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Bridging the health care gap

As an immigrant child who arrived in the United States from Mexico not knowing a word of English, (COPH) alumna Melody Schiaffino鈥檚 early years were marked by challenges and adaptability. 

a womans headshot

Melody Schiaffino, PhD, MPH. (Photo courtesy of Schiaffino)

"I didn't speak any English,鈥 Schiaffino shared. 鈥淎nd before programs for English Language Learners in schools existed, I learned to grasp the language through the support of my compassionate kindergarten teacher.鈥

This experience exposed Schiaffino to the significance of effective communication, a lesson that continues to guide her work in public health.

Fast forward a few years and multiple grades and Schiaffino鈥檚 academic journey brought her to the University of Missouri, Columbia, where she earned two bachelor鈥檚 degrees鈥攐ne in interdisciplinary studies and another in Spanish language and literature. 

When looking at what the next chapter of her academic journey would look like, Schiaffino set her sights far from the cold Missouri weather. But it wasn鈥檛 just the warm sunshine that attracted her to USF. Schiaffino initially aspired to become a medical doctor, a dream she held since childhood. However, she said it didn鈥檛 take long for her educational journey to take an unexpected turn.

"I realized that I liked the idea of population health and epidemiology, specifically because it gave me a lot more bang for my buck. It let me affect greater groups of people, and as an immigrant, I felt the more I could do to help, the better." 

Schiaffino graduated in 2008 with a with a certification in because she said she really likes analysis and methodological thinking, although it wasn鈥檛 part of her original plan in public health. 

鈥淚 initially started as , but epidemiology just kept sucking me in,鈥 she said. 鈥淚 feel like life has a way of landing us in places that we couldn't have planned better ourselves.鈥

She decided to further her studies with a PhD in health services research at the University of Florida in 2014, where she explored the complex web of factors contributing to health disparities and inequities.

鈥淢y dissertation was about language in Florida鈥檚 hospitals,鈥 Schiaffino said. 鈥淭he idea was how to support our bilingual people who may not have formally learned their native tongue in school in their home country.鈥

two people in front of a display board

Schiaffino (left) presented her research at the 2023 International Society of Geriatric Oncology annual conference held in Valencia, Spain. (Photo courtesy of Schiaffino)

Today, Schiaffino lives in California and has combined all her experiences and learning into the multiple roles she now holds. 鈥淚 wear many hats,鈥 she said. 

Schiaffino is a tenured faculty member and an associate professor at San Diego State University's School of Public Health. She is also the youngest associate director  for equity, diversity and inclusion at the University of California, San Diego (UCSD) Moores  Comprehensive Cancer Center. And recently, Schiaffino served as a visiting faculty member in the College of Medicine that's attached to the UCSD Moores Comprehensive Cancer Center. 

In these roles, Schiaffino said she is actively working to promote equitable practices in health care.鈥淎ll of these roles work to improve equity, inclusion and access for low- income and minoritized Californians,鈥 she said. 鈥淏eing in these positions, I have an opportunity to really move the needle in that respect. It's a tremendous honor and I'm really excited.鈥

Schiaffino said her work on language diversity in health care has led to two main projects that she is currently working on. 鈥淭he Legacy Speakers project aims to harness the potential of bilingual individuals, particularly legacy speakers, to improve diversity in clinical trials,鈥 she said. 鈥淢y research also encompasses cancer and aging, focusing on identifying age-related risk factors in medical records through Artificial Intelligence.鈥

Schiaffino said her research has the potential to bridge the gap in treatment planning for older adults, particularly those with limited English proficiency.

鈥淲hat ends up happening is that older adults, especially those who can't communicate, are either undertreated or overtreated,鈥 she said. 鈥淔or example, the patient could be a healthy older adult, and they could actually take the full dose of treatment as regimented. Or, it could be communicated that the patient has some comorbidities and we should space out the treatments or make some modifications so that the patient isn鈥檛 overtreated, because then that could lead to some major adverse events.鈥

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Schiaffino (far right) with other USF alumnae, Reenal Doshi and Candace Webb, who both live in DC now. (Photo courtesy of Schiaffino)

For the future, Schiaffino鈥檚 looks to the programs she is involved in piloting. 

鈥淥ne of my big driving goals is to do geriatric oncology at UCSD鈥檚 Center of Excellence, but fully focused on limited English proficient and refugee populations, who are some of our highest risk groups.鈥

Looking back at her academic years at the COPH, Schiaffino said the connections she fostered at the college still touch her today.  

鈥淚 have so many people I'm still in touch with,鈥 she said. 鈥淚 think the connections that I made in the COPH program are probably some of the strongest. I still keep in touch with many of those folks.鈥

Schiaffino said the accreditation and rigor of the COPH program made a real impact as well.  鈥淓ven today, as I teach in a public health program and MPH program, I've used the COPH as a standard bearer of rigor for my students. I felt well prepared as a result of my experience and I want the same for those I teach,鈥 she said.

And she鈥檚 not stopping at helping only patients. Schiaffino has set her sights on being a beacon for others who are like her. 鈥淚 want to encourage fellow Latinas and underrepresented researchers,鈥 Schiaffino said. 鈥淚t is important to find the right mentors and believe in your own potential. As a single parent and being a Latina faculty, it is a major accomplishment for me and many Latino faculty to exist in the roles I have within a university setting.鈥


Fast Five

What did you dream of becoming when you were young?
Definitely a doctor.

Where would we find you on the weekend?
In my garden or taking my dogs to the beach or watching Korean dramas. 

What is the last book you read?
鈥淭he Lady Tasting Tea,鈥 by David Salsburg. 
What superpower would you like to have?
The ability to eat and not gain weight, or being able to sense where people are coming from, especially if they're grumpy.
What is your all-time favorite movie?
鈥淭he Breakfast Club鈥 and 鈥淭he Princess Bride鈥

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