Health Equity Training Resources

In honor of Pride Month and Juneteenth, below you’ll find resources related to providing care and support for your 2SLGBTQIA+ (Two Spirit, lesbian, gay, bisexual, transgender, queer, intersex, asexual and more) patients and African American patients. 

Pride Month takes place in June to celebrate the 2SLGBTQIA+ communities, the diversity of identities its members represent, and their fight toward equal rights around the world. 

Juneteenth is a federal and Oregon state holiday. It is the oldest national celebrated commemoration of the emancipation of enslaved African Americans. It is also the recognition of the day that Major General Gordon Granger arrived in Texas to inform over 250,000 enslaved people that slavery had been abolished - more than two and a half years after President Lincoln signed the Emancipation Proclamation on January 1, 1863.

AMA Center for Health Equity CME & CEU Courses

Centering Equity in Digital Health Solution Evaluation

• Time: Self-paced
• .50 CME
• Tuition: Free
• This is the final module in a three-part series focusing on how to position technology so that it can improve health for all by addressing how evaluators can assess digital health innovations through a health equity lens.
• Register here

Health Disparities for for 2SLGBTQIA+ People

• Explore the latest in health disparities, including differences in health status and health care access by race, sex, income, and geography.

Equity, Diversity, and Inclusion for People of Color

• Explore the latest in efforts to advance equity in health care access and outcomes, expand diversity in medicine, and create an inclusive work and care environment for all people.

Health Inequities for People of Color

• Explore the latest in health inequities, including differences in health status and health care access by race, sex, income, and geography.

Related Resources

• Lesbian, Gay, Bisexual, Transgender and Queer Pride Month
  The Library of Congress curated resources celebrating June as Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) Pride Month.
• 2023 Global Gay Pride Calendar (IGLTA)
  View national and international pride celebration calendars and events.
• When is Pride Month 2023?
  USA Today: Why the Annual LGBTQ Celebrations Began
• Juneteenth.com
  Review archives and organizations supporting the commemoration.
• Juneteenth: Opinion vs. Knowledge: A Guide to Juneteenth
• History Channel: Juneteenth

Asian American and Pacific Islander (AAPI) Heritage Month takes place in May to celebrate the diverse cultures and accomplishments of those who trace their roots to Asia and the Pacific Islands. The month of May was chosen to commemorate two significant events in history: the immigration of the first Japanese immigrants to the United States on May 7, 1843, and the completion of the transcontinental railroad on May 10, 1869.

Memorial Day is a federal holiday in the U.S. to remember and honor the military personnel who died while serving in the Armed Forces. Originally known as Decoration Day, it originated in the years following the Civil War and became an official federal holiday in 1971.

AMA Center for Health Equity CME & CEU Courses

What Should Be Clinicians' Roles in Regulatory Assessment of Prospective Interventions' Risks of Exacerbating Inequity?

• Time: Self-paced
• 1.00 CME
• Tuition: Free
• This article considers the nature and scope of clinicians' roles in regulatory processes in which risks must be considered and balanced to promote public safety and public health.
• Register here

Addressing Diversity, Equity, and Inclusion in Health Care and Medicine

• Time: 43 minutes
• Tuition: Free
• CME: N/A
• David Satcher, MD, PhD, Francisco Cigarroa, MD, and Howard Koh, MD, MPH, join moderator Ebony Boulware, MD, MPH, to discuss the vital importance of the visibility of all races and ethnicities in research, medical schools, and health care.
• Register here

Health Disparities for Asian American & Pacific Islanders

• Explore the latest in health disparities, including differences in health status and health care access by race, sex, income, and geography.

Health Disparities for Veterans

• Explore the latest in health disparities, including differences in health status and health care access by race, sex, income, and geography.

Related Resources

• Asian Pacific Heritage Month
  The Library of Congress, National Archives and Records Administration, National Endowment for the Humanities, National Gallery of Art, National Park Service, Smithsonian Institution and United States Holocaust Memorial Museum join in paying tribute to the generations of Asian and Pacific Islanders who have enriched America's history and are instrumental in its future success.
• Federal Asian American Pacific Islander Council (FAPAC) AAPI Resource Center
  Information curated by the Federal Asian Pacific American Council (FAPAC) to educate the public about AAPIs and celebrate AANHPI Heritage Month.
• US Memorial Day
  Review archives and organizations supporting the commemoration.
• NPS Celebrates Memorial Day
  Watch videos and read more about other events through the National Park Service.
• PBS National Memorial Day Concert
• National Memorial Day Parade

March is Women’s History Month which honors women’s strength, tenacity, resilience, and contributions around the world. This year’s theme as set by the National Women’s History Alliance is “Celebrating Women Who Tell Our Stories.” It highlights women in every community who have devoted their lives and talents to producing art, pursuing truth, and reflecting the human condition decade after decade.

AMA Center for Health Equity CME & CEU Courses

Inclusion of Non–English-Speaking Participants in Pediatric Health Research

• Time: Self-paced
• 1.00 CME
• Tuition: Free
• This review assesses how frequently Non-English-Speaking families were included in pediatric research, how rates of inclusion changed over time, what languages were included, and methodological details about oral and written communication with NES participants.
• Register here

Cancer in Transgender and Gender-Diverse Persons: Historical Foundations of Racism in Medicine

• Time: Self-paced
• 1.00 CME
• Tuition: Free
• In this narrative review, a scoping review was conducted focusing on primary and secondary prevention and epidemiology of cancer, barriers to health care services, and health care practitioners’ knowledge about specific issues pertaining to transgender and gender-diverse individuals. PubMed, the Cochrane Library, and Embase, were reviewed for citations from their inception to December 31, 2021.
• Register here

Related Resources

• International Women’s Day
  International Women's Day 2023 campaign theme is #EmbraceEquity.
• National Women’s History Alliance
  The National Women’s History Alliance is a leader in promoting Women’s History and is committed to the goals of education, empowerment, equality, and inclusion.
• National Women’s History Museum
  Our mission is to tell the stories of women who transformed our nation through a growing state-of-the-art online presence and a future physical museum to educate, inspire, empower, shape the future, and provide a complete view of American history.
• Women’s History Month
  The Library of Congress, National Archives and Records Administration, National Endowment for the Humanities, National Gallery of Art, National Park Service, Smithsonian Institution and United States Holocaust Memorial Museum join in commemorating and encouraging the study, observance, and celebration of the vital role of women in American history.

In February, we celebrate Black History Month. Each year, the Association for the Study of African American Life and History sets the theme for Black History Month. This year’s theme is  "Black Resistance."

AMA Center for Health Equity CME & CEU Courses

Medical Mistrust and Medical Distrust: Historical Foundations of Racism in Medicine

• Time: Self-Paced
• Tuition: Free
• Credit: 0.25 AMA PRA Category 1 
• Register here

Learning Objectives

1. Define and differentiate between trustworthiness, medical distrust, and medical mistrust
2. Explain how historical and contemporary instances of medical experimentation and research on people from racial and ethnic minority groups contribute to medical distrust and medical mistrust
3. Implement strategies to understand and address medical distrust and medical mistrust among patient communities and strive for trustworthiness

Pain and Racism in Medicine and Health Care: Historical Foundations of Racism in Medicine

• Time: Self-Paced
• Tuition: Free
• Credit: 0.25 AMA PRA Category 1 
• Register here

Learning Objectives

1. Identify the historical origin of racial beliefs about pain and Black people
2. Determine how unconscious (implicit) bias can impair clinical care in a case study of how a Black patient experiences treatment for pain
3. Develop strategies to avoid stereotyping the pain of Black patients in your care

Related Resources

• Association for the Study of African American Life and History: Black History Month Virtual Festival
  Throughout February, ASALH will host virtual programming celebrating the 2023 Black History Month Theme: “Black Resistance."
• Black History Month
  The Library of Congress, National Archives and Records Administration, National Endowment for the Humanities, National Gallery of Art, National Park Service, Smithsonian Institution and United States Holocaust Memorial Museum join in paying tribute to Black History Month with a variety of resources and tools.
• 28 Days of Black History: Free Daily Email Series
  When you subscribe to this daily email series, you will receive emails that include a cultural artifact representing the impact of Black people and culture in U.S. history, action steps to carry this work into tomorrow, and discussion questions to drive conversation and learning.

In November we celebrate Native American Heritage Month, which honors the diverse cultures, traditions, histories and important contributions of Native people. On November 11, we also recognize Veterans Day, honoring all who have served in the U.S. Armed Forces past and present. Please explore the below training and resources. Thank you for your partnership in helping our members stay healthy!

OHA Approved CEU Provider Training

Recognizing and Responding to Implicit Bias

• Time: 1 CME, CEU, CCM, or CDE credit hour 
• Tuition: $65
• This course provides an essential overview of the research surrounding implicit bias, its societal prevalence, and effects in healthcare and the workplace. Participants learn strategies for recognizing and addressing implicit bias, and practice applying these techniques to interactive case scenarios.
• Register here

Related Resources

• Native American Indian Heritage Month
  The Library of Congress, National Archives and Records Administration, National Endowment for the Humanities, National Gallery of Art, National Park Service, Smithsonian Institution and United States Holocaust Memorial Museum join in paying tribute to the rich ancestry and traditions of Native Americans.
• Culture Card - American Indian and Alaska Native
  This guide enhances cultural competence when serving American Indian and Alaska Native communities. It covers regional differences, cultural customs, spirituality, communication styles, the role of veterans and older adults, and health disparities.
• U.S. Department of Veterans Affairs: Veterans Day
  Learn more about the theme, posters, committees and the Veterans Day national committee from the Office of Public and Intergovernmental Affairs.
• U.S. Department of Defense: 5 Facts to Know About Veterans Day
• National Military Family Association: 5 Ways to Show Veterans and their Families They’re Appreciated this Veterans Day

From September 15-October 15, we celebrate Latinx and Hispanic Heritage Month in honor of the histories, cultures and contributions of Latino/a/x Americans.

To help support your care for your Latino/a/x patients, the Oregon Commission on Hispanic Affairs (OCHA), which is actively engaged in its statutory work focusing on access to care, health coverage, culturally competent care, health education, and better health outcomes for all, offers a variety of Equity-Related Research & Resources on its website, including: 

• "Mental Health Disparities for Latino Oregonians: Exploratory Analysis Using Administrative Data," by Kimberly Voelker, a graduate intern at OHSU Public Health
  PowerPoint Presentation (PDF) (oregon.gov)
• Access and Barriers to Mental Health Services for Oregon’s Latino Population (PDF)
• Crisis de Nuestro Bienestar* : A Report on Latino† Mental Health in Oregon (PDF)

Latinx and Hispanic Heritage Month Events 

• El Grito Fiestas Patria
  Sept. 15–16, 2022, 1 N Center Ct St, Portland, OR 97227
  El Grito Fiestas Patrias celebrates the independence of Mexico and other Latin American countries from Spain. This free event features folkloric and Aztec dancers, live mariachi, salsa, cumbia and pop music, traditional food and beverages, community booths with interactive and educational materials and the Mexican tradition known as El Grito de Independencia.

On July 26, we celebrate Disability Independence Day, the anniversary of the 1990 signing of the Americans with Disabilities Act giving protections to individuals with disabilities.

Cultivating a greater shared awareness of all disabilities, including ‘hidden’ or ‘invisible disabilities,’ helps foster environments that de-stigmatize disabilities. Title III of the Americans with Disabilities Act requires public accommodations to provide services to people with disabilities on an equal basis with the rest of the general public. To help identify accessibility challenges and solutions in your clinic or facility, visit the ADA Readily Achievable Barrier Removal Checklist (PDF) for Existing Facilities checklist. 

In honor of Disability Independence Day, below you’ll find resources related to providing care and support for your patients with disabilities. 

OHA Approved CEU Provider Trainings 

Your Patient and Disability: How context and attitudes about disability affects physical therapy outcomes

• Time: 1 CE credit Hour; Cost: $10, $20 or $25  
• This session for physical therapists will explore research that revolves around clinicians’ attitudes towards disability and potential factors that may influence those attitudes. This session will also include case studies and incorporate discussion to expand physical therapists’ knowledge of disability studies and relevant research.
• Register here

Beyond Cultural Competence: Fostering Skills to Improve Healthcare Delivery

• Time: 1 CE credit Hour; Cost: $10, $20 or $25  
• In this session for physical therapists, chiropractors, naturopathic doctors, nurses, optometrists and other specialties, participants will explore their personal beliefs and positionality, relate social and cultural identities to health determinants, gain skills to improve patient interactions and communication, and identify how they can take action in creating inclusive and transformative health environments.
• Register here

Related Resources, Stories and Events

Webinar: How to handle ADA and religious accommodation requests

• June 2, 2022, 11:00 a.m. to 12:00 p.m.; Cost: Free; HRCI: 1 Credit; SHRM: 1 Credit
• This session will discuss the ADA and religious accommodation process, including best practices and recognizing red flags.
• Register here 

ADA National Network

• National Events 
• Local Events 

New York Times: 'Nothing About Us Without Us’: 16 Moments in the Fight for Disability Rights

NPR: In Their Own Words: How The Americans With Disabilities Act Changed People's Lives

Trillium supports creating an environment where all patients feel welcome, safe and have access to the care they need. Below are tips derived from the American Medical Association on making an office space a more inclusive environment.

• Provide visual cues that your practice is a safe place 
  • Display brochures and educational materials about LGBTQ health concerns.
  • Post a nondiscrimination statement (PDF). 
  • Consult the Guidelines of Care for Lesbian, Gay, Bisexual and Transgender (LGBT) Patients (PDF), created by the Gay and Lesbian Medical Association, for advice on communicating with LGBTQ patients, guidelines for forms and patient-provider discussions, and more.
• Customize your patient intake forms
  • Examine the comprehensive Sample New Patient Intake Form that The Fenway Institute recommends for use with LGBTQ patients and see how it compares to what your practice currently uses.
• Get advice on making your practice LGBTQ-friendly
  • Listen to the Journal of Medical Practice Management podcast “Expanding into the Gay and Lesbian Market: What Savvy Medical Practices Know," an informative, half-hour-long discussion with Ellen Kahn, director of the Human Rights Campaign Foundation's Family Project. Learn concrete steps you can take right away.
• Meet a standard of practice
  • Meet the standards of practice in caring for LGBTQ patients. 
    • Consult the “Community Standards of Practice for the Provision of Quality Health Care Services to LGBT Clients(PDF),” a set of recommendations created by the LGBT Health Access Project, part of the Massachusetts Department of Public Health.

Did you know Centene offers free webinars for providers on a variety of behavioral health topics, including substance use disorders, social determinants of health and mental health, post-traumatic stress disorder, cultural competence and more?

These webinars are free, scheduled all year-round, and most offer free continuing education hours.

Visit our Behavioral Health Training webpage or bookmark the links below to view the schedule and explore complete course descriptions.

View the complete schedule of Oregon-focused trainings
View the complete schedule of national trainings

Cultural Competency Continuing Education Requirement for Oregon Providers

Effective July 1, 2021, the Oregon Medical Board (OMB) requires cultural competency training for all new medical licenses and for all renewing providers.

To meet the requirement, providers must complete an average of at least one hour of cultural competency education per year during an audit period. An audit period is two renewal cycles (for example, every four years for most licensed providers). To be approved for licensure with the OMB, providers must attest to the training.

Starting in October 2021, per Trillium’s updated policies, providers must demonstrate on initial and renewal application for credentialing that they meet the state requirement by submitting proof of completion of the training in cultural competency.

Many different types of courses and experiences meet the cultural competency continuing education requirement, including experiential or service learning, cultural or linguistic immersion, volunteering in a rural clinic, courses approved by the Oregon Health Authority and more. Below are some resources to help you locate cultural competency continuing education opportunities.

• Oregon Medical Board Cultural Competency Webpage: The OMB provides information about the mandatory cultural competency continuing education requirement, including a record keeping form to track educational hours.
• OHA-Approved Cultural Competence Continuing Education Trainings (PDF): A list of OHA-approved courses including title, trainer, hours and cost.
• Think Cultural Health: The U.S. Department of Health and Human Services has a variety of free, continuing education e-learning programs designed to help you provide culturally and linguistically appropriate services (CLAS).

If you have any questions, please email Trillium Provider Relations.