Gender Differences in the Pursuit of Cardiac Electrophysiology Training in North America

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:78

Article

Abdulsalam, Nashwa^1,2  Gillis, Anne M.^3,4  Rzeszut, Anne K.⁵  Yong, Celina M.^6,7,8  Duvernoy, Claire S.⁹  Langan, Marie-Noelle¹⁰  West, Kristin¹¹  Velagapudi, Poonam¹  Killic, Sena¹²  O'Leary, Edward L.¹ 

[1] Univ Nebraska Med Ctr, Div Cardiol, 982265 Nebraska Med Ctr, Omaha, NE 68198 USA

[2] Univ Washington, Div Cardiol, Seattle, WA 98195 USA

[3] Univ Calgary, Dept Cardiac Sci, Calgary, AB, Canada

[4] Univ Calgary, Libin Cardiovasc Inst Alberta, Calgary, AB, Canada

[5] Amer Coll Cardiol, Mkt Intelligence, Washington, DC USA

[6] VA Palo Alto Med Ctr, Palo Alto, CA USA

[7] Stanford Univ, Dept Med, Stanford, CA USA

[8] Stanford Cardiovasc Inst, Stanford, CA USA

[9] Univ Michigan, Div Cardiovasc Med, VA Ann Arbor Healthcare System, Ann Arbor, MI USA

[10] Mt Sinai Sch Med, Div Cardiol, New York, NY USA

[11] Amer Coll Cardiol, Strategy, Washington, DC USA

[12] Oregon Hlth & Sci Univ, Knight Cardiovasc Inst, Divis Cardiol, Portland, OR USA

关键词: discrimination;    diversity;    gender;    training;    culture;    women;   

DOI  :  10.1016/j.jacc.2021.06.033

来源: Elsevier

【 摘 要 】

BACKGROUND Despite the increase in the number of female physicians across most specialties within cardiology, <10% of clinical cardiac electrophysiology (EP) fellows are women. OBJECTIVES This study sought to determine the factors that influence fellows-in-training (FITs) to pursue EP as a career choice and whether this differs by gender. METHODS The authors conducted an online multiple-choice survey through the American College of Cardiology to assess the decision factors that influence FITs in the United States and Canada to pursue cardiovascular subspecialties. RESULTS A total of 933 (30.5%) FITs completed the survey; 129 anticipated specializing in EP, 259 in interventional cardiology (IC), and 545 in a different field or were unsure. A total of 1 in 7 (14%) FITs indicated an interest in EP. Of this group, more men chose EP than women (84% vs 16%; P < 0.001). The most important factor that influenced FITs to pursue EP was a strong interest in the field. Women were more likely to be influenced by having a female role model (P = 0.001) compared with men. After excluding FITs interested in IC, women who deselected EP were more likely than men to be influenced by greater interest in another field (P = 0.004), radiation concerns (P = 0.001), lack of female role models (P = 0.001), a perceived old boys' club culture (P = 0.001) and discrimination/harassment concerns (P = 0.001). CONCLUSIONS Women are more likely than men to be negatively influenced by many factors when it comes to pursuing EP as a career choice. Addressing those factors will help decrease the gender disparity in the field. (J Am Coll Cardiol 2021;78:898-909) (c) 2021 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).

【 授权许可】

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