Women not in cardiology: where are we going wrong? A survey of the perceptions and barriers to training

Hibba Kurdi · Holly Morgan · Claire A. L. Williams

17 citations0/0 files storedBritish Journal of Cardiology

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Diversity and Career in Medicine Career Development and Diversity Sex and Gender in Healthcare

Abstract

In the UK, there is a difference between the medical specialties and cardiology in recruitment of women. Research, thus far, has concentrated on women already in cardiology. Although invaluable in understanding barriers to training, these studies fail to provide insight into why other trainees chose an alternative. Therefore, we designed a survey aimed at medical personnel, evaluating why higher trainees in other specialties overlooked cardiology. An online survey was distributed via email to non-cardiology higher trainees in Wales. Questions covered previous clinical experiences of cardiology, interactions with cardiologists, and tried to identify deterrent factors. There were 227 responses received over six weeks: 61.7% (n=137) female respondents, 23.5% (n=52) less than full-time. Of these, 49% completed a cardiology placement previously. Bullying was witnessed and experienced equally among genders, females witnessed and experienced sexism, 24% (n=24) and 13% (n=13), respectively. In contrast, male trainees witnessed and experienced sexism 14% (n=7) and 0%. There were 62% (n=133) who felt cardiologists and registrars were unapproachable. Work-life balance ranked first (40%), as the most important factor influencing career choice. The negative attitudes of cardiologists and registrars was ranked top 3 for not pursuing cardiology. In conclusion, many barriers exist to cardiology training including poor worklife balance, sexism and lack of less than full-time opportunities. However, this survey highlights that the behaviour of cardiologists and registrars has the potential to impact negatively on trainees. It is, therefore, our responsibility to be aware of this and encourage change.

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References

2016Changes in the Professional Lives of Cardiologists Over 2 Decades 2019Sex Differences in the Pursuit of Interventional Cardiology as a Subspecialty Among Cardiovascular Fellows-in-Training 2017Cardiovascular Medicine and Society 2016Motivations for and barriers to choosing an interventional cardiology career path: results from the EAPCI Women Committee worldwide survey 2017Gender and Specialty Influences on Personal and Professional Life Among Trainees 2018Gender Disparities in Cardiovascular Fellowship Training Among 3 Specialties From 2007 to 2017 2019Women in Cardiology 2018Choosing a Career in Cardiology

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2021Work-life balance: a comparison of women in cardiology and other specialties 2022Representation of Women in Internal Medicine Specialties in North America, the United Kingdom, and Australasia: Cardiology's Outlier Status and the Importance of Diversity

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