Agents of Change: Geriatrics Workforce Programs Addressing Systemic Racism and Health Equity.

Many factors impact how individuals and populations age, including race, ethnicity and diversity, which can contribute to increased disease risk, less access to quality health care, and increased morbidity and mortality. Systemic racism - set of institutional policies and practices within a society or organization that perpetuate racial inequalities and discrimination - contributes to health inequities of vulnerable populations, particularly older adults. The National Association of Geriatrics Educators (NAGE) recognizes the need to address and eliminate racial disparities in healthcare access and outcomes for older adults who are marginalized due to the intersection of race and age. In this paper, we discuss an anti-racist framework that can be used to identify where an organization is on a continuum to becoming anti-racist and to address organizational change. Examples of NAGE member Geriatric Workforce Enhancement Programs (GWEPS) and Geriatrics Academic Care Awardees (GACA) activities to become anti-racist are provided to illustrate the framework and to guide other workforce development programs and healthcare institutions as they embark on the continuum to become anti-racist and improve the care and health of vulnerable older adults.