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DSC Team

Alexander R. Green, MD, MPH
Associate Director, The Disparities Solutions Center
Senior Scientist, Mongan Institute for Health Policy
Arnold P. Gold Associate Professor of Medicine and Co-Chair, Cross Cultural Care Commitee, Harvard Medical School

Dr. Green is Associate Director at the Disparities Solutions Center at Massachusetts General Hospital and Assistant Professor at Harvard Medical School. He has authored articles on topics including cross-cultural education, culturally competent health care systems, and language barriers and interpreters, and has presented his work widely. Dr. Green has been involved in a variety of research projects on racial/ethnic disparities in health and cultural competence and his research has been funded by RWJF, The Commonwealth Fund, NIH, and HCFA (now CMS). He has served on several expert panels and advisory boards including JCAHO's Hospitals, Language and Culture project. He helped produce and implement a documentary film and education project called Worlds Apart, designed to teach health professionals to better care for patients across cultural divides. This is currently used by several hundred organizations around the country. His current research and programmatic interests focus on culturally competent approaches to quality improvement, clinician biases as root causes of racial/ethnic disparities in health care, and cultural competence education for health professionals.

Dr. Green received his Bachelor of Science and medical degree from the University of California, San Diego, and completed his residency training in internal medicine at the New York Hospital—Cornell Medical Center. He joined the faculty at Cornell where he
completed a National Health Services Corps fellowship at a community health center in Queens, New York and developed a teaching curriculum in cross-cultural medicine. He served as Associate Director of the Primary Care Internal Medicine Residency Program at Cornell and Assistant Professor of Medicine. In 2005 he completed a mid-career research fellowship and Masters degree in Public Health at Beth Israel Deaconess Medical Center and Harvard School of Public Health.

Selected Publications

1. Park ER, Chun MB, Betancourt JR, Green AR, Weissman JS. Measuring Residents’ Perceived Preparedness and Skillfulness to Deliver Cross-cultural Care. J Gen Intern Med. 2009 Jun 26.

2. Percac-Lima S, Grant RW, Green AR, Ashburner JM, Gamba GB, Oo S, Richter JM, Atlas SJ. A Patient-Tailored Navigator Program for Colorectal Cancer Screening in a Community Health Center: A Randomized Controlled Trial. J Gen Intern Med. 2009; 2: 211-7.

3. Green AR. The globalization of cross-cultural medical education and patient-centered care. Bratisl Lek Listy. 2008;109(5):238.

4. King RK, Green AR, Tan-McGrory A, Donahue EJ, Kimbrough-Sugick J, Betancourt JR. A plan for action: key perspectives from the racial/ethnic disparities strategy forum. Milbank Q. 2008 Jun;86(2):241-72.

5. Green AR, Peters-Lewis A, Percac-Lima S, Betancourt JR, Richter JM, Janairo MP, Gamba GB, Atlas SJ. Barriers to screening colonoscopy for low-income Latino and white patients in an urban community health center. J Gen Intern Med. 2008 Jun;23(6):834-40. Epub 2008 Mar 19.

6. Ming-Jung Ho, Keng-Lin Lee, Alexander R. Green. Can Cultural Competency Self-Assessments Predict OSCE Performance? Medical Education. Med Educ 2008; 42: 525.

7. Pallin DJ, Goldstein JN, Moussally JS, Pelletier AJ, Green AR, Camargo CA. Seizure visits in US emergency departments: epidemiology and potential disparities in care. Int J Emerg Med 2008; 1: 97–105.

8. Ho MJ, Yao G, Lee KL, Beach MC, Green AR. Cross-cultural medical education: can patient-centered cultural competency training be effective in non-Western countries? Med Teach. 2008;30(7):719-21.

9. Green AR, Betancourt JR, Park ER, Greer JA, Donahue EJ, Weissman JS. Providing culturally competent care: residents in HRSA Title VII funded residency programs feel better prepared. Acad Med. 2008 Nov;83(11):1071-9.

10. Greer JA, Park ER, Green AR, Betancourt JR, Weissman JS. Primary care resident perceived preparedness to deliver cross-cultural care: an examination of training and specialty differences. J Gen Intern Med. 2007 Aug;22(8):1107-13. Epub 2007 May 22.

11. Miller E, Green AR. Student reflections on learning cross-cultural skills through a 'cultural competence' OSCE. Med Teach. 2007 May;29(4):e76-84.

12. Green AR, Miller E, Krupat E, White A, Taylor WC, Hirsh DA, Wilson RP, Betancourt JR. Designing and implementing a cultural competence OSCE: lessons learned from interviews with medical students. Ethn Dis. 2007 Spring;17(2):344-50.

13. Green AR, Carney DR, Pallin DJ, Ngo L, Raymond K, Iezzoni LI, Banaji MR.  The Presence of Implicit Bias in Physicians and its Prediction of Thrombolysis Decisions For Black and White Patients. J Gen Intern Med 2007; 22:1231-1238.

14. Green AR, Betancourt JR, Carrillo JE. "Communicating Across Cultures: A Patient-Based Approach to Caring for Immigrants." In: Walker and Barnett: Immigrant Medicine: A Comprehensive Reference for the Care of Refugees and Immigrants. Elsevier; 2006.

15. Betancourt JR, Green AR, Carrillo JE. "Cultural Competence: Health Care Disparities and Political Issues." In: Walker and Barnett:  Immigrant Medicine: A Comprehensive Reference for the Care of Refugees and Immigrants; Elsevier; 2006.

16. Betancourt JR, Green AR, Carrillo JE. Cross-Cultural Care: A Patient-Based Approach. In: Up to Date Online. www.uptodate.com. Burton D. Rose, Joseph M. Rush, Eds. 2006

17. Green AR, Ngo-Metzger Q, Legedza AT, Massagli MP, Phillips RS, Iezzoni LI. Interpretation, Language Concordance, and Quality Healthcare: Experiences of Asian Americans with Limited English Proficiency. J Gen Intern Med 2005; 20:1050-6.

18. Betancourt JR, Green AR, Carrillo JE. Cultural Competence, Quality, and Disparities in Health Care: Recent Trends and Key Perspectives from Managed Care, Government, and Academia. Health Affairs 2005; 24:499-505.    

19. Betancourt JR, Green AR, Carrillo JE, Park ER. Cultural competence and health care disparities: key perspectives and trends. Health Aff (Millwood). 2005 Mar-Apr;24(2):499-505.

20. David SP, Taylor JS, Monroe A, Goldman R, Green AR, Boss J, Sagaties D. Evaluation of an Educational Intervention for Medical Students to Promote Competency in Social and Community Determinants of Health. Annals of Behavioral Science and Medical Education 2004; 10:68-73.

21. Betancourt JR, Carrillo JE, Green AR, Maina A. Barriers to health promotion and disease prevention in the Latino population. Clin Cornerstone. 2004;6(3):16-26; discussion 27-9.

22. Betancourt JR, Green AR, Carrillo JE. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in medical care. Public Health Reports 2003; 118:293-302.

23. Green AR. The human face of health disparities. Public Health Reports 2003; 118:303-8.

24. Green AR, Carrillo JE, Betancourt JR. Integrating social factors into cross-cultural medical education. Acad Med 2002; 77:193-197.

25. Green AR, Betancourt JR, Carrillo JE. Providing Culturally Competent Care in the Hospital Setting. In: A Guide to Hospitals and Inpatient Care. Siegler E, Mirafzali S, Foust J, editors. New York: Springer; 2002.

26. Green AR, Carrillo JE, Betancourt JR. Why the disease-based model of medicine fails our patients. West J Med 2002; 176:141-143.

27. Betancourt JR, Green AR, Carrillo JE. The challenges of cross-cultural healthcare--diversity, ethics, and the medical encounter. Bioethics Forum. 2000 Fall;16(3):27-32.

28. Betancourt JR, Carrillo JE, Green AR. Hypertension in multicultural and minority populations: linking communication to compliance. Curr Hypertens Rep. 1999 Dec;1(6):482-8.

29. Carrillo JE, Green AR, Betancourt JR. Cross-cultural primary care: a patient-based approach. Ann Intern Med 1999; 130:829-834.           

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