From Stance to Stride

Illustration: two signs, pointing left reading "same old" and pointing right "change."

AACP’s Diversity, Equity, Inclusion and Anti-racism (DEIA) Committee established an advisory panel of members who are subject matter experts to help the association make good on its good intentions.

By Athena Ponushis

Policies only go so far. Plans must be put into action. If the pharmacy community wants the full benefits of diversity—cultural competency, improved patient outcomes, health equity—schools must help each other on their equity journeys.

AACP aspires to turn pharmacy into a field where everyone feels included so they can do their best work and all patients can benefit. The association seated its most diverse board yet, so the members at the table represent the members on the ground. It named ‘leading diversity, equity, inclusion and anti-racism (DEIA) efforts’ as a standalone priority in its new strategic plan. And its DEIA committee brought experts from member schools together, forming an advisory panel to share insights and opportunities, helping other schools that want to do the work be successful with their DEIA endeavors. These insights will be shared over AACP platforms and at association meetings, as the Equity, Diversity and Inclusion (EDI) Institute will soon meet again.

“We are working on DEIA efforts in all areas,” said Cindy Ziegler, AACP associate director of governance and executive office operations. “We have put procedures in place so that we are not just hoping for the better, we are strategically thinking about how we can make it better, how we can be more diverse and inclusive, what changes can we make today for the profession we want to be tomorrow.”

The aim of finding balance in the boardroom became a key goal for AACP in 2018. Past President David Allen formed a leadership pipeline development task force, which forged a diversity declaration, asserting that AACP shall strive to include and engage the full diversity of its membership in its leadership. The declaration recognized diversity of perspectives as vital, defining diversity as people who bring different viewpoints by virtue of their gender, gender identity, sexual orientation, race/ethnicity, physical abilities, as well as geography, disciplinary expertise and institutional classifications. This ensures that there’s more than one woman, one person of color, one LGBTQ person on the board and that not all members live on the West coast and work at private schools. “We have seated our most diverse board this year and I am encouraged by that,” Ziegler said. “We want our board to be a good representation of who our members are.”

 

If we are striving to accomplish health equity for all, our pharmacists need to understand the people they are serving, the communities they are serving. This is where the advisory panel gets really exciting because there are schools that are doing some very innovative and creative things in their communities, helping to prepare student pharmacists as graduates to best serve all communities.

Terri Moore

Ziegler served as staff liaison for the leadership pipeline development task force and can feel the genesis of the DEIA committee in its deliberations. In late 2019, AACP created the committee to carry on the diversity, equity and inclusion work. The murder of George Floyd in 2020 elevated the conversation and reignited the movement for racial justice. Senior staff knew they needed to expand the committee and add anti-racism to its title. “Racism has led to so many disparities and inequities in healthcare. AACP felt it was important to shine a light on the racial component,” said Terri Moore, AACP senior director of academic services.

The DEIA committee expanded with members and purpose. It was designed with three pillars, one for staff (including the board and leadership), another for members and affinity groups, the third focusing on external partners and stakeholders. Committee members pondered, ‘Why does this committee exist? What do we plan to do?’ and crafted a charter, affirming that the DEIA committee aims to provide guidance and recommendations for actions to achieve AACP’s diversity, equity and inclusion goals and needs. “We wanted to show we have more than good intentions,” Moore said. “We wanted to say, ‘We are going to put together a plan, we are going to get things moving, we are going to do things.’ This isn’t just another statement of our intent, it’s how we are going to generate action.”

The committee, made up of mainly staff, recognized that they were not necessarily subject matter experts but knew that they had access to members with expertise who were doing this work and could provide counsel. So, the committee decided to create a DEIA advisory panel that would comprise experts who could lend guidance and strategy for action.

The committee put out a call to members earlier this year to gauge their interest in joining the panel. “Close to 40 people responded and we said, ‘We are going to take them all,’” said Moore, who leads the member pillar of the DEIA committee. “How can we exclude anyone when this is about inclusion? Anyone who is interested and has experience can be on this panel. If someone raises their hand and says, ‘I want to be included on this panel,’ then welcome.”

Different institutions are at different levels on the DEIA continuum. Moore believes that’s the brilliance of the panel: it creates a place where members can share ideas and information, learn what is happening elsewhere, be inspired and implement like-minded actions at their home institutions. The panel was not designed to run like other committees. It is meant to be less structured, it does not have a chair and it does not have to meet every month. Rather, as Moore said, “As we figure out what we need, we want to have a group of members to advise us as we trek this journey together.”

Diminish Disparity by Promoting Diversity

Schools want to know what’s going on at other schools. That’s what makes the advisory panel so influential. “Our panel members are our boots on the ground to help us understand what the DEIA needs are, to share the challenges and successes with us, so we can help exchange that information,” Moore said. AACP has launched a DEIA page on its website. The panel will add content and share resources there. Topics, strategies and school endeavors will be featured.

AACP has also established a DEIA Connect Community, where members can pose questions and share suggestions. The DEIA panel will plant topics and questions to get the conversation started, then let the members take it away. The beauty of a Connect Community is that it’s driven by those who are part of that community. “Again, under the goal of inclusivity, this Connect Community will be open to any members who want to join,” Moore said. “We are not excluding anybody. It’s just going to be one of those communities that has a lot of people in it, but hey, tell me what’s wrong with that? It’s all for the better.”

AACP’s strategic plan has been evolving in tandem with the thinking of the DEIA committee. Initially, the strategic planning committee did not list DEIA as its own priority, instead weaving it throughout all priorities. But when they started vetting the draft out to members for feedback, “We heard loud and clear, DEIA warrants its own space. It needs to stand alone because it is a priority,” Moore said.

The plan now names leading DEIA efforts as a priority to help diminish health disparities and promote health equity. One goal focuses on strengthening the pipeline to cultivate learners from more diverse backgrounds, which will improve cultural competency and patient care outcomes. Cultivating and supporting a more diverse faculty is another goal, to reflect and support more diverse learner and patient populations.

AACP also wants to provide DEIA professional development activities for all its stakeholders, continuing the EDI Institute and featuring DEIA topics at all meetings. And the association will advocate for all pharmacy schools to integrate DEIA topics into curricula. “If we are striving to accomplish health equity for all, our pharmacists need to understand the people they are serving, the communities they are serving,” Moore said. “This is where the advisory panel gets really exciting because there are schools that are doing some very innovative and creative things in their communities, helping to prepare student pharmacists as graduates to best serve all communities. As we share these ideas and opportunities with more schools, who knows where the ripples of that might flow.”

The fifth goal focuses on expanding research and external collaborations, which aligns with the third pillar of the DEIA committee. AACP recently became a partner organization collaborating on a demonstration project that looks at health disparities made by dubious policies. The project, “Eliminating Generational Racial Health Disparities,” funded by the U.S. Department of Health and Human Services through its Office of Minority Health, intends to identify and evaluate policies that may perpetuate health disparities through structural racism. Dr. Richard Braylock, principal and COO of BHK Consulting, a unity, equity and justice consulting firm, will serve as projector director. AACP will examine policies that create barriers to supplying a capable pharmacy workforce ready to address the unmet needs of communities where health disparities prevail; policies surrounding federal student financial aid; the lack of scholarship and loan repayment programs; and the content of pharmacy curriculum and continuing professional development programs.

“This is a big step in the right direction. I mean just to have the Office of Minority Health put this out there and for AACP to be part of this conversation and do some of the work, it’s huge,” Moore said. “We are positioning ourselves to find funding to take on more of these projects and we are going to need our member institutions, we are going to need our advisory panel. This is exactly what we need to be doing not only to move our own DEIA efforts forward but to achieve health equity and dispel health disparities.”

A Collaborative Effort

On the staff side, AACP has joined CEO Action for Diversity & Inclusion, a CEO-driven initiative to advance DEIA efforts in the workplace. The group has served as a resource, giving AACP many topics, tools and workshops, such as a model for an April Day of Understanding, which AACP led with its staff. The day started with a series of kickoff discussions surrounding unconscious bias. Then staff broke off into smaller groups, giving individuals a more intimate space to share stories. “The real goal of that day, as its name states, was to think about how we understand DEIA-related concepts and how does that help us to better understand others who may be different than we are? That’s what diversity is all about,” Moore said. “The day was rich in terms of conversation, staff was engaged and now we can recommend this day to members as something they may want to do at their own institutions.”

We have revised two of the current oath’s statements and added one statement that is focused on diversity, equity, inclusion and justice. We wanted to make sure the statements were timeless so they will resonate with future pharmacists. We are inspired by how this will personally impact every student pharmacist coming into the profession now.

Rosie Walker

Ziegler, who leads the staff pillar of the DEIA committee, served as a panelist at a CEO Action workshop on building a diverse board, while Executive Vice President and CEO Dr. Lucinda Maine attended the annual summit for CEOs. AACP has also started holding lunch and learns for staff, the first one acknowledging Hispanic Heritage month.

The Encore EDI Institute, hosted by AACP and the University of Mississippi School of Pharmacy, will take place in early 2022. The inaugural institute drew more than 200 participants, exceeding expectations, and focused on developing EDI strategic plans. The second annual EDI Institute, a virtual event, will concentrate on implementing those plans.

Organizers are bringing back the student voices panel. Its resonance was powerful, as it reminded participants why they are doing this work and how it impacts student lives. Last year, one student shared that as the nation confronted racial injustice, there were some faculty members who made themselves available who said, ‘If you have any issues, feel free to come see me,’ but then there were other faculty members who reached out to students to check in on them. The student shared that there were maybe 12 underrepresented minorities in the class. “It’s great to have that open message of being welcoming, but it’s another level to take initiative to reach out personally because students may be apprehensive about reaching out themselves,” said Rosie Walker, AACP director of recruitment and diversity. “That was one story that stayed with me—actually reaching out to students as opposed to having them come to you.”

Walker, who leads the DEIA committee pillar focusing on external partners, was also involved with revising the oath of the pharmacist to be more inclusive of DEIA values. Walker served as the primary liaison for AACP in that joint effort with the American Pharmacists Association (APhA). Several town halls took place (one for APhA members, one for AACP members, one for students) to solicit feedback regarding the proposed changes. “We have revised two of the current oath’s statements and added one statement that is focused on diversity, equity, inclusion and justice,” Walker said. “We wanted to make sure the statements were timeless so they will resonate with future pharmacists. We are inspired by how this will personally impact every student pharmacist coming into the profession now.” Revisionists hope the oath will be available for the graduating class this May.

Walker emphasized that while AACP may be leading a number of DEIA initiatives, it takes the members to make it successful. “In order for our DEIA work to be effective and to impact change, this has to be a collaborative effort,” Walker said. “We cannot do this work without our members.”

Athena Ponushis is a freelance writer based in Ft. Lauderdale, Florida.