EP 67: Guidelines, Inequality and Moving the Needle with Dr Devesh Rai and Dr Martha Gulati
EP 67: Guidelines, Inequality and Moving the Needle with Dr Devesh Rai and Dr Martha Gulati

Average (ratings)
No ratings
 
  Your rating

“There is a significant disparity in the inclusion of women on all national guideline committees, in addition to serving as a chair of cardiology guidelines. Further advocacy is required to promote equity, diversity, and inclusion in our cardiology guidelines globally.”
Rai D, et al. JAHA. 22

Why are we talking about inclusion, diversity, and equity? Recent years have seen many studies on the inequalities in representation of women in cardiology and yet the needle has not been moved as much as we hoped for. What does the data on the authorship of the guidelines tell us and what can be done to balance the scale?

Dr Ankur Kalra’s guests this week are Dr Martha Gulati, internationally recognized cardiologist specializing in Women and Heart Disease, Heart Disease Prevention and Dr Devesh Rai, first year cardiology fellow at Rochester General Hospital.

In this insightful and action-oriented episode Dr Gulati, chair of the recent 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain, talks about the guideline development process and the factors that can dictate the questions of representations and the integration of the latest findings. Next, Dr Rai shares insights from a recent study that compared gender differences in the authorship of the US, Canadian, and European Cardiology Guidelines From 2006 to 2020. Dr Kalra invites Dr Gulati and Dr Rai to share their take on how progress can be achieved through advocacy and what are the facts we can build on.

Read the full paper here: www.ahajournals.org/doi/epub/10.116…JAHA.121.024249

 

Questions and comments can be sent to “podcast@radciffe-group.com” and may be answered by Ankur in the next episode. Guests, @DrMarthaGulati & @DeveshRaiMD hosted by@AnkurKalraMD. Produced by @RadcliffeCARDIO.


Read MoreRead Less
Share
Up Next
EP 68: Public Health, Fighting Misinformation and TikTok with Dr Muhammad Siyab
EP68 • Apr 25, 2022 • 46m 31s
In a 1-minute video, wearing scrubs, Dr Siyab, Md voices his concerns over the decision to end mask mandate on certain US airlines. “The people that are so intensely against these mask mandates, they are not the ones who are taking buses or trains to get to work and get back home every day because they are part of the privileged class.” Dr Siyab’s mission is to be a voice of reason and appeal to those who are hesitant or against getting vaccines. His plight goes out to his 405.3K followers on TikTok every day.
Read More
All Episodes
Ep 91: Beyond Metrics: Reimagining Success in Academic Medicine with Dr Anavekar
EP91 • May 02, 2023 • 45m 23s
In this stimulating and thought-provoking episode, Dr. Kalra and Dr. Anavekar delve into the topic of measuring success in medicine. Dr. Anavekar puts forward the argument that the ambiguous definition of academic achievement often results in damaging biases that have long-term repercussions on the medical field. As a program director, Dr. Anavekar believes that the number of published articles should not be the only or most crucial criterion for evaluating early-career faculty. He argues that it's important to also consider the "distance travelled" by candidates. Dr. Kalra raises pertinent questions about the practical implications of this approach, and Dr. Anavekar provides candid insights into his responsibilities.
Read More
Ep 90: Academic Bullying Unmasked: Enablers, Effects & Solutions with Dr Täuber & Dr Mahmoudi
EP90 • Apr 24, 2023 • 41m 31s
Dr Mahmoudi and Dr Täuber teamed up to explore bullying in academic settings. Together with Dr Kalra they discuss why bullies thrive in such environments and the ways institutions enable such behaviour. Dr Täuber offers solutions and a critical overview of institutional narratives, while Dr Mahmoudi highlights the long-term effects on academic work and medicine. They call for action against toxic behaviour and for stakeholders to eliminate incentives for universities to support perpetrators.
Read More
Ep 89: Contemplative Self-Exploration & Outcome-Focused Cardiology with Dr Nandan Anavekar
EP89 • Apr 05, 2023 • 44m 54s
In 2018, the loss of a friend to suicide compelled Dr Anavekar to embark on a profound journey of contemplative self-exploration. Now, he uses his experience to encourage and guide trainees to pose thought-provoking questions that challenge the status quo of the materialistic approach to medicine, ultimately leading to a more outcome-focused perspective.
What is the Global Cardiology University project? How does Dr Anavekar encourage trainees to re-examine their role in patient care? What is his advice to our listeners?
Read More
Ep 88: Leadership, Advocacy & Involvement in Your Local ACC Chapter with Dr Vijay Rao
EP88 • Mar 21, 2023 • 44m 19s
In the latest episode of Parallax, Dr. Ankur Kalra invites Dr Vijay Rao, the Governor of the Indiana Chapter of the American College of Cardiology, to share his experience and insights with the audience.
As Dr Kalra asks Dr Rao about the ways in which early career faculty members can get involved with the organization at a state level. Dr Rao shares his insider tips and highlights key events where individuals can further their participation.
How can you get involved with your local ACC chapter? How can you improve your leadership skills? What is Dr Rao’s advice for our listeners?
Read More
EP 87: Gut Microbiome and Heart Health: The 3 Compounds You Need to Know About with Dr Vuyisich
EP87 • Feb 27, 2023 • 45m 50s
Dr Vuyisich shares his personal journey with rheumatoid arthritis and how it led him to explore the intersection of nutrition and the gut microbiome function.
He explains how the complexity of nutrition and the compounds generated by the gut microbiome can impact our health. We learn more about three compounds produced by our gut microbiome that have a strong connection with heart disease.
Through this conversation, Dr Vuyisich invites us to reframe our approach to nutrition and prevention as a question of food education and data-driven science.
Read More
EP 86: The Year 2022 in Review with Dr Sukh Nijjer
EP86 • Feb 13, 2023 • 53m 38s
In this week’s Parallax Dr Kalra welcomes back Dr Nijjer for their annual review of the most impactful and controversial cardiovascular trials of 2022.
Read More
EP 85: Guest Episode: A Talk Between the Mind and Heart
EP85 • Jan 30, 2023 • 28m 5s
Neurocardiology refers to the intersection between the fields of neurology and cardiology. The mind and heart are deeply interconnected in terms of anatomy, physiology, and various pathologic states.

This episode features a vascular neurologist and an interventional cardiologist who will discuss the relationship between their two fields of medicine.
Read More
EP 84: Mastering the Art of Patient Care with Dr Kittleson
EP84 • Jan 23, 2023 • 49m 30s
Coming from generations of doctors, Dr Kittleson describes herself first and foremost a dedicated clinician. With her new book, Dr Kittleson offers her mentorship and shares her advice on how to make patient care fulfilling for both clinicians and patients.
In this rich and insightful discussion, Dr Kittleson talks about the origins of famous #kittlesonrules, a collection of tips for doctors shared on Twitter, and her thoughts on mentorship. We learn more about Mastering the Art of Patient Care. Dr Kalra and Dr Kittleson discuss strategies for managing difficult situations in patient care.
Read More
EP 83: Sham Peer Reviews: A Deep Dive with Dr Lawrence Huntoon
EP83 • Dec 23, 2022 • 40m 8s
Dr Lawrence Huntoon, Editor-in-Chief of the Journal of the Association of American Physicians and Surgeons, returns for a deep dive into the topic of the hospital peer review system.

What do you need to know about hospital investigations? What is the difference between OPPE and FPPE? How can you get educated on hospital bylaws and processes?
Read More
Ep 82: Hospital Peer Review Process: What You Need to Know as a Physician
EP82 • Dec 19, 2022 • 55m 32s
In this week’s Parallax Dr Kalra’s guests are the team that fought for justice in Dr Kaki’s case: Dr Lawrence R. Huntoon, Editor-in-Chief of the Journal of the Association of American Physicians and Surgeons and Deborah Gordon, employment attorney.
Read More
EP 76: Mission, Pakistan & Facing Heart Disease in an Underserved Community
EP76 • Sep 05, 2022 • 45m 52s
In this inspiring episode, Dr Ankur Kalra’s guest is Dr Sohail Khan, Chief Operating Officer at the National Institute of Cardiovascular Diseases in Karāchi.

Dr Khan talks about education in the US and his decision to move back to Pakistan. Ankur asks Sohail about his new professional home: NICVD, a free clinic providing primary heartcare for Pakistanis. They discuss some of the innovations Dr Khan works on to improve patient care that utilise simple but effective interventions. We learn more about free screening clinics and about Dr Khan’s work on the largest ever study in Pakistan on association of Lpa and CV disease in South Asians.
Read More
EP 75: Leadership, Innovation & Professional Home with Dr Dipti Itchhaporia, ACC Immediate-Past President
EP75 • Aug 15, 2022 • 46m 20s
In this personal interview, Dr Itchhaporia recalls her early years and the influences and decisions that led her to medicine and cardiology. She talks about her connection to ACC and the importance of choosing a professional home where one can find their purpose under the mentorship of their community. Ankur asks Dr Itchhaporia about the most memorable moments of her presidency. They talk about South Asian identity and curbing CVD in this population.
Read More
EP 74: Modern Medicine & Lessons from the Bhagavad Gita with Dr Kavitha Chinnaiyan
EP74 • Jul 18, 2022 • 47m 59s
This nurturing episode focuses on questions that touch on what it is that we seek as human beings and how can we cultivate awareness and authenticity while practicing modern medicine. Ankur asks Kavitha about what it means to be spiritual as a cardiologist. Kavitha talks about the experiences made possible by mindfulness. They discuss the difference between conditioning and growth. Kavitha talks about burn out and how we could make changes by embracing medicine not only as a measurable science but as an art.
Read More
EP 73: Passion, Faith & Entrepreneurship with Prof Carolyn Lam, Clinician Scientist
EP73 • Jul 04, 2022 • 47m 56s
In this refreshing and spiritual episode Carolyn reflects on her journey and the decisions and mentors that shaped her career as a heart failure specialist, trialist and as a public speaker. Ankur and Carolyn dive into the question whether being balanced is what we should be all aiming for. Ankur asks Carolyn about her work as a co-founder of Us2.ai, a start-up dedicated to the automation of the fight against heart disease by applying AI to echocardiography.
Read More
Burnout, Clinician Wellbeing & Reforming Medicine with Dr Fisher
EP72 • Jun 20, 2022 • 45m 51s
This week’s guest on Parallax is Dr Jonathan Fisher Cardiologist and Organizational Well-Being and Resiliency Leader at Novant Health.
Read More