EM2304F "Trustworthiness: Explaining and quieting the echoes of Tuskegee" (CTSA GR 232-022823)

UT Southwestern CTSA Program Community Engagement Grand Rounds Online

Purpose and Content

A tension between the “push” of research and the “pull” of community need prevents rapid translation of evidence into practice. Historically, academic institutions have perpetuated an approach that pushes out research results without adequate attention to community needs, i.e., the pull model (1, 2). In contrast, building on a long history of collaboration with key health systems like the Dallas County safety-net Parkland Health and Hospital Systems, UT Southwestern’s CTSA-funded Office of Community Health and Research Engagement strives to strike a balance between the “push” and the “pull” by ensuring bidirectional exchange of ideas, needs and expertise between community stakeholders and academic researchers. To foster patient-centered clinical and translational research, investigators need to understand how to identify community needs and priorities by using evidence-based approaches and best practices to optimize community stakeholder engagement at multiple levels.


1) Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research 

2) Beyond “implementation strategies”: classifying the full range of strategies used in implementation science and practice 

Target Audience

Physicians (MD and DO); Non-Physicians (PA, APN, Psy, RN); PhD level researchers. 

Learning Objectives

At the conclusion of this activity, the participant should be able to: 

  • At the conclusion of this activity, the participant should be able to: 

  • Differentiate trust from trustworthiness. 

  • Distinguish low levels of trust, mistrust, and distrust from one another. 

  • Assess participation in clinical trials and healthcare through a historical lens. 

  • Describe the importance of the US Public Health Service Study of Untreated Syphilis in the Negro Male for understanding medical help-seeking and clinical trial enrollment today. 

Course summary
Available credit: 
  • 1.00 AMA
  • 1.00 Attendance
Course opens: 
Course expires: 
UTSW CME Enduring Material Activity
United States

Course Director:

Robert Toto, MD

Associate Dean, Translational Science

Director, Center for Translational Medicine

Medical Director, UT Southwestern’s Multi-Specialty Clinic

Professor, Department of Internal Medicine (Nephrology)

UT Southwestern Medical Center

Dallas, TX



Derek M. Griffith, PhD 

Professor of Health Management & Policy and Oncology

Georgetown University 



In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Integrity and Independence in Accrediting Continuing Education, all persons in the position to control the content of an education activity are required to disclose all financial relationships in any amount occurring within the past 24 months with any ineligible company (any entity whose primary business is producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients).  UT Southwestern also considers ineligible those companies producing, marketing, selling, re-selling, or distributing healthcare products in development for future use on patients, such as healthcare product research companies. All reported financial relationships with ineligible companies are reviewed for relevancy and then mitigated through a content review process prior to the activity (where applicable). 


Course Director(s)

Heather Kitzman, PhD

has a financial relationship (Grant Or Contract) with Novo Nordisk;.

Farra Kahalnik

has no relevant financial relationships to disclose at this time.

Derek Griffith, PhD

has no relevant financial relationships to disclose at this time.


The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Physicians:                                                                                                                                                                                                                                      The University of Texas Southwestern Medical Center designates this live educational activity for a maximum of 1.0 AMA PRA Category1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Non-Physicians:                                                                                                                                                                                                                              The University of Texas Southwestern Medical Center certifies that non-physicians will receive an attendance certificate stating that they participated in the activity that was designated for 1.0 AMA PRA Category 1 Credit™.

Available Credit

  • 1.00 AMA
  • 1.00 Attendance


Please login or create an account to take this course.

Required Hardware/software

Activities should be run with recent versions of common browsers, including Internet Explorer, Firefox and Google Chrome