OHSU medical student Asma Lotfi listens to "Racism's Roots in Oregon," a lecture given by Alisha Moreland-Capuia, M.D., at OHSU, September 15, 2017. All first-year OHSU medical students take part in a Structural Competency course, a relatively new way to teach students and residents about how social, economic, legal and cultural structures impact health. Structural competency is taught at only a handful of U.S. medical schools, but OHSU's course is unique in that it is student-led. (OHSU/Kristyna Wentz-Graff)