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August 13, 2020
Structural Racism and Anti-Blackness in Medicine
are Unacceptable and Must Be Addressed


Recent events in the US have included protests against the brutality meted out to Black Americans by the criminal justice system, and exposure of the disparate impact of the COVID-19 pandemic on communities of color engendered by social and economic inequality, with its consequences for housing and health care. These events have sparked a long-overdue societal examination of the impact of structural racism. Certainly, the Wang N article, entitled "Diversity, Inclusion, and Equity: Evolution of Race and Ethnicity…" published March 2020 in JAHA is horribly incorrect, harmful, and promotes racial discrimination. In the process, issues of "white privilege" and implicit bias cry out for attention by all citizens, and the hope for redress has again been enkindled. Medical education and postgraduate training are areas in special need.

In this spirit, the Association of Black Cardiologists issues a call to our professional colleagues to participate with us in activities and approaches that seek to enhance awareness of structural problems and to embark on specific corrective strategies. Though medical education and postgraduate training have their own special needs, the ultimate goal is to improve the health status - cardiovascular and total - of Black Americans and other disadvantaged minorities by actions that improve access to and use of high-quality health care.
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News From Medscape
The following recommended articles on Medscape.com are freely available through the partnership between ABC and Medscape, no registration or login required.




Items of Interest


VIDEO | Common Threads Leads Discussion On Social Determinants of Health
To better understand the health disparities minority communities face, Common Threads hosted a virtual panel discussion attended by 140 participants on Aug. 10 entitled, “The Social Determinants of Health: An Examination and Discussion about Food Access, Nutrition and Obesity.” Moderated by Common Threads co-founder and CEO Linda Novick O’Keefe, panelists included Dr. Garth Graham, a cardiologist and vice president and chief community health officer from CVS Health as well as three other Black physicians and public health experts.
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AHA, Editors, and Cardiologists Ask: How Did 'Racist' Paper Make It to Print?
A new “white paper” arguing against affirmative action has drawn blistering criticism from the cardiovascular community, including the American Heart Association (AHA), which is now investigating how the article came to be published in the first place.
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Op-Ed | Medicare and Medicaid Led a Racial Justice Revolution in Health Care
On the 55th anniversary of Medicare & Medicaid, cardiologist Dr. Bernard Ashby exams the impact of Medicare and Medicaid on healthcare desegregation. Dr. Ashby also offers recommendations on how to address remaining barriers to access and social determinants of health outcomes.
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MACE Risk After PCI Higher for Black vs. White Patients
Black race independently predicted worse outcomes after PCI, according to an analysis of 10 randomized trials that included Black, white, Asian and Hispanic patients. The analysis, which was published in JACC: Cardiovascular Interventions, found that Black, Hispanic and Asian patients enrolled in these trials had more comorbidities compared with white patients. (See the featured member section to learn more about this study, “Prognostic Impact of Race in Patients Undergoing PCI: Analysis From 10 Randomized Coronary Stent Trials,” co-authored by Roxana Mehran, MD.)
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Perspective by Chima Nwaukwa, MD, FACC
The impact of race on CV care and outcomes has been well established in multiple studies. These observed differences have largely been explained by the distribution of CV risk factors in different populations as well as issues related to access to care. This study (referenced above) by Golomb et al highlights the impact of race on patients undergoing PCI, that shows a patient’s race as a prognostic marker above and beyond the traditional risk factors and access to care issues.
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Featured Articles by Members
ABC Members: We welcome your published research submissions and articles for inclusion in future issues of Clinical Updates and Insights. Email Rachel Williams at rwilliams@abcardio.org and please attach file or include links to the original published work and/or abstract.


An Artificial Intelligence-Enabled ECG Algorithm to Identify Patients with Left Ventricular Systolic Dysfunction Presenting to the Emergency Department with Dyspnea
Co-authored by Demilade Adedinsewo (with Rickey E. Carter, Zachi Attia, Patrick Johnson, Anthony H. Kashou, Jennifer L. Dugan, Michael Albus, Johnathan M. Sheele, Fernanda Bellolio, Paul A. Friedman, Francisco Lopez-Jimenez, and Peter A. Noseworthy
Identification of systolic heart failure among patients presenting to the emergency department (ED) with acute dyspnea is challenging. The reasons for dyspnea are often multifactorial. A focused physical evaluation and diagnostic testing can lack sensitivity and specificity. The objective of this study was to assess the accuracy of an artificial intelligence-enabled electrocardiogram (AI-ECG) to identify patients presenting with dyspnea who have left ventricular systolic dysfunction (LVSD).
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Cultivating Empathy Through Virtual Reality: Advancing Conversations About Racism, Inequity, and Climate in Medicine
Co-authored by Robert O. Roswell, MD and Jennifer H. Mieres, MD (with Cogburn, Courtney D. PhD; Tocco, Jack PhD, MPH; Martinez, Johanna MD; Bangeranye, Catherine PhD; Bailenson, Jeremy N. PhD; Wright, Michael EdD; Smith, Lawrence MD)
In 2019, the Zucker School of Medicine and Northwell Health piloted a virtual reality (VR) racism experience as a component of professional development for medical school and health system leaders, faculty, and staff. Participants experienced a 60-minute, interactive, large-group session on microaggressions and, as individuals, a 20-minute VR module.
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Prognostic Impact of Race in Patients Undergoing PCI: Analysis From 10 Randomized Coronary Stent Trials
Co-authored by Roxana Mehran (with Mordechai Golomb, Björn Redfors, Aaron Crowley, Pieter C. Smits, Patrick W. Serruys, Clemens von Birgelen, Mahesh V. Madhavan, Ori Ben-Yehuda,, Martin B. Leon and Gregg W. Stone)
Data on race-based outcomes after percutaneous coronary intervention are limited, deriving mainly from registries and single-center studies. The aim of this study was to assess race-based differences in patients undergoing percutaneous coronary intervention from a large pooled database of randomized controlled trials.
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Become an ABC Member or
Continue Your Investment in 2020 Today!

The ABC is here for you! We value our ABC members so we strive to offer benefits and rewards that are essential to your career advancement and patient education.

Help us continue our growth and further our commitment to "Promote the Prevention and Treatment of Cardiovascular Disease, including Stroke, in Blacks and other Minorities and to Achieve Health Equity for all through the Elimination of Disparities."

If you have not activated your 2020 membership, we encourage you to renew today! Not a member? We welcome you to join our ABC family!

To join/renew online, click here or remit payment by mail to Association of Black Cardiologists, Inc. – 2400 N Street, NW, Suite 200, Washington, DC 20037.

We LOVE to LEARN how our ABC Members are making a difference! Please Share. Giving a keynote speech? Presenting at a Grand Round? Receiving an Award? Interviewed by the Press? Published in a journal? Presenter or Panelist at a Conference? Graduating? Email Rachel Williams at rwilliams@abcardio.org or please tag or DM us on Facebook, Twitter or Instagram with links/details, so we can spotlight your excellence in our newsletter!


Announcements

NEW FELLOWS DESIGNATION

Congratulations! to the following ABC Members who can now add
the Fellow designation to their professional credentials.



Sheila Sahni, MD, FACC, FSCAI

2020 NMA Top Healthcare
Professional Under 40!


Congratulations to Dr. LaPrincess Brewer for being the 2020 recipient of the National Medical Association's Post-graduate section’s “Top Healthcare Professional Under 40” award for "exemplifying the ideals of the NMA and showing special dedication to your community during the COVID-19 pandemic."

Yale New Haven Hospital Names Churchwell First Black President

Congratulations to Dr. Keith Churchwell, chief operating officer of Yale New Haven Hospital, for being named as the next president of the Yale New Haven Hospital (effective Oct. 5). Dr. Churchwell will be the first Black president of the hospital and was chosen after a national search.

Now Accepting Applications
Dr. Richard Allen Williams Scholarship
for Medical Students


Dr. Williams The Association of Black Cardiologists, Inc. (ABC) is pleased to announce the Dr. Richard Allen Williams Scholarship for African American and other minority 1st or 2nd year medical students who show promise in medical research, cardiology and academic medicine. This scholarship honors Richard Allen Williams, MD, FACC, FAHA, founder of the Association of Black Cardiologists and was created to promote diversity in medicine, encourage commitment to eliminating health care disparities and support future cardiologists, while helping to alleviate medical student debt.

$5,000 scholarships will be awarded to recipients in honor of Dr. Richard Allen Williams. Winners will be announced by September 25, 2020.

Awards are based upon the following criteria:
  • Demonstrated ability, interest, and participation in the promotion of health for the African American community
  • Participation in research or other extracurricular activities, demonstrated academic pursuits and clinical acumen
  • Proven leadership during his or her academic pursuits
Applicants should submit the following documents electronically via our online form:
  • A one-page statement of interest
  • Official medical school transcript
  • Recent curriculum vitae
  • Two letters of recommendation from a professor at current medical school
Questions: Katrese Phelps McCullum at kphelps@abcardio.org.

Deadline to submit: August 28, 2020

APPLY ONLINE

Job Opening | Non- Invasive Cardiologist | Mount Vernon/Alexandria, VA

The Inova Heart and Vascular Institute is seeking a board-certified/eligible Non-Invasive Cardiologist for our Mount Vernon/Alexandria location. Inova Cardiology comprises an elite team of board-certified cardiologists providing the highest level of comprehensive care to help patients achieve heart and vascular wellness.

Our world-class physicians provide quality and experienced care using the most advanced diagnostic procedures and treatments. Inova Cardiology physicians create customized care plans for each patient’s unique needs to deliver highly personalized care to help patients achieve improved heart and overall health.

The non-invasive cardiologist will support our Mount Vernon and Alexandria Hospital locations.

Inova Alexandria Hospital: Our heart specialists use advanced technologies to provide cardiac patients with services that include evaluation, diagnosis, treatment, education, and rehabilitation. Our diagnostic and treatment capabilities include cardiac catheterization, electrophysiology, and cardiovascular magnetic resonance.

Inova Mount Vernon Hospital: Offers an array of interventional radiology and other cardiac services including cardiac stress tests.

Inova is a not-for-profit healthcare system based in Northern Virginia that serves more than 2 million people each year from throughout the Washington, DC, metro area, and beyond. Inova is a comprehensive network of hospitals, outpatient services and facilities, primary and specialty care practices, and health and wellness initiatives.

Qualifications
  • MD from an accredited university medical school.

  • Board eligible or board-certified in cardiology.

  • Credentialed in echocardiography and nuclear cardiology with skills in interpreting carotid and peripheral vascular non-invasive studies.

  • Current Virginia state medical license and DEA preferred.

  • Ability to achieve full and unrestricted hospital privileges at Mount Vernon and Alexandria Inova hospitals.
This is a full-time position with competitive compensation and benefits, including medical, dental, vision and life insurance, as well as defined contribution retirement plans.

Interested applicants should email or send CV to: Allison.Spindle@inova.org.

JOB INFO

The Office of Minority Health (OMH) and the Office of the Assistant Secretary for Health announced the Reducing Cardiac Arrest Disparities Through Data Registries Initiative. This initiative supports demonstration projects to show whether participation in an out-of-hospital cardiac arrest (OHCA) registry using standard data collection tools and data infrastructure supports the: (1) identification of racial and ethnic minority and/or disadvantaged populations experiencing cardiac arrest; and (2) implementation of evidence-informed interventions to improve cardiac arrest survival rates. If your organization has questions about applying for the OMH new funding opportunity to improve cardiac survival rates in racial and ethnic minorities? View a technical assistance webinar on the OMH YouTube channel.

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HHS Provider Relief Fund Phase 2 General Distribution
Now Accepting Additional Applicants

On July 31, 2020, HHS announced that certain Medicare providers would be given another opportunity to receive additional Provider Relief Fund payments. These are providers who previously missed the June 3, 2020 deadline to apply for additional funding equal to 2 percent of their total patient care revenue from the $20 billion portion of the $50 billion Phase 1 General Distribution, including many Medicaid, Children's Health Insurance Program (CHIP), and dental providers with low Medicare revenues. In addition, certain providers who experienced a change in ownership, making them previously ineligible for Phase 1 funding, will also be given an opportunity to apply for financial relief. Eligible providers may now submit their application exit disclaimer icon for possible funds by August 28, 2020.

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Upcoming Events



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The National Institute of General Medical Sciences (NIGMS) will host an informational webinar about the National Institute of Health’s (NIH) Maximizing Opportunities for Scientific and Academic Independent Careers (MOSAIC) program on Tuesday, August 18 at 1 PM ET. You can also read more about the MOSAIC program in a recent post on the NIGMS Feedback Loop Blog, as well as see answers to Frequently Asked Questions.

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WEBINAR: “The American Kidney Fund (AKF) and Kidney Disease”

This webinar will highlight the lack of perceived risk of chronic kidney disease among the U.S. population, low knowledge of effective preventions, the disconnect between diabetes and hypertension as top causes, early stages not detected due to lack of symptoms and testing only in late, irreversible stages. Additionally, this webinar will convey the importance of outreach education to communities at risk to improve outcomes related to prevention, early detection, and effective treatment.
Tuesday, August 25, 2020
2:00 PM – 3:00 PM EST | 1:00 PM – 2:00 PM CST

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Removing the Barriers: It’s Time for a Check Up from the Neck Up

AFA’s free workshop is an opportunity to improve the care of people living with Alzheimer’s disease and related dementias and cognitive impairments. This Continuing Medical Education (CME) program aims to address the challenges faced by primary care physicians and provide additional education on the importance of brain health, early detection of cognitive conditions, and how to use that knowledge to create a more defined care plan. Drs. Keith C. Ferdinand and Rachel M. Bond will give presentations.

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The Office of Minority Health (OMH) at the U.S. Department of Health and Human Services (HHS) will host a virtual symposium, Advancing the Response to COVID-19: Sharing Promising Programs and Practices for Racial and Ethnic Minority Communities, on Thursday, September 17, 2020 at 12:00 pm ET to highlight local, state, tribal, and territorial responses to COVID-19 in racial and ethnic minority communities.

MORE INFO

26th Annual Scientific Session and Expo
of the American Society of Nuclear Cardiology

ASNC2020: A NEW Virtual Meeting and Exhibition has been transformed from an in-person gathering into a 12-month virtual experience (beginning September 9, 2020). The main program will take place virtually on September 25 and 26. Stay tuned for more info on the joint ABC-ASNC session on “Diversity and Inclusion in Clinical Nuclear Cardiology - A Case-Based Ethics Session.”

MORE INFO



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