Tom Sequist, MD, MPH, is the Chief Medical Officer at Mass General Brigham. He oversees system-wide strategies for improving patient and clinician experiences, quality, safety, equity, pharmacy, and community health. He is a practicing general internist at Brigham and Women’s Hospital and is a Professor of Medicine and Professor of Health Care Policy at Harvard Medical School. Dr. Sequist’s research interests focus on quality measurement and improvement, health care equity, patient and provider education, and the innovative use of health information technology.
Dr. Sequist grew up in New York though his family was originally from New Mexico. He is a member of the Taos Pueblo American Indian tribe. They moved to New York for his father’s work. Once Dr. Sequist finished high school, his family returned to New Mexico. He and his wife matched to the Brigham Internal Medicine Residency together and trained in the Harvard Vanguard/Atrius track.
Dr. Sequist loved residency. He loved being in the thick of things and learning all about medicine. He was also training during the computer boom of the late 1990s and used his bachelor of science degree in chemical engineering that he received from Cornell University to attempt to integrate the use of computers into today’s health care system. Since he always loved data sheets and workflows, it was an exciting time to be able to see the outcomes that could be implemented with the use of computers. And though he loved helping to modernize the health care industry he also always remembered his roots and where he came from.
Some mentors of Dr. Sequist during training were Marshall Wolf, MD, Patrick T. O’Gara, MD, James C. Fang, MD, FHFSA, Frederic S. Resnic, MD. John Ayanian, MD, David W. Bates, MD, Thomas H. Lee, Jr., MD, and David D. Potter, PhD.
It was during the summer before starting medical school at Harvard that Dr. Sequist began working to inspire and motivate other young American Indians to follow the same pathway that he did. With the encouragement of Dr. Potter, Dr. Sequist worked with other Native students to create the Four Directions Summer Research Program, which is a program designed for American Indian College students who are interested in pursuing a career in Medicine.
Dr. Sequist originally thought once he completed training that he would return to New Mexico and care for the people of the Taos Pueblo tribe. At the same time, Dr. Potter encouraged him to explore the field of health policy. This way he could see how his work would directly impact and assist the American Indian population on a grander scale.
When thinking about the equity movement that started in the late 90s, the results were often about disparities between the White/Black/Asian communities. There was sometimes a category called “other” or a small footnote that read “American Indians excluded due to small sample size.” There has never been and continues to be a distressingly small number of research studies centered around the health status of American Indians.
When Dr. Sequist began his journey into health equity, Dr. Ayanian was incredibly supportive while also pointing out that he would have to do most of the footwork in the field to find the data focused on American Indian health care outcomes. Dr. Sequist eagerly accepted the challenge and continues his work in attempting to alleviate the disparities in the American Indian communities.
A study published by the CDC in 2023 showed that the American Indian population suffered the greatest loss of life during the COVID Pandemic and that the average life expectancy of the American Indian population is to the age of 65. Dr. Sequist sees these glaring, off the record disparities for the American Indian population and is determined to be a catalyst of change.
His work with the Four Directions Summer Research Program at Brigham and Women’s Hospital and his role as the Medical Director of the Brigham and Women’s Hospital Physician Outreach Program with the Indian Health Services are only some of many ways that he hopes to tackle and change the massive disparities that affect the American Indian population to this day.
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