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MNAAP Newsletter

Pediatricians’ Voices on Equity Needed Outside the Clinic

By Nate Chomilo, MD, Minnesota Doctors for Health Equity

Nate ChomiloHere’s a statistic that may be hard to hear: Only 10 to 20 percent of health outcomes are attributable to health care.

For all our education, training and expertise, there is only so much we as physicians can do if we choose to only work within our clinics or hospitals.

We can highlight the ongoing health disparities (health differences that arise from economic, social or environmental disadvantages) that are worse in Minnesota than almost every other state, but putting a spotlight on the problem alone is not a solution. These disparities also arise from implicit bias, explicit bias and the structural racism intrinsic to many parts of our society, our healthcare system being no different.

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Sounding the Alarm on School Start Times: Later is Attainable

By Julie Dahl, APRN, CNP, President of the MN Sleep Society, Respiratory Consultants; Julie Baughn, MD, Mayo Center for Sleep Medicine, Children’s Center; Robin Lloyd, MD, Mayo Center for Sleep Medicine, Children’s Center

It is widely known that adequate sleep is required for optimal health and learning. Yet, adolescents nationwide are sleep deprived. Why? As children transition to adolescence, their biological sleep clocks shift, with a delay in melatonin release occurring around 10:45 pm (1). With early school start times, adolescents are unable to get the quality, well-timed sleep they need.  In Minnesota, 87 percent of high schools start before 8:30 a.m. and 60 percent of adolescents report inadequate sleep (2,3).  Parents will likely turn to their pediatricians for the facts.

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