 236 356 233 410 459 103 186 239 303 289 256 478 172 220 148 392 338 152 285 2,639 105 639 78
807 285 217 163 158 146 138 130 118 109 104 96 96 94 90 89 86 85 84 81 80 79 78 76 75 74 74 73 72 71 71 71 70 70
134 70 33 24 38 24 25 24 25 19 22 17 15 16 19 25 16 13 10 7 8 10 17 14 14 18 14 14 20 9 11 8 9 22
673 215 184 139 120 122 113 106 93 90 82 79 81 78 71 64 70 72 74 74 72 69 61 62 61 56 60 59 52 62 60 63 61 48
51% 83% 40% 37% 60% 51% 19% 31% 32% 64% 87% 41% 27% 40% 22% 19% 83% 46% 35% 27% 28% 31% 16% 44% 34% 50% 19% 22% 47% 25% 3% 68% 11% 90%
Source: NCES/IPEDS DATABASE 2014 2 YR SCHOOLS GRANTING HEALTH PROFESSION DEGREES 14 • July 2016
Health Professions 2 Year Schools Degrees Granted 2014 30. 31. 32. 33. 34.
35. 36. 37. 38. 39. 40. 41.
42. 43. 44. 45.
46.
47. 48.
49. 50.
Heald College-Concord Heritage Institute-Ft Myers El Centro College St Philip’s College Southeastern College-Greenacres Bakersfield College Southern Technical College Eastern New Mexico University-Roswell Campus Pima Medical Institute-Albuquerque CUNY Hostos Community College Coastal Bend College Riverside City College Suffolk County Community College American Career College-Los Angeles Concorde Career College-San Bernardino Intellitec College-Grand Junction GateWay Community College Imperial Valley College Arizona Western College Pasadena City College Hudson County Community College Merced College Heald College-Modesto Union County College Dade Medical College-Homestead Carrington College-Sacramento Gavilan College Heald College-San Francisco Carrington College-Albuquerque New Mexico State University-Dona Ana Odessa College Rio Hondo College Bergen Community College CUNY Queensborough Community College Tarrant County College District San Bernardino Valley College Chaffey College El Camino Community College District Heritage College-Denver CUNY Borough of Manhattan Community College Modesto Junior College Santa Barbara City College CUNY Kingsborough Community College
State
Total
Hispanics
Latino
Latinas
% Hispanics
CA FL TX TX FL CA FL NM NM NY TX CA NY CA CA CO AZ CA AZ CA NJ CA CA NJ FL CA CA CA NM NM TX CA NJ NY TX CA CA CA CO NY CA CA NY
294 177 390 172 234 148 285 114 138 138 97 183 468 83 148 155 374 70 85 172 121 139 213 341 74 337 101 143 100 80 119 99 261 243 399 109 113 165 122 223 180 159 351
69 68 68 66 65 64 64 64 64 60 59 58 58 57 56 56 55 55 54 54 54 52 51 51 50 49 49 49 49 49 49 48 48 48 48 47 46 46 46 46 45 45 44
8 10 8 17 19 10 6 13 13 14 6 12 10 17 26 7 8 18 10 9 10 6 2 9 7 5 2 11 5 11 12 11 9 10 8 11 9 9 13 13 13 6 11
61 58 60 49 46 54 58 51 51 46 53 46 48 40 30 49 47 37 44 45 44 46 49 42 43 44 47 38 44 38 37 37 39 38 40 36 37 37 33 33 32 39 33
23% 38% 17% 38% 28% 43% 22% 56% 46% 43% 61% 32% 12% 69% 38% 36% 15% 79% 64% 31% 45% 37% 24% 15% 68% 15% 49% 34% 49% 61% 41% 48% 18% 20% 12% 43% 41% 28% 38% 21% 25% 28% 13%
Source: NCES/IPEDS DATABASE 2014 2 YR SCHOOLS GRANTING HEALTH PROFESSION DEGREES www.HispanicOutlook.com • 15
TOP 50 4 YEAR SCHOOLS Granting the Most Health Profession Degrees to Hispanics
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Health Professions 4 Year Schools Degrees Granted 2014 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26.
Keiser University-Ft Lauderdale Miami Dade College Nova Southeastern University Florida International University The University of Texas-Pan American Grand Canyon University The University of Texas at El Paso University of Central Florida South Texas College The University of Texas at Arlington Florida National University-Main Campus Texas Tech University Health Sciences Center The University of Texas Health Science Center at San Antonio Monroe College University of South Florida-Main Campus Dade Medical College-Miami California State University-Fullerton Chamberlain College of Nursing-Illinois Loma Linda University Kaplan University-Davenport Campus The University of Texas at Brownsville California State University-Long Beach Broward College University of New Mexico-Main Campus Texas Woman’s University University of Florida CUNY Lehman College California State University-Fresno The University of Texas Medical Branch
State
Total
Hispanics
Latino
Latinas
% Hispanics
FL FL FL FL TX AZ TX FL TX TX FL TX TX NY FL FL CA IL CA IA TX CA FL NM TX FL NY CA TX
2,808 1,222 2,338 1,015 562 5,283 554 2,248 413 2,807 355 1,795 1,022 624 1,888 315 925 4,946 1,377 2,995 264 996 734 624 1,359 2,056 760 683 1,003
688 687 561 553 467 461 392 363 363 357 331 303 289 277 263 255 240 240 238 228 225 208 206 205 205 203 201 200 197
146 233 117 127 90 57 88 75 103 69 74 74 95 22 48 49 34 21 76 91 69 26 57 45 23 54 30 29 59
542 454 444 426 377 404 304 288 260 288 257 229 194 255 215 206 206 219 162 137 156 182 149 160 182 149 171 171 138
25% 56% 24% 54% 83% 9% 71% 16% 88% 13% 93% 17% 28% 44% 14% 81% 26% 5% 17% 8% 85% 21% 28% 33% 15% 10% 26% 29% 20%
Source: NCES/IPEDS DATABASE DEGREES GRANTED 4 YEAR SCHOOLS IN HEALTH PROFESSIONS 16 • July 2016
TOP 50 4 YEAR SCHOOLS Granting the Most Health Profession Degrees to Hispanics
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Health Professions 4 Year Schools Degrees Granted 2014 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50.
Walden University Rutgers University-New Brunswick Southwest University at El Paso The University of Texas Health Science Center at Houston The University of Texas at Austin University of Miami Texas A & M University-Kingsville Western Governors University Barry University California State University-Northridge Mercy College Platt College-Los Angeles Texas A & M University-College Station California State University-Los Angeles University of Illinois at Chicago Texas A & M University-Corpus Christi University of Arizona University of Southern California California State University-Dominguez Hills Texas A & M International University Ashford University San Diego State University New Mexico Highlands University California State University-San Bernardino Pima Medical Institute-Tucson California State University-Sacramento Stony Brook University Texas State University
State
Total
Hispanics
Latino
Latinas
% Hispanics
MN NJ TX TX TX FL TX UT FL CA NY CA TX CA IL TX AZ CA CA TX CA CA NM CA AZ CA NY TX
4,087 2,156 204 1,217 742 665 194 3,164 575 707 641 212 1,083 479 1,618 389 967 1,463 549 137 1,688 691 269 314 495 621 1,358 470
195 194 194 189 177 170 167 165 159 158 153 150 150 148 147 146 143 141 136 133 129 129 127 122 121 114 113 113
36 46 46 53 49 43 22 20 39 23 32 38 55 27 47 32 32 41 20 20 23 18 13 19 36 15 23 24
159 148 148 136 128 127 145 145 120 135 121 112 95 121 100 114 111 100 116 113 106 111 114 103 85 99 90 89
5% 9% 95% 16% 24% 26% 86% 5% 28% 22% 24% 71% 14% 31% 9% 38% 15% 10% 25% 97% 8% 19% 47% 39% 24% 18% 8% 24%
Source: NCES/IPEDS DATABASE DEGREES GRANTED 4 YEAR SCHOOLS IN HEALTH PROFESSIONS www.HispanicOutlook.com • 17
Helping DREAMERS Pursuing Medical Careers Qualify for
STATE LOAN FORGIVENESS SCHOLARSHIP PROGRAMS
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Story Courtesy of Senator Ricardo Lara
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enator Ricardo Lara (D-Bell Gardens) has introduced SB 1139 to address the chronic shortage of medical professionals in underserved communities by ensuring that all people, regardless of their immigration status, have access to the state’s scholarship 18 • July 2016
and loan forgiveness programs for health professionals. The Medical DREAMER Opportunity Act will help grow California’s medical workforce and expand opportunity for talented students who are on the path to completing their studies in the medical field.
“Many undocumented students face challenges financing their education, particularly when it comes to pursuing a career in the medical field,” Senator Lara said. “These talented students struggle to access loans and do not qualify for federal loan forgiveness programs. Despite
Senator Ricardo Lara
the ability for undocumented students to apply for a professional license, these future physicians, nurses and clinical social workers and medical assistants are unable to apply for scholarships or loan repayment. Undocumented health professionals deserve to compete in state programs that help mitigate the cost of their training, especially when their licensing fees contribute to these very programs.� Under the Affordable Care Act more Californians than ever are insured, many with specific cultural and linguistic barriers to care. In addition, the state continues to face service shortages of primary care providers. Under SB 1159 beginning in 2016, individuals who have met all requirements for licensure in
a profession regulated by the Department of Consumer Affairs can apply to a health professional board for a professional license, using either a social security number (SSN) or an individual taxpayer identification number (ITIN). Expanded access to licensure helps California meet the cultural and linguistic needs of its diverse, newly insured and medically-underserved populations. Undocumented providers would be uniquely positioned to serve these diverse and underserved communities. Housed within the Office of Statewide Health Planning and Development (OSHPD), the Health Professions Education Foundation (HPEF) is a statutorily created non-profit foundation that awards
scholarships and loan repayments, targeting health professionals (e.g., physicians, nurses, clinical social workers, therapists, medical assistants, medical laboratory technicians and dental hygienist) who are able to provide culturally and linguistically appropriate care within medically underserved areas. HPEF is funded through administrative fines and penalties on health plans, Proposition 63 and various other grants, in addition to health professional licensing surcharges. Recipients of the HPEF scholarship or loan repayment programs can receive maximum awards of $4,000$105,000 depending on the scholarship or loan forgiveness award. By continuing efforts made to remove academic and professional www.HispanicOutlook.com • 19
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Expanded access to licensure helps California meet the cultural and linguistic needs of its diverse, newly insured and medicallyunderserved populations. 20 • July 2016
barriers to undocumented students, SB1139 would ensure that all individuals who wish to pursue a medical profession may compete for scholarships and loan repayments available under the HPEF if they have met all other conditions of the program. It would enable an applicant to provide an ITIN in lieu of a SSN and prohibit the HPEF from barring an applicant based on his or her immigration status. Undocumented health professionals deserve to compete in state programs that help mitigate the cost of their training especially when their licensing fees contribute to these very programs. “Right now, bright, qualified Californians are ready and willing to care for our most medically-underserved populations. This legislation clears a path for our communities’ aspiring health professionals to finance their dreams and help meet
the cultural and linguistic needs of our state,” said Sarah de Guia, Executive Director, California Pan-Ethnic Health Network. “As an undocumented Californian from a medically underserved area, my dream is to become a passionate physician ready to improve and transform the health of our communities. SB1139 will get rid of one more barrier on my path to fulfilling my dream,” said Yadira B., Pre-Health Dreamers. “Growing up as an undocumented Californian who was born and raised in Mexico to Chinese immigrant parents, I witnessed many inequalities that inspired me to pursue a career in medicine. As a first year medical student in California, SB1139 would further enable me to fulfill my commitment to address health disparities that plague many underserved communities,” said Marcela Z., Med Dreamer. •
Chronic Shortage of Spanish-speaking Doctors in US Results in Growing Demand for
MULTI-LINGUAL HEALTH PROFESSIONALS Story courtesy of Instituto Cervantes recruiting bilingual physicians. Increasingly, if a hiring situation comes down to two equally qualified physician or physical therapy applicants, the one who speaks Spanish will be hired over the one who doesn’t. Ecela Spanish, an immersive language-learning experience that combines South American travel with practical training and instruction, is taking a proactive approach to the
problem with its health care shadowing programs for pre-health students. Combining Spanish language learning with valuable health care field exposure in real medical clinics, Ecela has just opened registration for its six-week summer 2016 Medical Spanish program in Chile, aimed at helping pre medical and pre-physical therapy students become bilingual in Spanish -- and more competitive
Medical Spanish program participants live in Viña del Mar, Chile, shadowing physicians in Chilean medical clinics, participating in volunteer projects and becoming at least conversationally fluent in Spanish through cultural immersion and small-group classes.
www.HispanicOutlook.com • 21
PHOTO COURT ES Y OF PRNEWSFOTO/EC EL A
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ANTIAGO, Chile -- According to Spain’s nonprofit organization Instituto Cervantes, the U.S. now has the world’s second-largest population of Spanish speakers behind only Mexico. With a growing number of Spanish-speaking patients, hospitals and health clinics are facing an immediate and chronic shortage of bilingual physicians -- a serious problem in a field where lives can depend on an accurate exchange of information between doctor and patient, and where the use of interpreters raises privacy concerns. “I find that a lot of patients don’t feel comfortable communicating with a provider that doesn’t speak Spanish because they don’t like to bring an interpreter into the room,” explained Dr. Victor Dominguez, family practice physician at the Centers for Family Health in Santa Paula, California. “There are privacy issues associated with that.” In response to the need, hospitals and healthcare recruiting agencies nationwide are now actively
in the job market. From now until August 13, 2016, Medical Spanish program participants will live in Viña del Mar, Chile, shadowing physicians in Chilean medical clinics, participating in volunteer projects and becoming at least conversationally fluent in Spanish through cultural immersion and small-group classes that focus equally on grammar and conversational fluency. Additional medical Spanish instruction will give students exposure to medical-specific role-playing and vocabulary. Those who complete the Medical Spanish program receive six credits from Universidad Bolivariana, which can be transferred to their current transcripts or saved for graduate school requirements. In addition, Ecela Medical Spanish students will have the op22 • July 2016
portunity to deepen their Spanish fluency through cultural experiences. Students may choose to live with Chilean host families for full immersion or in student housing with other program participants. Depending on their interests, students can learn how to make Chilean food, take salsa dance classes, spend a weekend touring Santiago, visit Chile’s mountains and lakes and tour Chile’s “walking museum,” nearby Valparaiso, Chile -- all in Spanish and all with other Ecela Medical Spanish students. “The knowledge and experience I gained while shadowing […] were not only eye-opening but also increased my confidence both in speaking Spanish as well as working in a health-care environment,” said Tess Hansen, a Medical Spanish program alumna from University of Nebraska-Lincoln. •
Increasingly, if a hiring situation comes down to two equally qualified physician or physical therapy applicants, the one who speaks Spanish will be hired over the one who doesn’t.
PHOTO COURTESY OF PRNEWSFOTO/ECEL A
PHOTO COURTESY OF PRNEWSFOTO/ECEL A
Extra small classes mean constant attention and engagement in the classroom.
Shortage of Hispanic Doctors
Even As Population Grows
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ASHINGTON -- As the diverse health needs of the Hispanic population grow, so does the need for doctors who can understand them. ConsejoSano participated at the 20th National Hispanic Medical Association Conference addressing the shortage of doctors with the language skills and cultural familiarity needed to serve the Hispanic population. ConsejoSano is the only telehealth platform that connects Hispanics to native Spanish speaking doctors to help with general medical issues, emotional or stress support, as well as nutrition and chronic disease management for issues like diabetes and obesity. They’re on a mission to remove the number one cause of healthcare disparities for Hispanics and help them live healthier lives. According to a UCLA study, Hispanics make up for 4.8 percent of all physicians in California while making up 30.4 percent of the state’s population; the same study projected that the number of Latino physicians in California would decrease six percent by 2020. The U.S. is currently the second largest Spanish speaking country in the world but by 2050 will be the largest. The Hispanic population will continue to grow in the U.S. while the number of Spanish speaking physicians is expected to decrease. “As the diverse health needs of the Hispanic population grow, we seek to help them navigate the often confusing healthcare system and find high quality care,” said Alfredo Ratniewski, Chief Medical Officer at ConsejoSano. ConsejoSano sees a big emerging Spanish-speaking healthcare market that is currently underserved as many His-
panics disengage from the healthcare system altogether because of language and cultural barriers. “It is very concerning that a growing population may not have the ability to find physicians who can provide language and culturally relevant care,” said Abner Mason, CEO of ConsejoSano. “I am very honored to be part of the 20th National Hispanic Medical Association Conference addressing the urgent need for high quality care for the Latino population.”
ConsejoSano aims to reduce costs, increase engagement and simplify care with its Hispanic health platform. ConsejoSano’s telehealth service is offered via phone or mobile apps with doctors available 24/7. They also offer text message based behavior change programs; unlimited access to health information in the apps; and on ConsejoSano TV, their YouTube based health and wellness channel. Courtesy of PRNewswire •
www.HispanicOutlook.com • 23
IUPUI PSYCHOLOGISTS Explore Pain in Hispanic Americans
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Story courtesy of School of Science at Indiana University-Purdue University Indianapolis
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NDIANAPOLIS -- Hispanic Americans report fewer pain conditions compared with non-Hispanic white or black Americans, according to a critical review and analysis of more than 100 studies on pain experience and pain management among Hispanic Americans. The first work of its type was conducted by researchers from the School of Science at Indiana University-Pur24 • July 2016
due University Indianapolis, led by clinical health psychologist Adam T. Hirsh. While the IUPUI researchers found that Hispanic Americans reported fewer pain conditions, they also found that Hispanics reported greater pain sensitivity and less pain tolerance in laboratory-based studies than non-Hispanic white Americans.
Hispanic Americas were more likely than non-Hispanic whites to report using religious coping for pain management. Hispanic Americans report frequently seeking nontraditional pain care outside of the United States and using off-label medications and “hot” treatments such as teas, herbs and massage. Hispanic ethnicity, speaking Spanish as a primary language and
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lower levels of acculturation were found to be significant predictors of lower access to pain treatment. Fifty-five million Hispanics live in the United States, representing almost 17 percent of the nation’s population, but little is known about their pain-related experience. “We know that Hispanic Americans’ pain experiences are different from other Americans’, but we don’t know why,” said Hirsh, an assistant professor of psychology. “Might these disparities be due to differences in pain processing, pain-coping strategies, cultural factors or a combination of these factors?” To help answer this and other questions, the researchers sum-
marized the perspectives of Hispanic-American patients and their health care providers, highlighting findings from the existing literature and gaps in need of future research. “The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model” appears online ahead of print in The Journal of Pain. Authors in addition to Hirsh are graduate student Nicole A. Hollingshead, associate professor of psychology Leslie Ashburn-Nardo and associate professor of psychology Jesse C. Stewart, all of the School of Science at IUPUI. The study was supported by grant R01MD008931 from the National Institute on Minority Health
and Health Disparities of the National Institutes of Health. One area underscored by the authors for future investigation is whether Hispanic Americans’ cultural beliefs and attitudes serve as potential protective factors in the development of pain conditions. Increased levels of social support, mental health and work satisfaction have been shown to affect chronic pain for Americans in general. Does the Hispanic culture’s emphasis on family and work values play similar protective roles against the development of chronic pain? What role does machismo play? Exploring nonmalignant pain, pain behaviors and pain treatwww.HispanicOutlook.com • 25
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ment-seeking among Hispanic Americans, the IUPUI researchers reviewed a total of 117 peer-reviewed studies. Hispanic Americans reported fewer pain conditions -- lower rates of chronic pain, neck pain, acute and chronic back pain, joint and muscle disorder-type pain, lower- and upper-extremity pain, and diagnosed arthritis -- compared with non-Hispanics. Non-pain research has shown that Hispanic-American workers have very low rates of short-term work loss but the highest rate of long-term work loss, according to Hirsh. “This suggests that in the short term, Hispanic Americans are pushing through pain, but it catches up to them in the long term,” he said. “This needs future exploration, as does the impact of acculturation -- the adoption of the behaviors, beliefs and cultural elements of the dominant group in the society.” 26 • July 2016
Hispanic Americans face numerous barriers to pain care including financial constraints, lack of insurance, insufficient English-language fluency and problematic immigration status. Hispanics in the U.S. have a median age of 28 years, according to the U.S. Census Bureau. The median age of non-Hispanic whites is 42 and of non-Hispanic blacks is 33. Because pain, particularly chronic pain, conditions are more common among older adults, the IUPUI researchers point out that age may play some role in the observed ethnic differences in pain prevalence and that the age factor should be explored. “There may be biological reasons, psychological reasons, social reasons and system-level reasons why Hispanic Americans appear to experience pain differently from other groups and why their treat-
ment for pain may differ,” Hirsh said. “Pain is the number-one reason Americans go to the doctor and a significant cause of disability. It’s important for all of us -- including the clinicians who treat them -- to gain a clearer understanding of pain and its treatment in the rapidly growing Hispanic population in the United States.” According to the American Academy of Pain Medicine, chronic pain affects more Americans than diabetes, heart disease and cancer combined. The School of Science at IUPUI is committed to excellence in teaching, research and service in the biological, physical, behavioral and mathematical sciences. The school is dedicated to being a leading resource for interdisciplinary research and science education in support of Indiana’s effort to expand and diversify its economy. •
University of Miami Study Says ACA Significantly Reduces Cost of Mental Health Care for Young Adults, Especially Minorities
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ORAL GABLES, Fla. -- The Affordable Care Act (ACA) has significantly reduced out-of-pocket costs for adults aged 19 to 25 seeking behavioral health care, most significantly among young adults from racial and ethnic minority groups. This according to a study published this month in the Psychiatric Services journal, the first to show the financial impact of “Obamacare” on young adults who access mental health and substance abuse treatment. “Improved access to mental health care for people in this age group is critical given that they often have lower incomes, higher debt burden and behavioral health issues often emerge at this age,” said Karoline Mortensen, associate professor of health sector management and policy at the University of Miami School of Business Administration who conducted the research with University of Maryland School of Public Health researchers. “We also found young Latinos, African Americans and other racial and ethnic minorities saw the greatest reduction in out-of-pocket medical expenses related to behavioral health. Those in this group of Americans often experience higher unemployment rates and lower salaries and, therefore, are less likely to seek behavioral health services.” The ACA allows young adults to remain on their family’s health plans until they turn 26. The “dependent coverage provision” of the ACA has reduced the number of uninsured young adults by at least three
million. Because of this, the expansion of health care access is also expected to increase the number of users of mental health and substance abuse treatment services. Because behavioral health conditions often emerge for the first time during the 19 to 25-year age range and
because this age group has a higher rate of serious mental illness than other adults, improving affordable access to care could make a significant contribution to improving the mental health of this group of Americans, including reducing their share of medical debt. •
www.HispanicOutlook.com • 27
PREVENTION REPORT Reveals Hispanics Access Preventive Care Less Than Other Populations Story courtesy of American College of Preventive Medicine
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INNETONKA, Minn -- Hispanics are accessing preventive care less than non-Hispanic whites and non-Hispanic blacks – that’s one of the findings in “America’s Health Rankings® Spotlight: Prevention,” a new report from United Health Foundation released today in partnership with the American College of Preventive Medicine (ACPM). The 2016 “America’s Health Rankings Spotlight: Prevention” took an in-depth look at prevention measures across all 50 states through the lenses of health care access, immunizations and chronic-disease prevention. United Health Foundation’s America’s Health Rankings platform provides actionable, data-driven insights that stakeholders can use to effect change in a state or nationally. The spotlight report found that: • Use of clinical preventive services is uneven and varies by race, income, education and geography. • A lower percentage of Hispanic adults report having a dedicated health care provider (59.2 percent), compared with non-Hispanic white (82.1 percent) and non-Hispanic 28 • July 2016
black (76.5 percent) adults. A lower percentage of Hispanic adults also receive colorectal cancer screenings and cholesterol screenings. • Adults with higher levels of education and income receive a greater percentage of recommended screenings than adults with lower levels of education and income. For example, adults making at least $75,000 annually receive recommended screenings at a higher percentage than adults with incomes less than $25,000 per year. • Immunization rates vary among states. For example, childhood immunization rates range from 84.7 percent in Maine to 63.4 percent in West Virginia, and adult influenza immunization rates range from 50.2 percent in South Dakota to 31.7 percent in Florida. Health care access is strongly associated with overall prevention. States that score well on access measures tend to perform well across a range of preventive-health metrics. For example, having a dedicated health care provider is highly correlated with receiving recommended colorectal cancer screenings.
States that score well in one prevention category generally score well across the other two categories, suggesting the importance of taking a holistic view of prevention activities. New England states tend to excel in prevention activities across all three categories and may serve as a potential source for best practices. “Prevention is one of the cornerstones of public health. The findings of this report are a call to action to ensure that all Americans, regardless of race, income, geography or education, have the opportunity to live whole, healthy and complete lives,” said Reed Tuckson, M.D., external senior medical adviser to United Health Foundation. “Hispanics, who represent one of the largest and fastest-growing segments of the population in the United States, will face serious health challenges if we don’t find a way to improve their access to and use of preventive health care services. It’s the work we do now that will not only save lives but also billions of dollars in health care costs long-term.” “We have a strong and growing body of clinical evidence pointing
PHOTO COURTESY OF TUCKSON HEALTH CO NNECTIO N
“Prevention is one of the cornerstones of public health. The findings of this report are a call to action to ensure that all Americans, regardless of race, income, geography or education, have the opportunity to live whole, healthy and complete lives.” Reed Tuckson
to the fact that preventive services and interventions work to improve people’s health and well-being, all while lowering overall health care system costs,” said Daniel S. Blumenthal, M.D., M.P.H, president of the American College of Preventive Medicine. “The members of American College of Preventive Medicine have been on the frontlines of developing and delivering comprehensive preventive care strategies for more than half a century, and we are pleased to collaborate with United Health Foundation to increase understanding of the important prevention-related issues that require our continued focus as a nation.” As part of a new and expanded America’s Health Rankings series for 2016, Spotlight: Prevention marks the first of several spotlights to be released this year by United Health Foundation focused on important
markers of the nation’s health, including impacts of unhealthy living, substance abuse and mental health. Spotlights are intended to shine a light on the role that these issues and their associated factors play in the nation’s health. The spotlights complement the “America’s Health Rankings Annual Report” and the “America’s Health Rankings Senior Report,” as well as new population reports examining the health of mothers and children and the health of the nation’s veterans. Through collaboration with community partners, grants and outreach efforts, United Health Foundation works to improve our health system, build a diverse and dynamic health workforce and enhance the well-being of local communities. United Health Foundation was established by UnitedHealth Group (NYSE: UNH) in 1999 as a not-for-
Reed Tuckson, M.D. profit, private foundation dedicated to improving health and health care. To date, United Health Foundation has committed more than $285 million to programs and communities around the world. Learn more at www.unitedhealthfoundation.org. Founded in 1954, the American College of Preventive Medicine (ACPM) is a U.S.-based physician organization focused on practice, research, publication and teaching of evidence-based, preventive medicine. As the umbrella society for the specialty of Preventive Medicine and physicians dedicated to prevention, ACPM seeks to improve the health of individuals and populations through evidence-based health promotion, disease prevention and systems-based approaches to improving health and health care. For more information, visit www.acpm.org. •
www.HispanicOutlook.com • 29
EDUCATION NEWS REVIEWS
MEDICAL ALERTS!
NEWS FROM THE HEALTHCARE FIELD
DR. CYNTHIA A. TELLES ELECTED TO THE BOARD OF THE NATIONAL ALLIANCE FOR HISPANIC HEALTH Story courtesy of National Alliance for Hispanic Health
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ASHINGTON -- “We are pleased to welcome Cynthia A. Telles, Ph.D. to the Board of Directors of the National Alliance for Hispanic Health,” said Augustine C. Baca, Chair of the Board of Directors of the National Alliance for Hispanic Health, the nation’s leading health advocacy working for the best health outcomes for all. Mr. Baca added, “Dr. Telles brings decades of knowledge, experience and commitment to health with a special emphasis on the mental health issues of the Hispanic Community.”
Dr. Telles commented, “While there have been great advances in health, we are still not where we need to be with respect to the mental health of all communities.” Dr. Cynthia Telles is the director of the Spanish-Speaking Psychosocial Clinic of the Neuropsychiatric Institute and Hospital at the University of California, Los Angeles School of Medicine, and a clinical professor with the UCLA School of Medicine. Dr. Telles serves on the boards of Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc. and serves on the Executive Advisory Board of Kaiser Foundation Health Plan of Georgia, Inc. Dr. Telles also serves on the Los Angeles Airport Commission. Dr. Telles is a founding board member of the Public Policy Institute of California, and previously served on the boards of the 30 • July 2016
California Endowment (as board chair from 2004 to 2006), Sanwa Bank, Americas United Bank and Burlington Northern Santa Fe Corp. She served on the boards of General Motors; the Pacific Council on International Policy, a non-partisan international affairs organization; the Performing Arts Center of Los Angeles County; and the California Community Foundation (Immediate Past Chair). Dr. Telles was appointed by President Obama to the White House Commission on Presidential Scholars. Throughout her career, Dr. Telles has received many awards and commendations from organizations and governmental entities across the Nation. Dr. Telles was selected by Hispanic Business Magazine as one of the 100 Most Influential Hispanics in the Nation in 2006 and in 2010. Dr. Telles received a bachelor of arts degree from Smith College and a doctorate degree in clinical psychology from Boston University. She has published extensively in mental health, particularly with respect to the assessment and treatment of Hispanic populations.
ROSE RIOS EARNS
MAGIC JOHNSON HEALTHCARE AWARD FOR DIVERSITY AFTER FOUNDING NON-PROFIT ORGANIZATION Story courtesy of Abuela Lucy Foundation
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EWARK, N.J. -- KOLComm president Rose Rios was honored with the Diversity Alliance for Science (DA4S) Magic Johnson Healthcare Award; it was announced at the organization’s East Coast Conference. The Magic Johnson Business and Healthcare Award is presented to an individual, corporation; or organization that has demonstrated commitment to furthering diversity in the healthcare arena. Recipients
of this award share DA4S values and commitment to diversity and inclusion and have demonstrated their dedication to improving diversity representation in business, research or education. Rios is the president of KOLComm, LLC, a key opinion leader-focused agency, which works to connect experts to industry. KOLComm uses multiple methods, including two software offerings, PIONEER® and COMPASS®, in addition to other solutions to address the needs of industry focused on the optimization of patient care. She recently started the Abuela Lucy Foundation, which strives to improve educational opportunities in the life sciences for diverse students. A product of Science, Technology, Engineering and Mathematics (STEM) programming herself, Rios was inspired to extend those opportunities to other children. The foundation is named after her late grandmother who immigrated from Puerto Rico to provide a better education for her children and grandchildren and motivated them to reach their full educational potential. “I am truly humbled by this recognition,” she said. “Being a high school STEM student, I was fortunate to be exposed to various occupations that embrace the life sciences. The Abuela Lucy Foundation ensures that this type of awareness is provided to other diverse learners and that they also have the opportunity to grow and explore. The Foundation is constantly researching books and generating innovative ideas to support our mission. Sharing the love of learning in the life sciences is our passion.” Rios was selected for the award by the Diversity for Alliance Science board, which consists of members from several pharmaceutical corporations and diverse small business owners. The award was first given in 2010.
H-E-B ANNOUNCES
$250,000 IN SCHOLARSHIPS TO UIW’S NEW TEXAS TOP PERCENT DIRECT ADMIT HEALTH PROFESSIONS PROGRAM Story courtesy of University of the Incarnate Word
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AN ANTONIO -- H-E-B has announced that it will partner with the University of the Incarnate Word (UIW) to award the first 25 public high school students to enroll in UIW’s new Texas Top five percent Direct Admit Health Professions Program with $2,500 scholarships renewable up to four years ($10,000 per student) – a total of $250,000 for the program. UIW announced the launch of the new Texas Top five percent Direct Admit Health Professions Program at a press conference on May 10. The program is open to outstanding high school seniors with strong academic ability seeking advanced degrees in nursing, pharmacy, physical therapy, optometry or medicine. UIW’s new initiative provides provisional admission into one of the university’s professional programs for Texas high school seniors ranking in the top five percent of their class after their junior year. “We have had a great response to the announcement of our new Texas Top five percent program and we are thankful that our friends at H-E-B recognize the program’s potential impact to alleviate the shortage of healthcare professionals in our state,” said Dr. Lou Agnese, UIW president. “The H-E-B scholarships will provide even more incentive for Texas students to take advantage of this innovative program. We are thankful for the continuous support H-E-B has shown
for UIW and its programs throughout the years.” “H-E-B is proud of our long standing relationship with UIW. This commitment reflects our dedication to Texas Public Education and improving the health and wellness of the communities we serve,” said Dya Campos, H-E-B director of public affairs. In addition to H-E-B’s gift, UIW announced the donation of 10 scholarships in the amount of $2,500 each for students of either public or private high schools enrolling in the program from the Richard Spencer Lewis Memorial Foundation. Program recipients also receive a $2,500 scholarship per year for full-time study, renewable for up to eight years from the university in addition to any UIW academic award for which the student is eligible. The award continues into the professional program. Programs students can choose from include: • Doctor of Nursing Practice (D.N.P.) - Ila Faye Miller School of Nursing and Health Professions • Doctor of Optometry (O.D.) – Rosenberg School of Optometry • Doctor of Osteopathic Medicine (D.O.) – School of Osteopathic Medicine • Doctor of Pharmacy (Pharm.D.) – Feik School of Pharmacy • Doctor of Physical Therapy (D.P.T.) – School of Physical Therapy
USF NAMES NEW DEAN FOR THE SCHOOL OF NURSING AND HEALTH PROFESSIONS Story courtesy of The University of San Francisco
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AN FRANCISCO -- The University of San Francisco (USF) has named Margaret Wooding Baker dean of the School of Nursing and Health Professions. She will lead a team of more than 100 full-time faculty and staff and serve as a member of the university’s Leadership Team. Baker will begin her role as dean in late August. Baker comes to USF from the University of Washington in Seattle where she is the associate dean for academic affairs and an associate professor in the Biobehavioral Nursing and Health Systems department
in the School of Nursing. She worked previously for the State of Washington as a senior health policy analyst, is a member of the state’s Nursing Action Coalition and is past president of Washington’s Council on Nursing Education. Baker will report to Donald Heller, provost and vice president of academic affairs for USF. “Maggie is dedicated to teaching, scholarship and public service, and this was essential as we selected our new dean,” Heller said.
“She is especially qualified to help USF educate the next generation of health professionals in our ever-evolving health care system.” This year, Baker will complete the Executive Nurse Fellows Program, a prestigious, three-year executive nurse leadership program sponsored by the Robert Wood Johnson Foundation to help identify solutions to the country’s most pressing health issues. “I was drawn to the University of San Francisco because of the mission, vision and values that bring alive the research, teaching and community engagement I saw in USF’s School of Nursing and Health Professions,” Baker said. “I knew of the fine work of school under the world-class leadership of Dean Judy Karshmer. I am honored to accept this appointment and look forward to working closely with the students, staff, faculty and community partners to learn what matters most to them and how together we will take the school to the next level of success.” Baker holds three nursing degrees: a Ph.D. from the University of Washington, an M.S.N. from Otterbein College in Ohio (administrative track) and a B.S.N. from Russell Sage College in New York. Baker’s research interests and community work center around elder abuse and mistreatment. Other passions include quality improvement, leadership and advances in nursing education. USF selected her following a national search. USF’s School of Nursing and Health Professions enrolls approximately 825 undergraduate and 750 graduate students in 11 academic programs ranging from public health and health informatics to nursing leadership and clinical psychology. • www.HispanicOutlook.com • 31
OWN IT Written by Marvin F. Lozano, Ed.D. & Miquela Rivera, Ph.D
“Nothing in the world can take the place of persistence. Talent will not…genius will not…education will not…Persistence and determination alone are omnipotent.” – Calvin Coolidge
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uccess does not require unique abilities, lots of money or an Ivy League education. It requires having an entrepreneurial mindset focused on problem-solving. It also requires hard work. Most important, it requires persistence and determination. First-generation college-bound Latino students sometimes think they need unique talent, a lot of money or attending a highly prestigious university to succeed. No one tells them differently, so some do not even try to pursue higher education. Many may overlook state colleges and universities in closer proximity with rigorous curricula and are well-suited to their abilities, resources and goals. Lack of information about options and opportunities can impede a Latino student’s persistence. Career counselors and faculty are crucial in encouraging students to pursue higher education. Students need to be told that those opportunities are available to them – if they choose to pursue them. Entrepreneurs approach their work with passion and are inner-directed. They surround themselves with people that share their interests. First-generation college-bound Latino students sometimes set aside their personal passion or interests to work and support the family. Encouraging a Latino student to identify and pursue their passion is crucial for in that passion lies a lifelong pursuit that can support the family, often at a higher level. Pursuing a passion is different than having a job – and they deserve to know the difference and choose accordingly. First-generation college-bound Latino students also need support in setting their expectations. Higher education will require more work and present more challenges than they have experienced before, 32 • July 2016
but those challenges are simply problems to be solved. With the entrepreneurial mindset, students learn to persevere in the face of difficulty, viewing and solving one problem after another. With faculty guidance they can learn the system and use the resources available to overcome challenges. Such support prevents Latino students from giving up too easily rather than identifying problems and finding solutions. Or not trying at all. Preparation for higher education is also crucial. Study skills should be taught beginning in elementary school. Self-discipline must begin at home in early childhood and be encouraged by structure and adults who are engaged with students at every level of schooling. The entrepreneurial mindset of problem-solving can be taught as children grow older; the required determination and perseverance are cultivated much earlier. Social adjustments are another factor that can affect a Latino student’s persistence in higher education. Geographic distance and lessened time with family can cut both ways for the Latino student entering college. Being away from or spending less time with family may cause a sense of grief and loss for the student, but it can strip away some negative pressures that might weigh heavily on the student, too. Feeling alone or different than many of the other students on campus adds to a Latino student’s sense of isolation. Coupled with changes in food, activities, traditions, recreation, music and other familiar things, Latino students can reach the tipping point of choosing to quit rather than persevere. As a first-generation college-bound Latino student, author Marvin Lozano recalls having a college roommate – also first-generation – at Arizona State
University years ago. They were two of three Latino students in the entire dormitory. Changes in food, hearing Spanish less and having no Latino professors with whom to identify were significant issues – beyond life away from home and increased academic demands – that required major social adjustments. Building a “campus family” with Latinos they met on campus between classes in the student union provided weekend gatherings with food, celebration, music and socializing that lessened the personal losses and supported their retention in school. Through mutual support they learned to balance study and work (all of them had part-time jobs in addition to carrying a course load). At the end of the first term, money issues led the roommate to join the Army and return to complete college several years later under the GI Bill. Marvin completed the business degree with honors. Both persevered, clear on their passion and goals. First-generation college-bound Latino students know how to persist because life has already demanded that they do so. With encouragement, structure, information and support, they can transfer their ability to persist – all the way to a college degree. • Marvin Lozano, EdD is a faculty member in the School of Business & Information Technology at Central New Mexico Community College in Albuquerque. He is an experienced small business consultant, commercial banker and entrepreneur. He has been honored as a USDA National Hispanic Fellow and as a Sam Walton Fellow. Miquela Rivera, PhD is a licensed psychologist in Albuquerque with years of clinical, early childhood and consultative experience. Dr. Rivera’s column, “Priming the Pump” appears in each issue of Hispanic Outlook in Higher Education. She lives in Albuquerque.
The University of Chicago Booth School of Business wishes to hire tenure-track faculty in the area of organizations and strategy. We will consider candidates completing their PhD as well as more experienced and senior candidates. Typically, candidates are intellectually grounded in organizational theory, social psychology, sociology, or strategy, but we will also consider applications from other intellectual traditions in the social, computational, and natural sciences. Most critical is whether the candidate has clear promise of research productivity and talent for bringing empirical data to bear on broad theoretical questions.
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The Chicago organizations and markets group (O&M) develops theory and research on organizations and markets, the ways in which actors organize to manage their complex interdependence, and the wide-ranging implications of the resulting social organization. We value methodological rigor, but only when serving a theoretically compelling purpose or relevant insights. Our taste in substantive applications is broad. Appointments would begin in the 2017-18 academic year. We will begin reviewing applications on October 15, 2016 and encourage you to complete your application by then. We will continue to accept applications until December 1, 2016. Please submit an application online, including a cover letter briefly describing your plans for future work, a vita, a written sample of your work, and the names of two references at http://www.chicagobooth.edu/faculty/openings. The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected veteran status, genetic information, or other protected classes under the law. For additional information please see the http://www.uchicago.edu/about/non_discrimination_statement/. Job seekers in need of a reasonable accommodation to complete the application process should call 773-834-5286 or email hr@lists.chicagobooth.edu with their request.
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PRESIDENT The University of Central Arkansas (UCA) is conducting a national search for its next President. The Presidential Search Advisory Committee invites letters of nomination, applications (letter of interest, full resume/CV, and contact information of at least five references), or expressions of interest to be submitted to the search firm assisting UCA. Review of materials will begin immediately and continue until the appointment is made. It is preferred, however, that all nominations and applications be submitted prior to October 7, 2016. For a complete position description, please visit the Current Opportunities page at www.parkersearch.com/uca-president. Laurie C. Wilder, President Porsha L. Williams, Vice President Jacob C. Anderson, Principal pwilliams@parkersearch.com || janderson@parkersearch.com Phone: 770-804-1996 ext: 111 Fax: 770-804-1917 The University of Central Arkansas is an affirmative action/equal opportunity institution dedicated to attracting and supporting a diverse student, faculty and staff population through enhanced multicultural learning environments and opportunities. In keeping with its nondiscrimination policy in employment, admissions and other functions and programs, the university considers employees and students on the basis of individual merit and will not discriminate against a person on the basis of gender, race or color, ethnicity, religion, spiritual beliefs, national origin, age, familial status, socioeconomic background, sexual orientation, disability, political beliefs, intellectual perspective, genetic information, military status, or other factors irrelevant to participation in its programs. Five Concourse Parkway | Suite 2900 | Atlanta, GA 30328 770.804.1996 | parkersearch.com
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ASSOCIATE VICE PRESIDENT AND IT CHIEF OPERATING OFFICER UCF IT The University of Central Florida is conducting a national search for the Associate Vice President and IT Chief Operating Officer, UCF IT. The Search Committee invites letters of nomination, applications (letter of interest, full resume/CV, and contact information of at least five references), or expressions of interest to be submitted to the search firm assisting the University. Review of materials will begin immediately and continue until the appointment is made. It is preferred, however, that all nominations and applications be submitted prior to September 9, 2016. For a complete position description, please visit www.parkersearch.com/ucfavpit. Send materials to the following: Porsha Williams, Vice President Mitchel Bonds, Associate 770-804-1996 ext: 113 pwilliams@parkersearch.com || mbonds@parkersearch.com UCF is an equal opportunity and affirmative action employer. All qualified applicants are encouraged to apply, including minorities, women, veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, disability or national origin. As a Florida public university, UCF makes all application materials and selection procedures available to the public upon request. Five Concourse Parkway | Suite 2900 | Atlanta, GA 30328 770.804.1996 | parkersearch.com
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