Socioeconomic status is a vital consideration for improving patient access to acute orthopaedic surgical care. Lower-income patients are more susceptible to multiple time-sensitive delays in their care, and these patients frequently encounter difficulties maintaining appropriate follow-up carex. We preliminarily assessed challenges to developing a telemedicine program at a specialty clinic in a public safety-net hospital serving a diverse population. Patients visiting a urology clinic were surveyed regarding potential follow-up telemedicine visits. A follow-up survey was performed during the COVID-19 pandemic to evaluate changing interest. Our pre-COVID study population consisted of 498 patients, speaking 17 primary languages; primarily, the population had MediCal or no insurance coverage (56.8%). Most had the capability to take part in telemedicine video calls (73.1%), though significantly fewer had the confidence (45.9%) or interest (51%). There was a distinct drop in capability, confidence, and interest with increasing age but not with preferred language. During the COVID-19 pandemic, we noted increased interest in non-traditional visits (n=100), with 79% stating they would repeat a non-in-person visit. Increasing interest in non-traditional visits during the COVID-19 pandemic suggests patient interest and confidence may be malleable.Increasing interest in non-traditional visits during the COVID-19 pandemic suggests patient interest and confidence may be malleable. In 2015, Tennessee enacted a law requiring a 48-hour wait and two clinic visits to obtain an abortion. Using data from a Tennessee clinic in 2016, we explore whether abortion seekers from the most economically disadvantaged ZIP codes and those who lived farther from the clinic were less likely to return for the abortion procedure at the second visit. Rates of non-return were 44%-91% higher among residents of neighborhoods in which ≥25% of the population was below federal poverty level, ≥25% of the female population was below federal poverty level, and median annual household income was <$35,000. Mean clinic distance was also consistently greater among those who did not return. Residents of the most economically disadvantaged ZIP codes may be disproportionately burdened by Tennessee's waiting period law, rendering them less able to return for the abortion procedure than residents of less economically disadvantaged ZIP codes. Furthermore, greater clinic distance may also impede access under this law.Residents of the most economically disadvantaged ZIP codes may be disproportionately burdened by Tennessee's waiting period law, rendering them less able to return for the abortion procedure than residents of less economically disadvantaged ZIP codes. Furthermore, greater clinic distance may also impede access under this law.An estimated one-fourth of people with HIV in the U.S. are coinfected with hepatitis C virus (HCV). We examined patient-related correlates of HCV screening and treatment in a convenience sample of 1,853 HIV-positive adults in Connecticut, Louisiana, New York, North Carolina, Pennsylvania, and Texas. Overall, 85.1% reported being screened for HCV, and 30.8% reported ever being offered treatment. In multivariate logistic regressions, greater HCV knowledge, lower HCV-related medical mistrust, older age, and prior substance use treatment were associated with higher screening and treatment likelihoods. For screening, Ryan White HIV/AIDS Program eligibility, having a high school education or less, and identifying as "other" race/ethnicity were additionally significant. Mistrust, which has arisen as a response to centuries of systemic racism, mediated the association between combined Black/Latino race/ethnicity and lower screening likelihood. We recommend patient-level (e.g., peer navigation) and provider interventions to integrate HCV screening and treatment into HIV care. The purpose of this manuscript is to evaluate the impact of the Remember the Removal (RTR) program, with specific emphasis on participants' experiences learning about and reacting to Cherokee history, including historical trauma. Two cohorts of intervention participants (1984 and 2015) participated in focus groups. An exploratory analysis was performed to categorize themes around the effects of historical training. Results yielded two themes and subsequent sub-themes 1) Reactions to Historical Learning confronting misrepresentation and erasure, mixed emotions, looking backwards, looking forwards, strengthening Cherokee identity; and 2) The Effects of Colonization emotional sides of historical loss, empowerment, resilience, and belonging, and addressing contemporary discrimination. Teaching tribally-specific historical events was related to increased thoughts about historical loss, an increased awareness of non-Native people's lack of historical knowledge about Native people and subsequent experiences of discrimination, but also an increased sense of tribal identity, resilience, and belonging.Teaching tribally-specific historical events was related to increased thoughts about historical loss, an increased awareness of non-Native people's lack of historical knowledge about Native people and subsequent experiences of discrimination, but also an increased sense of tribal identity, resilience, and belonging.Studies employing data collected over 15 years ago suggested salutary effects of postbaccalaureate (PB) premedical coursework on medical school class diversity, academic performance, and primary care training. The studies may have limited current applicability given changes in medical school admissions paradigms and population demographics. Using data from interviewees at >1 of 5 California public medical schools between 2011-2013 (N=3805), we examined associations of PB premedical coursework with underrepresented race/ethnicity; academic performance (United States Medical Licensing Examination Step 1 and Step 2 scores, clerkship Honors); and primary care residency. Adjusting for age, sex, and year, PB coursework was associated with underrepresented race/ethnicity, but not after further adjustment for self-designated disadvantage (SDA). selleck compound PB coursework was not associated with academic performance or primary care residency. Holistic consideration of SDA and UIM status in admissions coupled with robust matriculant support may merit exploration as an alternative to PB coursework for increasing medical school diversity.