Health Equity

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Being a physician in the District in the 21st century means being on the front line of the most pressing public health issues in the world. In our small geographic boundaries, physicians help address issue found in every state all in one area. The issues are too lengthy to list on one webpage but physicians are on the front lines of addressing health issues for all District residents.

News, Statements, and Testimony on Health Equity Issues

25th Council session information coming soon.

 

MSDC Member Dr. Zelivianskaia: From Moscow to Nebraska

Mar 15, 2022, 09:00 AM by Aimee O'Grady
A relocation from Moscow, Russia to Bellevue, Nebraska sparked a passion in anthropology for Dr. Anna Zelivianskaia

Dr Z

Only bits and pieces from her early childhood years remain in Dr. Zelivianskaia’s memory of Moscow. Having been back several times as an adult, she can attest to the city’s beauty, charm, culture, and varied history.

When she was only eight years old, her father, who worked as a medical center scientist, relocated the family from Moscow to the Midwest state of Nebraska. Although the culture shock was significant, she had a good support system while she settled. “Thankfully, I had a wonderful third grade teacher who took me under her wing and gave me the attention I needed to learn English and get up to speed with my classmates,” she recalled.

Six years later the family moved again to Chicago. “I lived in a culturally diverse community in the north suburbs of Chicago,” she said. 

With scientists in her family, she knew early on that she was going to pursue medicine during her undergraduate studies at the University of Chicago. “I remember flipping through the course book to see what interested me. Initially, I was most drawn to biology and focused on that for several years before adding a double major in anthropology, which really broadened my perspective,” said Dr. Zelivianskaia. 

Her studies awoke a passion for public health and how to address health disparities. Her focus soon narrowed to medical anthropology, which is the study of how health and illness are shaped culturally, which she then applied to the public health field. “We cannot treat and improve health if we are not looking at the factors that influence it,” she explained.

Throughout her career, Dr. Zelivianskaia has taken great care to address the cultural nuances of her patients. “In older Asian families, for example, the whole family may be in the exam room and regardless of who the patient is, the doctor needs to be culturally sensitive and deduct whether it is most appropriate to address the oldest family member in the room, the patient themself, or another member,” she explains.

Dr. Zelivianskaia will become an attending this summer when she finishes her fellowship. She then hopes to open her own OBGYN practice and welcome new patients. 

Dr. Zelivianskaia satisfies her continued interest in anthropology with travel. “I love to study different cultures and different settings. Travelling gives me a fresh perspective,” she said adding, “It is also a great way to reset.”

She and her husband, Jean Paul, have travelled to Lisbon, throughout Spain, and spent time in Iceland this past December. 

At home they enjoy soaking up local culture from their Adams Morgan home. “We love the D.C. museums and food scene,” she said.

During COVID she and her husband, Jean Paul, started painting large paint-by-number canvasses. “I tried a lot of things during COVID, painting and sour dough bread were two that stuck. We also spent a lot of time looking for board games for just two players,” she said. Two of their favorites are Harry Potter Hogwarts Battle and the tile game Azul.

Dr. Zelivianskaia joined the Medical Society of Chicago early in her residency and continued her membership with MSDC when she relocated to the District. “I love the networking, connections, and resources MSDC offers,” she said. She finds the mentorship important for early career physicians, “it really helps to combat burnout” she said. 

While Dr. Zelivianskaia plans her next travel adventure, she and her husband are happy at home with their Beagle/Border Collie rescue dog, Madden. Adopted in January 2020, Madden is living the good life, never having been left home alone. 


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Sample of Health Equity Legislation MSDC Tracked 

 

Student Access to Treatment Amendment Act (B23-467)

What does it say? The bill allows for the administration of medicinal marijuana in schools as well as allows students to bring sunscreen to schools and apply it without a prescription.

MSDC position: MSDC supports the language permitting sunscreen application in schools

Current status: A win for DC physicians and public health! The legislation passed the Council in February and was signed by the Mayor. Previous temporary and emergency legislation permitted students to use sunscreen at schools this school year already.

Electronic Medical Order for Scope of Treatment Registry Amendment Act (B23-261)

What does it say? The bill requires DC Health to establish an electronic Medical Order for Scope of Treatment registry (eMOST).

MSDC position: MSDC supports this legislation to more easily allow patients to make their treatment orders known.

Current status: A win for the physician community and our patients! The Council passed the bill in December and the Mayor signed it into law on January 16, 2020.

Healthy Beverage Choices Amendment Act (B23-495)

What does it say? The bill would implement a 1.5 cent per ounce tax on the distribution of "sugary" beverages. The money collected from the tax would establish a Healthy People, Healthy Places Open Spaces Grant Program.

MSDC position: MSDC sent a letter to Council Chair Mendelson asking for a hearing to discuss all of the issues around a beverage tax.

Current status: The bill was introduced October 8, 2019 and referred to the Committee on Business and Economic Development and the Committee of the Whole.