Fernando Kim, MD, MBA, FACS, presented “Caring for Underserved and Vulnerable Populations for Over 23 Years” during the 42nd Annual Ralph E. Hopkins Urology Seminar on February 1, 2023, in Jackson Hole, Wyoming.

How to cite: Kim, Fernando. Caring for Underserved and Vulnerable Populations for Over 23 Years.” February 1, 2023. Accessed May 2024. https://grandroundsinurology.com/caring-for-underserved-and-vulnerable-populations-for-over-23-years/

Caring for Underserved and Vulnerable Populations for Over 23 Years -Summary

Fernando Kim, MD, MBA, FACS, Chief Emeritus of Urology at Denver Health Medical Center and Professor of Surgery/Urology at the University of Colorado at Denver, discusses his more than 23 years of experience caring for underserved and vulnerable populations. Dr. Kim describes some of the needs and characteristics of these populations and gives examples of the trauma those populations experience, such as gunshot wounds. Dr. Kim decries what he calls the inhumane injustice of inequitable healthcare, emphasizing the importance of safety net hospitals in terms of training, research, and unique outcomes for vulnerable patients. He also emphasizes the importance of physicians understanding their patients’ cultures and needs so that they can communicate with and effectively treat those patients. He addresses time constraints for patients who cannot afford to be out of work and how developing a minimally-invasive practice can help support those patients. He cites disparate oncological profiles along demographic lines, as well as research that concludes many factors influence treatment selection, including race, age, marital status, enrollment in an indigent program, and D’Amico risk. He explains that, especially for African-American men, the less invasive nature of cryoablation appeared to influence opinions regarding surgery for the treatment of localized prostate cancer. Dr. Kim cites another study that reaffirms the importance in health disparities research of modeling interactions between race/ethnicity and variables that reflect diverse aspects of a patient’s socioeconomic circumstances, since the research showed that doctors’ treatment recommendations were less aggressive for poor or indigent populations. He concludes by reemphasizing the importance of empathy, cultural humility, and understanding when working with vulnerable and underserved communities.

About The 42nd Annual Ralph E. Hopkins Urology Seminar:

The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 42nd iteration of the meeting took place from February 1st to 4th, 2023, in Jackson Hole, Wyoming.

For further educational activities from this conference, visit our collection page.