I am primarily a clinician educator based at the San Francisco General Hospital in Pediatrics. I have an interest in procedural education, and resident education in particular. In my former role as Interim Director of the Infant Care Center, I became particularly passionate about the interface of families impacted by Substance Use Disorder (SUD) and the newborn. We have racially disparate CPS referral rates in California with SUD and multi-generational systemic racism the largest factors. We have an opportunity to review our practices and consider whether our policies are "baking in" systems that have long been understood to be biased. Social Determinants of Health are perhaps the most powerful influence, and the ones we are least equipped to influence. My current focus is on building relations with community based organizations and allies in our system of care to leverage existing resources in support of our nascent families that have been failed by our society. Pregnancy can be a tumultuous but motivating time, and I believe that with innovation and transparency, we can break the cycle of trauma and empower families.