Irregular Care: Racial Inequities in the Management of Cardiac Rhythm Disorders

This activity is part of a series

Faculty

Monica E. Peek, MD, MPH, MSc
(she/her/hers)
Ellen H. Block Professor of Health Justice in the Department of Medicine
Associate Director, Chicago Center for Diabetes Translation Research
Director of Research, MacLean Center for Clinical Medical Ethics
The University of Chicago
Chicago, IL
Monica E. Peek, MD, MPH, MSc

Monica Peek, MD, MPH, MSc is an Ellen H. Block Professor of Health Justice in the Department of Medicine. She is also the Associate Director, Chicago Center for Diabetes Translation Research, and Director of Research, MacLean Center for Clinical Medical Ethics. She is a practicing internist, medical educator, and clinician investigator. Her research pursues health equity and social justice, with a focus on promoting equitable doctor/patient relationships among racial minorities, integrating the medical and social needs of patients, and addressing health care discrimination and structural racism impacting health outcomes (e.g., diabetes, COVID-19). Dr. Peek has authored more than 200 peer-reviewed publications and abstracts on health care disparities, diversity, and bias; has been the principal investigator of multiple grants to address health disparities; and has been invited to speak at numerous local and national medical meetings.

Nisha B. Jhalani, MD, FACC
Director, Inpatient Clinical Services
Center for Interventional Vascular Therapy (CIVT)
Assistant Professor of Medicine, Division of Cardiology
Columbia University College of Physicians & Surgeons, New York, NY
Nisha B. Jhalani, MD, FACC
Director, Inpatient Clinical Services

Nisha Jhalani, MD, is a clinical cardiologist and Assistant Professor of Medicine at New York Presbyterian – Columbia University Irving Medical Center. She is the Director of Inpatient Clinical Services at the Center for Interventional Vascular Therapy at Columbia University. She received her medical degree from the University of Medicine and Dentistry of New Jersey. Dr. Jhalani completed her residency in internal medicine as well as a fellowship in cardiovascular diseases at New York Presbyterian – Weill Cornell Medical Center. Her clinical interests include preventative cardiology, personalized cardiovascular risk assessment, and women’s health.

Statement of Need

Structural racism and classism leads to many of the social determinants of health (SDoH) that cause disparities in cardiovascular (CVD) care, such as unequal preventative care, heart arrythmia treatment, and research inclusion. Interpersonal racism, including unconscious bias, worsens disproportionate CVD care, and is also a stand-alone factor for this health inequity. Underrepresented minority (URM) patients – particularly Black/African American individuals – are less likely to receive, be referred to, or counseled about potentially life-saving interventional and electrophysiological cardiology procedures, even when similarly indicated and with similar socioeconomic status and access as White patients. Therefore, both SDoH factors and health care professional (HCP) biases must be addressed to help resolve CVD health care disparities and their impact on minority populations.

This CME Outfitters podcast will focus on identifying inequitable processes and pathways in the prevalence, screening, diagnosis, and management of CVD/arrythmia disorders in URM populations; how HCPs can develop solutions to recognize and address biases; and how to integrate best practices and guidelines to account for structural racism and barriers in the prevention, care, and management of medically underserved patients with CVD.

Learning Objectives

At the end of this CME/CE activity, participants should be able to:

  • Assess the role of systemic inequities and interpersonal racism in the disparate care of cardiac rhythm disorders.
  • Identify factors in and strategies to mitigate disproportionate care for minority patients with cardiac arrythmias.

Financial Support

Supported by an educational grant from the Johnson & Johnson Institute and the Johnson & Johnson Family of Companies.

Target Audience

Physicians, dentists, nurse practitioners (NPs), physician associates (PAs), nurses, and pharmacists

Credit Information

Jointly Accredited Provider

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Interprofessional (IPCE) 0.5

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Physicians (ACCME) 0.5

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Nurses (ANCC) 0.5

This activity is designated for 0.5 contact hours.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists (ACPE) 0.5

This application-based activity is approved for 0.5 contact hours (0.05 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-21-054-H01-P

PAs (AAPA) 0.5

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Dentists (ADA CERP) 0.5

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ABIM MOC 0.5

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.


Dr. Peek has no disclosures to report.


Dr. Jhalani reports that she is on the speakers bureau for AstraZeneca; Boehringer Ingelheim; and ZOLL Medical Corporation.


Disclosures were obtained from the CME Outfitters, LLC staff: No disclosures to report:

  • Noreen Iftikhar, MD (planning committee) has no disclosures to report.
  • Jeffrey Helfand, DO, (peer reviewer) has no disclosures to report.
  • Kathleen A. Blake, PhD (planning committee) has no disclosures to report.
  • Jan Perez (planning committee) has no disclosures to report.
  • Sharon Tordoff (planning committee) has no disclosures to report.

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credits

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Questions about this activity?

Call us at (877) CME-PROS or (877) 263-7767.

PD-057-100521-57

 

Irregular Care: Racial Inequities in the Management of Cardiac Rhythm Disorders
Event Date: 10/05/2021