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The purpose of this study was to determine whether underrepresented minority (URM) students in the University of Wisconsin-Madison (UW-Madison) Doctor of Physical Therapy (DPT) Program had experienced derogatory behavior while on clinical internships.

Six URM students were surveyed while on clinical internships to ascertain whether they had encountered discrimination, racism, or microaggressions.

Four of the 6 URM students reported experiencing microaggressions while on their clinical internships.

Education and training in the recognition and management of incidents involving derogatory behavior are imperative to foster safe and inclusive clinical environments.

Education and training in the recognition and management of incidents involving derogatory behavior are imperative to foster safe and inclusive clinical environments.

The terms diversity, equity, and inclusion have become part of a national conversation as we come to grips with longstanding societal negligence. But what do these terms mean with respect to health care, and are we manifesting them in our medical practices?

Using the Centers for Disease Control and Prevention's Social Vulnerability Index and Google, we mapped the locations of physical therapy and primary care clinics within the 4 most diverse Wisconsin counties-Milwaukee, Racine, Kenosha, and Dane-which also had high Social Vulnerability Indexes, to assess health equity in these communities.

Most physical therapy practices are located outside of vulnerable communities. mTOR inhibitor While primary care is much more proficient at having a presence in these neighborhoods, there are still absences in some areas.

Our analysis suggests that physical therapy services in Wisconsin are often inaccessible to members of vulnerable communities a matter of equity. Efforts to improve equity via patient access must entail interventions that address the other components of diversity, equity, and inclusion. We recommend that other health care professionals conduct similar analyses in order to determine whether we, as a health care community, are positioning ourselves to best service our patients.

Our analysis suggests that physical therapy services in Wisconsin are often inaccessible to members of vulnerable communities a matter of equity. Efforts to improve equity via patient access must entail interventions that address the other components of diversity, equity, and inclusion. We recommend that other health care professionals conduct similar analyses in order to determine whether we, as a health care community, are positioning ourselves to best service our patients.

Acute myocardial infarction (AMI), or heart attack, carries a high inpatient death risk. Few national studies suggest race affects the outcomes of inpatients with AMI. In Wisconsin, an assessment of racial disparity among admissions for AMI is lacking.

Using the Wisconsin State Inpatient Database from 2016, demographics and outcomes for AMI admissions were analyzed. The goal was to compare demographic and hospitalization characteristics between non-Hispanic White patients and Black, Indigenous, and People of Color (BIPOC).

A total of 6,002 non-Hispanic Whites and 546 BIPOC cases were identified. BIPOC were younger than non-Hispanic White inpatients (median age, 59 years vs 68 years, respectively;

 < 0.001). Median length of stay was shorter in non-Hispanic White versus BIPOC (2 days vs 3 days;

 = 0.021), and mean total charges were higher for BIPOC than non-Hispanic Whites ($74,716 vs $65,384, respectively;

= 0.002). Using a risk-adjusted model, inpatient mortality was increased for patients over 55 years of age (odds ratio [OR] 2.166; 95% CI, 1-3;

 = 0.001) and women (OR 1.319; 95% CI, 1-1.6;

P = 0.03). Race (BIPOC vs non-Hispanic White) was not predictive of inpatient death on univariable analysis (OR 0.771; 95% CI, 0.4-1.2;

 = 0.283).

It appears BIPOC have longer hospital stays and incur higher charges than non-Hispanic White patients, though race does not affect mortality risk. Among Wisconsin counties with higher proportions of AMI, these data may enable strategic recommendation of hospitalized patients or permit risk stratification to identify disparity and encourage equitable care.

It appears BIPOC have longer hospital stays and incur higher charges than non-Hispanic White patients, though race does not affect mortality risk. Among Wisconsin counties with higher proportions of AMI, these data may enable strategic recommendation of hospitalized patients or permit risk stratification to identify disparity and encourage equitable care.

Breast cancer is the most common cancer in women in Wisconsin. Evidence demonstrates that non-White racial minorities in the United States exhibit a higher mortality rate and more advanced or aggressive presentations of the disease than their White counterparts. Postmastectomy breast reconstruction remains essential to the treatment and recovery of these patients; however, racial disparities in the receipt of reconstruction are evident. This study evaluates the presence of racial disparities in postoperative outcomes of breast reconstruction at a single institution in Wisconsin.

An institutional review board-exempt retrospective study of postoperative outcomes was performed using a single institution's National Surgical Quality Improvement Program Registry to identify patients who underwent autologous or prosthesis-based breast reconstruction following mastectomy. Patient demographic, preoperative, operative, and postoperative variables were recorded. Postoperative outcomes in relation to self-reported ra non-White patients were less likely to undergo reconstruction. Further research into the underlying causes of unequal access to care, influence of insurance, effect of structural racism, and impact of physician- and patient-associated factors is warranted.

Vaccine hesitancy is a rising public health threat, thwarting progress to reduce vaccine-preventable diseases. While drivers of racial disparities in childhood immunization rates (CIR) have been described, none have explored these disparities at UW Health, and few have highlighted the role of anti-vaccination (anti-vaxx) campaigns in the Black/African American (BAA) community.

This quality improvement study evaluates childhood immunization data for racial and ethnic disparities, identifies possible drivers, and proposes equitable solutions.

UW Health CIR were analyzed for racial and ethnic disparities between December 31, 2015, and December 31, 2019. A root cause analysis was done to explore potential drivers. An in-depth media review of targeted anti-vaxx campaigns was chosen for further exploration using "anti-vaccine leaders targeting minority becomes growing concern at NYC forum" as the initial search query template. Google Trend and literature searches were performed to understand questions BAA parents have about vaccines.