Dismantling Structural Discrimination in Cardiology Fellowship Recruitment

Njoroge, Joyce N.; Rodríguez, Fátima; Albert, Michelle A.

doi:10.1001/jamanetworkopen.2020.31473

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…The Duke Cardiology fellowship example as well as other programs will be judged over time based on their ability to sustain these initiatives as well as the support provided to ensure the success of matriculants, and the systematic feedback from women and URM applicants who were ranked to match but did not attend. 23…”

Section: Graduate Medical Educationmentioning

confidence: 99%

Nurturing Diverse Generations of the Medical Workforce for Success With Authenticity: An Association of Black Cardiologists’ Roundtable

Haynes

Johnson

Lewsey

et al. 2023

Circ: Cardiovascular Quality and Outcomes

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The COVID-19 pandemic exposed the consequences of systemic racism in the United States with Black, Hispanic, and other racial and ethnic diverse populations dying at disproportionately higher rates than White Americans. Addressing the social and health disparities amplified by COVID-19 requires in part restructuring of the healthcare system, particularly the diversity of the healthcare workforce to better reflect that of the US population. In January 2021, the Association of Black Cardiologists hosted a virtual roundtable designed to discuss key issues pertaining to medical workforce diversity and to identify strategies aimed at improving racial and ethnic diversity in medical school, graduate medical education, faculty, and leadership positions. The Nurturing Diverse Generations of the Medical Workforce for Success with Authenticity roundtable brought together diverse stakeholders and champions of diversity and inclusion to discuss innovative ideas, solutions, and opportunities to address workforce diversification.

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Section: Graduate Medical Educationmentioning

confidence: 99%

Nurturing Diverse Generations of the Medical Workforce for Success With Authenticity: An Association of Black Cardiologists’ Roundtable

Haynes

Johnson

Lewsey

et al. 2023

Circ: Cardiovascular Quality and Outcomes

Self Cite

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“…For instance, since its inception in 1974, the ABC has provided scholarship and mentorship opportunities to people of color at every stage of the physician pipeline, created fellowship programs in interventional cardiology and clinical cardiac electrophysiology, formed strategic partnerships to enhance investigator diversity in clinical trials, and championed several other diversity and inclusion initiatives across the nation. 51 52 As another example, gender-specific mentoring in interventional cardiology is available through the Society for Cardiovascular Angiography and Interventions Women in Innovations committee’s mentoring program, aimed at connecting trainees to potential mentors across the country. 53 The ACC has created resources to guide programs in recruiting a diverse workforce, held workshops to share diversity and inclusion best practices, and provided hands-on training in implicit bias mitigation to program directors.…”

Section: Strategies To Improve and Sustain Diversity Equity Inclusion...mentioning

confidence: 99%

Diversity, Equity, Inclusion, and Belonging in Cardiovascular Disease Fellowship Training

Balinda

Reza

2022

Methodist DeBakey Cardiovascular Journal

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Diversity in the healthcare workforce enhances access to care, reduces health disparities, and improves quality of care for underserved populations. Yet there is a paucity of women and underrepresented minority physicians in cardiology training programs, and progress toward achieving a diverse cardiology workforce has been slow. Here we review the merits of diversity in health care, the current landscape of the cardiology workforce, barriers to increasing the proportion of women and underrepresented minority cardiologists, and specific strategies that have been proposed to sustain and enhance diversity in cardiology training programs.

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“…At JAMA Network Open, we are making concerted efforts to right these wrongs and are cognizant that our efforts must evolve and expand over time. We will continue to publish studies [12][13][14] and commentaries [15][16][17] that examine the innumerable ways in which racism affects health and health care, and the potential means to mitigate these effects. Ten months ago, we issued a call for papers on the effects of systemic racism in health.…”

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confidence: 99%

Structural Racism and JAMA Network Open

et al. 2021

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Like so many in our academic community, we were distressed by the February 2021 JAMA podcast and corresponding tweet suggesting that structural racism does not exist and that no physicians are racist. Although we have not written about this issue until now, these events have prompted a deep internal reexamination of how we engage constructively to acknowledge and reverse structural racism and of our own contributions to perpetuating it. We are challenging ourselves to consider how we can be truly antiracist in our roles as physicians, scientists, editors, and members of the communities in which we work and live.First, we, the editors of JAMA Network Open, affirm the entrenched history and ongoing harms of structural racism. In recent times, the horrific killings of George Floyd, Breonna Taylor, Philando Castile, and hundreds of other individuals who were members of racially/ethnically marginalized groups, such as Black and Latinx individuals, at the hands of police have forced critical and long overdue conversations about this centuries-old problem. Structural racism persists in essentially every social system in the US, including, but not confined to, housing, employment, education, health care, finance, transportation, law enforcement, the environment, criminal justice, and politics.Although not always visible, prejudice is embedded in all aspects of US life. Acknowledging the problem is necessary but insufficient. Structural racism requires active dismantling, not only to reverse the status quo but also to counteract ongoing efforts to worsen structural racism through active steps, such as legislation targeted at impeding voting rights.Second, structural racism has deeply and adversely affected health and health care specifically, as manifested by reduced life expectancy, 1,2 higher burden of various illnesses, 3 and higher infant and maternal mortality, 4,5 especially among Black and Hispanic or Latinx individuals. This stark disparity has become further exacerbated during the COVID-19 pandemic. Black and Hispanic or Latinx populations have experienced rates of hospitalizations and deaths due to COVID-19 that are 3-fold higher than White populations. 6,7 This discrepancy has led to a further widening the nearly 6-year lower in life expectancy among Black persons compared with White persons in the US. 8 This distressing trend is a direct manifestation of the disparities in the availability of and access to highquality health services, with associated inferior treatment and outcomes. Uneven access to highly effective vaccines risks deepening these disparities, which have been documented for decades, in many cases without any evidence of improvement over time. The disparate risks of infection with SARS-CoV-2 and subsequent death from COVID-19 among people of racial and ethnic minority backgrounds, such as Black and Hispanic or Latinx individuals, have appropriately attracted attention but must be viewed in the context of systems that have failed the communities in which people of racial and ethnic minority backg...

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Dismantling Structural Discrimination in Cardiology Fellowship Recruitment

Abstract: Conflict of Interest Disclosures: Dr Albert reported being president of the Association of Black Cardiologists. No other disclosures were reported.

Cited by 3 publications

References 5 publications

Nurturing Diverse Generations of the Medical Workforce for Success With Authenticity: An Association of Black Cardiologists’ Roundtable

Nurturing Diverse Generations of the Medical Workforce for Success With Authenticity: An Association of Black Cardiologists’ Roundtable

Diversity, Equity, Inclusion, and Belonging in Cardiovascular Disease Fellowship Training

Structural Racism and JAMA Network Open

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