The Association of Black Cardiologists Unveils Diversity Scorecard Initiative


The Association of Black Cardiologists (ABC) announced the launch of an annual diversity and inclusion scorecard for academic cardiovascular (CV) training programs in the US. The results from this ranking initiative – ABC DIBS (Diversity, Inclusion and Belonging Scorecard) – will be published annually.

Michelle Albert, MD, MPH (PRNewsfoto/Association of Black Cardiologi)
Michelle Albert, MD, MPH

The Association unveiled the initiative during a first of its kind cardiology workforce webinar featuring directors from top CV medicine fellowship programs. The virtual session, “Towards Legitimacy and Results in Achieving Diversity, Inclusion and Belonging in Cardiology Training Programs,” focused on issues impacting the recruitment of Blacks and Hispanics in medicine. Dr. Michelle A. Albert, ABC President and Associate Dean of Admissions at the University of California at San Francisco, opened with highlights of ABC’s past and present efforts to increase the number of minorities in the CV pipeline. 

“For nearly 50 years, the ABC has been working to create transparent and plausible paths to cardiology for those with the aptitude for and interest in becoming a physician,” Dr. Albert said in the event’s opening segment. “These programs have ranged from middle school students all the way to new faculty.”

During the webinar, the Directors identified potential solutions to addressing some challenges in the recruitment of underrepresented minorities in cardiology fellowships, such as an evidence-based screening process, a culture that prioritizes diversity and transparency in the recommendation process. 

“The problem with academic medicine in many ways is that if I time traveled back a hundred years, it looks pretty much how it looks now,” said Dr. Karol E. Watson, Director, Cardiovascular Medicine Fellowship, UCLA David Geffen School of Medicine and Co-chair of ABC’s Preventive Cardiology Committee. “People tend to hire themselves over and over, so we need to get people to understand how important diversity is and get buy-in from the community. It has to be everyone’s responsibility, not just African-Americans, to bring all of us along.”

The COVID-19 pandemic has amplified the long history of health care disparities that disproportionately affect communities of color, including African-Americans. Diversifying the clinical workforce is one step towards eliminating these inequities. Statistics show that Black doctors help provide better health outcomes for Black patients and are more likely to work in underserved communities. However, while African Americans make up 13% of the population, fewer than 3% of cardiologists are African American, according to a 2015 American College of Cardiology survey. Additionally, the same survey found that less than 3% of medical school faculty are African American.

ABC seeks to address this gap and foster an inclusive and more diverse cardiology workforce, by assessing academic programs utilizing four characteristics: (1) number of underrepresented in medicine (UIM) in general cardiology fellowships; (2) the change in the number of fellows over the life cycle of the training program; (3) trainees’ assessment of a sense of belongingness (i.e. how welcome they feel in that program); and (4) the number of UIM faculty overall as well as in leadership spots in their cardiology training program. A “traffic light” rating will evaluate programs as poor, at-risk or excellent based on these four metrics. Rankings will be announced on a yearly basis.

This diversity scorecard is the next iteration of a 2006 effort when the ABC conducted a study to determine historically the most inclusive and exclusive training programs for underrepresented minorities.

The new effort aligns with ABC’s ultimate goal of improving the health status, both cardiovascular and overall, for Black Americans and other disadvantaged minorities as well as improving access to high-quality health care.

Cardiology Magazine


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