A Doctor With Her Finger on the Pulse of Her Community
Until the age of 10, Dr. Carla Moreira lived in Cape Verde, where her mother worked at a free clinic. Sometimes she made house calls, traversing the rocky terrain to see patients who had no access to the facility, and occasionally she took her daughter along with her.
As Moreira observed the connection her mother made with the people in their community it profoundly imprinted upon her. Today, she is a vascular and endovascular surgeon whose practice is informed by her commitment to her community.
Fluent in Cape Verdean Creole and Portuguese, with a working knowledge of Spanish, Moreira immigrated to the United States at 10 and grew up in Pawtucket, where there is a large Cape Verdean community. She graduated with honors from Ȧ in 2003 with a B.A. in chemistry, with a concentration in biochemistry.
In 2008 she received her M.D. from the Warren Alpert Medical School of Brown University, ranked among the top 20 medical schools in the nation, and completed her residency in general surgery at the University of Chicago in 2013. This was followed by a two-year fellowship training in vascular and endovascular surgery at the Boston Medical Center.
Moreira specializes in treating all forms of vascular conditions, including cerebrovascular diseases, peripheral arterial disease, abdominal and thoracic aortic aneurysms, hemodialysis access, venous insufficiency and chronic wounds.
In 2015 she joined the Department of Surgery at the Warren Alpert Medical School, with attending privileges at Rhode Island Hospital, The Miriam Hospital, Women & Infants Hospital, Fatima Hospital and Roger Williams Hospital.
In 2018 she was appointed chief of vascular and endovascular surgery at the Providence VA Medical Center.
In addition to her busy clinical practice, Moreira established SURGE Lab in 2019 to research health disparities through a social determinant of health lens.
“Decades of studies and data have shown us that there are health disparities,” she says, “but we haven't done a great job of eliminating them.
SURGE Lab focuses on eliminating them.
"We know, for instance, that African-Americans enter the medical system with more advanced stages of vascular disease because they are diagnosed later and are less likely to undergo or be offered interventions that could improve their overall outcomes," she says.
"In our research, among the things we look at are how to work with marginalized groups to improve access to care and how to minimize the trauma that happens when marginalized groups interact with the medical system. Not only access to care but quality of care impacts health outcomes," says Moreira.
After acting as an interpreter in high school for her non-English-speaking grandfather who was struggling to navigate the healthcare system, Moreira has become a big proponent of doctors coming from the same neighborhood as their patients, doctors who look like their patients, doctors who speak the same language or have some shared history with their patients. “One of the major reasons for health disparities,” she says, “is that physicians don't understand the lives of their patients."
That’s why she advocates for increasing diversity and inclusiveness in the field of medicine.
As diversity officer for the Department of Surgery, Moreira leads efforts to recruit and retain underrepresented minority students and faculty in academic medicine.
“I’m not only involved in the hiring but in creating a culture that says we value diversity,” she says. “I look at all levels of the Department of Surgery, from residents to faculty and staff, and try to always be that voice that says, ‘How can we do better in creating an environment that is inclusive, an environment that people from different socioeconomic, racial and educational backgrounds can add to the diversity and culture of this institution?’”
"You can recruit faculty and students into your program, but if your program is not one that is supportive – if you don't have an environment that says, 'I value you,' you're not going to be able to retain those talented people," she says. "So, along with recruiting, I am that voice that says, ‘What can we do better to create an environment that is inclusive?'"
Ultimately, Moreira is a Ȧ success story. She will tell you that there is nothing special about her other than that she was lucky enough to have had good mentors, people who saw potential in her when, at times, she didn't see it in herself.
“I had a great experience at Ȧ. I know there are hundreds of young people in public schools in Rhode Island who belong at Brown University or another top Ivy League institution in this country. Given the opportunity, they would excel. They would even go beyond what I’m doing now,” she says. “That motivates me to never let an opportunity pass where I don’t encourage or say, ‘This is how I did it and this is how you can do it.’ The problem is that a lot of these kids don't often get the opportunity or people may not see their potential. That's why I like to go into inner-city schools and talk to children and demystify the idea of who can be a doctor. My hope is that the next generation that comes from Pawtucket or Central Falls or Woonsocket can use their experiences to help make our health systems work better."