Health Equity

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Being a physician in the District in the 21st century means being on the front line of the most pressing public health issues in the world. In our small geographic boundaries, physicians help address issue found in every state all in one area. The issues are too lengthy to list on one webpage but physicians are on the front lines of addressing health issues for all District residents.

News, Statements, and Testimony on Health Equity Issues

25th Council session information coming soon.

 

Dr. Alicia Khan Applies Her Unique Experiences to Her Work

Aug 1, 2022, 13:55 PM by Aimee O'Grady
Meet MSDC member and leader Dr. Alicia Khan

Much of a physician’s knowledge in their specialty and general practice is gained from their time spent in the classroom, during residency and fellowship, and throughout practice. But unique life experiences round out every physician.

Alicia Khan’s mother was a practicing OBGYN in Pakistan before she became a mother. Cultural expectations discouraged mothers from working, so when Dr. Khan’s mother had her two daughters, she stopped practicing. “My sister and I recognized early on that we were the reason that our mother stopped practicing medicine. To honor her sacrifice, we both pursued medical careers,” she said. Her sister, Dr. Hannah Goodwin is completing a Fellowship program in a Pediatric ICU.

Drs. Khan and Goodwin were raised in a Pakistani community in Rockville/Gaithersburg, Maryland. “My father was an engineer. Together with my mother’s income, they could have afforded to hire a nanny to raise us, but judgments from the Pakistani community in which we lived discouraged that. It was simply expected that mothers raised their children rather than work.” Understanding and accepting the challenges that her mother faced as a physician and mother helped define Dr. Khan’s career goals.

Her mother’s sacrifice was not the only experience that shaped Dr. Khan’s pursuits. “In college, I lost a close family friend to suicide,” she said. Here too, cultural expectations played a role. “A lot of his suffering was the result of stigma from our community. Many South Asian communities still do not accept the need for good mental healthcare. I was always aware of his mental health struggles but there was so much stigma surrounding the topic, he never accessed resources to overcome it.”

The impact of her mother’s career-ending family planning choices and losing the friend she looked at as a brother had significant impacts on Dr. Khan’s decision to focus on psychiatry, specifically women’s mental health.

In the post-Roe v. Wade era, Dr. Khan feels her services are needed more than ever. “My mother valued what the American culture offered women. She felt that her daughters would not face the same challenges that she did. With the reversal of Roe v. Wade, she feels that things have been made harder again. It is a sad commentary for the United States,” said Dr. Khan.

Still, in her 20s, Dr. Khan has set her goals on changing policies, which requires the energy, enthusiasm, and commitment she brings to the table. Her unique set of life experiences and fresh perspectives are added talents. But she also recognizes that it may not be enough. “I may bring fresh perspectives to discussions about policy, but I also understand that the more experiences I have as I advance in my career will make it possible for me to impact change.”

To that end, she continues her residency at Georgetown Hospital with plans to pursue a women’s mental health fellowship. “I enjoy speaking with patients my age,” said Dr. Khan. “And also enjoy helping young adults and adolescents. It is a difficult time for many people. They are in formative years and in great need of guidance, so it is very rewarding to work with the emerging adult population,” she added.

In the short term, Dr. Khan continues policy writing with AMA and MSDC. With the AMA she passed a policy to standardize domestic violence in emergency departments. She joined MSDC in medical school. “MSDC began a Women in Medicine group that I helped to begin and was the first student to chair it,” she said. Involvement with professional societies like AMA and MSDC helps to broaden her knowledge base and learn from the experiences of other physicians.

To women facing new obstacles that previous generations had hoped to remove, she offers advice. “Never take anything personally. In a setting where you may begin to feel incompetent, recognize that it is more about the other person than it is about yourself. Do not let someone else shape your opinion of yourself.”

To recharge, Dr. Khan, retreats to her apartment where she has realized a talent for propagating plants. “I began filling my apartment with plants during COVID. I now have plants in all stages and multiple generations of the same plant through propagation. I’m a plant grandma,” she joked.

Do you know a physician who should be profiled in the MSDC Spotlight Series? Submit a nomination to Robert Hay at hay@msdc.org for a future story. MSDC membership is encouraged for featured physicians.

Sample of Health Equity Legislation MSDC Tracked 

 

Student Access to Treatment Amendment Act (B23-467)

What does it say? The bill allows for the administration of medicinal marijuana in schools as well as allows students to bring sunscreen to schools and apply it without a prescription.

MSDC position: MSDC supports the language permitting sunscreen application in schools

Current status: A win for DC physicians and public health! The legislation passed the Council in February and was signed by the Mayor. Previous temporary and emergency legislation permitted students to use sunscreen at schools this school year already.

Electronic Medical Order for Scope of Treatment Registry Amendment Act (B23-261)

What does it say? The bill requires DC Health to establish an electronic Medical Order for Scope of Treatment registry (eMOST).

MSDC position: MSDC supports this legislation to more easily allow patients to make their treatment orders known.

Current status: A win for the physician community and our patients! The Council passed the bill in December and the Mayor signed it into law on January 16, 2020.

Healthy Beverage Choices Amendment Act (B23-495)

What does it say? The bill would implement a 1.5 cent per ounce tax on the distribution of "sugary" beverages. The money collected from the tax would establish a Healthy People, Healthy Places Open Spaces Grant Program.

MSDC position: MSDC sent a letter to Council Chair Mendelson asking for a hearing to discuss all of the issues around a beverage tax.

Current status: The bill was introduced October 8, 2019 and referred to the Committee on Business and Economic Development and the Committee of the Whole.