2016 COD Parliamentary Summary

Resolution 01-2016: Immigration Reform Requires Dismantling Operation Streamline

Title: Immigration Reform Requires Dismantling Operation Streamline

Resolution Identification: 01-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion at the COD.

Final Content:

RESOLVED, that our Latino Medical Student Association recognize that Operation Streamline raises serious questions surrounding due process and basic legal rights, and be it further

RESOLVED, that our Latino Medical Student Association recognize that Operation Streamline’s continued ability to function comes with an immense financial cost to the American people, and that the cost to human rights and dignity is even higher; and be it further

RESOLVED, that our Latino Medical Student Association National Policy Committee write an article outlining the effects of Operation Streamline in the Latino community, and be it further

RESOLVED, that our Latino Medical Student Association utilize the newly formed Immigration Caucus to identify and build relationships with organizations who are willing to develop strategies and solutions for the issues raised by Operation Streamline.

Congressional Action: ADOPTED

Resolution 02-2016: Dialogue on Pre-diabetes Between Physicians and Hispanic/ Latino Patients

Title: Strengthening the Dialogue on Pre-diabetes Between Physicians and Hispanic/ Latino Patients

Resolution Identification: 02-2016

Parliamentary Summary: This resolution was extracted for discussion. During the COD, testimony in support of the resolution was given along with the proposed amendment for resolved clause 2. Discussion was centered on how inadequate health care, such as the information gap between patients and physicians, impairs patients’ understanding of evidence-based medicine, and thus leads to the progression of prediabetes to diabetes.

Final Content:

RESOLVED, that our Latino Medical Student Association recognize pre-diabetes as a medical condition with significant consequences within the Hispanic population as it relates to social determinants of health, and be it further

RESOLVED, that our Latino Medical Student Association Vice President of External Affairs draft a letter of support to the American Diabetes Association Latino Advisory Committee to encourage stronger dialogue between physicians and Hispanic patients regarding pre-diabetes.

Congressional Action: ADOPTED unanimously as amended at the COD.

Resolution 03-2016: Access to Healthcare Services for Asylum Seekers

Title: Supporting Access to Healthcare Services for Asylum Seekers Awaiting Trial

Resolution Identification: 03-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended and resolved clause 3 tabled, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association recognize the need for comprehensive health care services for asylum seekers, and be it further

RESOLVED, that our Latino Medical Student Association will write an open letter to advocacy organizations encouraging them to recruit more volunteers, particularly mental health professionals to serve asylum seekers.

Congressional Action: ADOPTED resolved clauses 1 and 2.

Resolution 04-2016: Medical Care in Immigration Detention Facilities

Title: Inadequate Medical Care in Immigration Detention Facilities

Resolution Identification: 04-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption with amended language, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association recognize immigrant detention as a cause of health inequity, and be it further

RESOLVED, that our Latino Medical Student Association support federal oversight of the internal conditions of Immigrant Detention Facilities including but not limited to health care needs of detainees.

Congressional Action: ADOPTED

Resolution 05-2016: Hispanic Voter Turnout

Title: Increasing Hispanic Voter Turnout

Resolution Identification: 05-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association acknowledge that the physician’s role includes empowering patients to advocate for their healthcare rights by participating in our country’s democratic process, and be it further

RESOLVED, that our Latino Medical Student Association support non-partisan initiatives to increase Latino voter registration, and be it further

RESOLVED, that our Latino Medical Student Association school chapters partner with community clinics and organizations to host voter registration drives, and be it further

RESOLVED, that our Latino Medical Student Association conduct outreach to high school and undergraduate students to increase awareness of the next generation of voters impact in the democratic process.

Congressional Action: ADOPTED

Resolution 06-2016: DACA Medical Students and Medical Residency

Title: Support DACA Medical Students as they Apply to Medical Residency

Resolution Identification: 06-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association request the AAMC create a survey to assess which medical residency programs would consider DACA residency applicants and then publish a list based on these results, and be it further

RESOLVED, that our Latino Medical Student Association release a public stance asking all residency programs to consider DACA residency applicants, without automatically rejecting their application solely based on their immigration status, and be it further

RESOLVED, that our Latino Medical Student Association (LMSA) allow the LMSA Immigration Caucus to represent our LMSA in the Diversity in Medicine Coalition as it relates to advocacy for undocumented medical students and residents.

Congressional Action: ADOPTED

Resolution 07-2016: Medical Spanish Curriculum in Medical Schools

Title: Medical Spanish Curriculum in Medical Schools

Resolution Identification: 07-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association encourage development of a curriculum with medical Spanish at medical schools nationwide.

Congressional Action: ADOPTED

Resolution 08-2016: DACA Language Modification

Title: DACA Language Modification

Resolution Identification: 08-2016

Parliamentary Summary: This resolution was extracted for discussion. Members of the COD gave testimonies in support of the resolution as amended by the Reference Committee with resolved clause 3 being struck from the resolution. The delegates discussed (1) the limitations and uncertainties of DACA, and (2) California has laws with language supporting undocumented individuals. The delegates believe students, regardless of their immigration status, will have a better understanding of medical schools’ admission requirements, and its affiliated hospitals’ residency match policies.

Final Content:

RESOLVED, that our Latino Medical Student Association update existing policy language in LMSA PS R02-2015 to include “undocumented”, and be it further

RESOLVED, that our Latino Medical Student Association support all students, regardless of immigration status, when they apply to health professional programs, particularly medicine and residency programs.

Congressional Action: ADOPTED

Resolution 09-2016: Scheduled Dialysis for Undocumented Latino Immigrants

Title: Scheduled Dialysis for Undocumented Latino Immigrants

Resolution Identification: 09-2016

Parliamentary Summary: This resolution was extracted for discussion. Members of the COD gave testimonies in support of the resolution with proposed amendments to resolved clauses 2, 3 and 4. Topics addressed were (1) lessening the financial burden of dialysis treatment via the inclusion of undocumented immigrants in the marketplaces and (2) collaboration for a research paper.

Final Content:

RESOLVED, that our Latino Medical Student Association support the provision of state or county-funded scheduled dialysis for undocumented immigrants, and be it further

RESOLVED, that our Latino Medical Student Association support the inclusion of undocumented immigrants in the Patient Protection and Affordable Care Act- mandated health insurance exchanges in order to access additional funding for covering the costs of dialysis and associated complications, and be it further

RESOLVED, that our Latino Medical Student Association collaborate with leaders and organizations particularly the Coalition for Kidney Care of Non-Citizens for the purpose of increasing awareness of the unmet dialysis needs of undocumented communities.

Congressional Action: ADOPTED unanimously as amended at COD.

Resolution 10-2016: Spanish Language Training

Title: Spanish Language Training and Training to use Interpreting Services for Emergency Medicine Physicians working with Hispanic Patients

Resolution Identification: 10-2016

Parliamentary Summary: This resolution was extracted for discussion. Testimony in support of the resolution as amended by the Reference Committee was given. Discussion was centered on the benefits of medical Spanish training amongst physicians.

Final Content:

RESOLVED, that our Latino Medical Student Association develop a statement of support for research to study the potential benefits of providing patients who have Limited English Proficiency with Emergency Department discharge instructions in Spanish, and be it further

RESOLVED, that our Latino Medical Student Association VP of External Affairs collaborate with the Emergency Medicine Residents’ Association to encourage Emergency Medicine physicians and residents to optimize the use of medical interpreting services when communicating with Spanish-speaking patients and be it further

RESOLVED, that our Latino Medical Student Association collaborate with national Emergency Medicine physicians organizations, i.e. the American college of Emergency Physicians, to encourage emergency departments to establish formal Spanish training for Emergency Medicine physicians and residents.

Congressional Action: ADOPTED

Resolution 11-2016: Women’s Reproductive Rights

Title: Comprehensive Policy on Women’s Reproductive Rights

Resolution Identification: 11-2016

Parliamentary Summary: This resolution was extracted for discussion. Members of the COD gave testimonies in support of the resolution and proposed amendments to resolved clause 1. Resolved clauses 2 and 3 were voted on as amended by the Reference Committee. The delegates noted that in some states healthcare providers are legally allowed to provide patients with reproductive healthcare services contrary to medical literature findings. The delegates agreed that the reproductive injustices committed to women warrant them reproductive rights, especially women of color and the Latino community. The delegates agreed that the proposed amended language has an actionable item.

Final Content:

RESOLVED, that our Latino Medical Student Association released a statement acknowledging that women’s access to affordable health services and to health information based on medical literature are fundamental human rights.

RESOLVED, that our Latino Medical Student Association oppose health care premiums that disproportionately place cost burdens for reproductive health on women, and be it further

RESOLVED, that our Latino Medical Student Association oppose legislative proposals that utilize federal or state health care funding mechanisms to deny established and accepted medical care to any segment of the population.

Congressional Action: ADOPTED unanimously as amended at COD.

Resolution 13-2016: Supporting Efforts to promote transgender health

Title: Supporting Efforts to promote transgender health

Resolution Identification: 13-2016

Parliamentary Summary: This resolution was extracted for discussion. Several members of the Congress gave testimonies in support of the resolution with proposed amendment given on the floor. It was agreed that transgender reproductive rights falls under the category of transgender health. The resolution has actionable items and relevant language in the whereas clauses for inclusion of the proposed additional resolved clause.

Final Content:

RESOLVED, that our Latino Medical Student Association re-affirm Resolution 16-2015, and be it further

RESOLVED, that our Latino Medical Student Association Policy Committee will help the LGBTQ Caucus lobby the AAMC and ACGME to implement a comprehensive LGBTQ health curriculum as a required competency for all medical students and residents in the United States, and it be further

RESOLVED, that our Latino Medical Student Association strongly opposes any discriminatory laws against transgender individuals and supports the repeal of discriminatory laws in every level of government.

RESOLVED, that our Latino Medical Student Association strongly advocate for transgender reproductive rights.

Congressional Action: ADOPTED unanimously as amended at COD.

Resolution 14-2016: Racial Microaggressions

Title: Support for the Advancement of the Understanding of Racial Microaggressions

Resolution Identification: 14-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association support the Liaison Committee on Medical Education standards for cultural competence, and it be further

RESOLVED, that our Latino Medical Student Association highlight research to understand the effects of microaggressions on all patient populations and their health outcomes, and it be further

RESOLVED, that our Latino Medical Student Association write an open letter to encourage medical schools to address microaggressions and how they can affect under-represented minority medical students and faculty, and it be further

RESOLVED, that our Latino Medical Student Association collaborate with the Diversity Policy and Programs unit of American Association of Medical Colleges to inform US medical schools about the impact of microaggressions on medical students, education and patient outcomes, and it be further

RESOLVED, that our Latino Medical Student Association encourage collaboration and partnership with medical advocacy organizations to support similar policy language, and further a minority initiative surrounding microaggressions.

Congressional Action: ADOPTED

Resolution 15-2016: Corporate Influence on Medical Organizations

Title: Corporate Influence on Medical Organizations

Resolution Identification: 15-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association refrain from accepting sponsorship of any form from organizations that are in conflict with the mission of improving Latino patient health, and it be further

RESOLVED, that our Latino Medical Student Association National Policy Committee intervene on behalf of chapter leaders when a conflict of interest are identified by members within the organization, and it be further

RESOLVED, that our Latino Medical Student Association National create a corporate partnership subcommittee composed of the LMSA National President and Vice-President of External Affairs, two members of the National Policy Committee, and two LMSA Alumni Physician Advisors, that present recommendations for voting to the Board of Directors regarding finalizing any long-term corporate partnership with any major third party sponsor. (Directive to Action)

Congressional Action: ADOPTED

Resolution 16-2016: Youth Health Pipeline Programs

Title: Initiative for Underrepresented Minority Youth Health Pipeline Programs

Resolution Identification: 16-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association support the creation of a strategic workforce with the mission of forming long-term partnerships with local medical societies to develop pipeline programs that increase underrepresented in medicine (UIM) medical student enrollment as defined by the AAMC, under the guidance of the Vice Chair of Mentorship and overseen by the LMSA National Executive Board, and it be further

RESOLVED, that our Latino Medical Student Association collaborate with local chapters of national organizations such as, the National Outreach for Diversity in Medicine Coalition, and other concerned organizations to support the development of medical career exposure and hands-on educational internship programs for UIM students.

Congressional Action: ADOPTED

Resolution 17-2016: Language Access for Limited English Proficiency Patients

Title: Improving Language Access for Limited English Proficiency Patients

Resolution Identification: 17-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association collaborate with the American Medical Association in encouraging hospital systems to collect and publish data on the prevalence of Limited English Proficiency (LEP) patients in their respective communities as part of a language needs assessment, and it be further

RESOLVED, that our Latino Medical Student Association collaborate with the American Medical Association to support efforts to improve quality of care through increased access to language services, and it be further

RESOLVED, that our Latino Medical Student Association encourage the Association of American Colleges and individual institutions to develop and disseminate guidelines for medical trainees and providers on the appropriate use of interpreter services, and it be further

RESOLVED, that our Latino Medical Student Association urge the Association of American Medical Colleges to publicly recognize that the primary role of medical students is to be learners, and to limit the use of bilingual students as primary ad hoc interpreters for the medical team during high-stakes clinical situations or when doing so at the expense of learning opportunities.

Congressional Action: ADOPTED

Resolution 18-2016: Mental Health Among Minority Medical Students

Title: Addressing Mental Health Among Minority Medical Students

Resolution Identification: 18-2016

Parliamentary Summary: This resolution was voted on as presented by the Reference Committee for adoption as amended, as it was not extracted for discussion.

Final Content:

RESOLVED, that our Latino Medical Student Association acknowledge the high prevalence of depression, anxiety and burnout in our medical student body, and it be further
RESOLVED, that our Latino Medical Student Association provide support for the development of local, regional and national event programming that addresses mental health indicators, such as burnout, depression and anxiety, and it be further

RESOLVED, that our Latino Medical Student Association write an open letter to the Association of American Medical Colleges to petition the addition of faculty mentorship, near-peer support, and wellness programs to recommended medical student support programming, specifically for minority medical students underrepresented in medicine, and it be further

RESOLVED, that our Latino Medical Student Association petition the National Institute on Minority Health and Health Disparities to conduct and/or support the research of:
1 The relative risk of mental health indicators such as depression, anxiety and burnout for Latino medical students as compared to the general medical student population;
2 The effect of racial and ethnic identity, cultural norms, stigma and social support on the mental well being of Latino medical students;
The impact of microaggressions experienced by Latino and other minority medical students on their mental health and academic performance.

Congressional Action: ADOPTED