Women leaders in Cardiology. Contemporary profile of the WHO European region

Author:

Borrelli Nunzia1ORCID,Brida Margarita23ORCID,Cader Aaysha4,Sabatino Jolanda5ORCID,Czerwińska-Jelonkiewicz Katarzyna67,Shchendrygina Anastasia8,Wood Alice9,Allouche Emna10,Avesani Martina11ORCID,Gok Gulay12,Marchenko Oksana1314,Calvieri Camilla1516,Baritussio Anna17ORCID,Ilardi Federica1819,Caglar Nihan20,Moscatelli Sara21,Kotlar Irina22,Trêpa Maria23,Rubini Maria Gimenez2425,Chrysohoou Christina26ORCID,Jovovic Ljiljana27,Prokšelj Katja28,Simkova Iveta29,Babazade Nigar30,Siller-Matula Jolanta3132,Chikhi Fatima33,Kovačević-Preradović Tamara34,Srbinovska Elizabeta35,Johnson Victoria36,Farrero Marta37,Moharem-Elgamal Sarah3839,Gimelli Alessia40ORCID

Affiliation:

1. Adult Congenital Heart Disease Unit, AORN Dei Colli—Monaldi Hospital, Via Leonardo Bianchi, snc, Naples 80131, Italy

2. Division for Adult Congenital Heart Disease, Department of Cardiovascular Medicine, University Hospital Centre Zagreb, Kišpatićeva ul. 12, 10000, Zagreb, Croatia

3. Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, Sydney St, SW3 6NP, London, United Kingdom

4. Ibrahim Cardiac Hospital & Research Institute, 122 Kazi Nazrul Islam Ave, Dhaka 1000, Bangladesh

5. Magna Graecia University, Viale Europa, 88100, Catanzaro, Italy

6. Andrzej Frycz Modrzewski Krakow University, Gustawa Herlinga-Grudzińskiego 1, 30-705 Kraków, Poland

7. Harefield Hospital, Hill End Rd, Harefield, Uxbridge UB9 6JH, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom

8. Department of Hospital Therapy No. 1, I.M., Sechenov First Moscow State Medical University, Bol'shaya Pirogovskaya Ulitsa, 2, стр. 4, Moscow, Russia

9. University of Leicester, University Rd, Leicester LE1 7RH, United Kingdom

10. Cardiology Departement, Charles Nicolle Hospital Tunis, Faculté de Médecine, Tunis-El Manar University, Bd du 9 Avril 1938, Tunisia

11. University of Padua, Via Giustiniani, 2 - 35128, Padua, Italy

12. Department of Cardiology, Medipol University hospital, TEM Avrupa Otoyolu Göztepe Çıkışı No:, D:1, 34214, İstanbul, Turkey

13. Ukrainian Children’s Cardiac Center, Clinic for Adults, Shuliavka, 02000, Kyiv, Ukraine

14. Shupyk National Healthcare University of Ukraine, 9, Dorohozhytska St, 04112, Kyiv, Ukraine

15. Bambino Gesù Children’s Hospital, Palidoro-Rome, Piazza Sant'Onofrio 4, 00165 Rome, Italy

16. Department of Internal Clinical Sciences, Anesthesiology and Cardiology, “La Sapienza” University of Rome, Piazzale Aldo Moro, 5, 00185, Rome, Italy

17. Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Azienda Ospedale Università Padova, Via Giustiniani, 2, 35128, Padua, Italy

18. Department of Advanced Biomedical Sciences, Federico II University Hospital, Via Sergio Pansini, 5, 80131, Naples, Italy

19. Mediterranea Cardiocentro, Via Orazio, 2, 80122, Naples, Italy

20. Cardiology Department, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Cd No:11, 34147, Istanbul, Turkey

21. Clinic of Cardiovascular Diseases, University of Genoa, Viale Benedetto XV, 6, 16132, Italy

22. University Clinic of Cardiology, Мајка Тереза 17, Mother Teresa 17, Skopje, Republic of North Macedonia

23. Cardiology Department, Porto University Hospital Centre, Largo do Prof. Abel Salazar, 4099-001, Porto, Portugal

24. Department of Internal Medicine and Cardiology, Heart Center Leipzig-University Hospital, Strümpellstraße 39, 04289, Leipzig, Germany

25. Cardiovascular Research Institute Basel (CRIB) and Department of Cardiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland

26. First Cardiology Clinic, Hippokration Hospital, School of Medicine, University of Athens, 114 Vass Sofias Ave, 11527, Athens, Greece

27. Faculty of Medicine, University of Belgrade, dr Subotića starijeg 8, 11000, Belgrade, Serbia

28. Department of Cardiology, University Medical Center, Zaloška cesta 7, 1000, Ljubljana, Slovenia

29. ACHD Centre, Department of Cardiology and Angiology of Medical Faculty, Slovak Medical University and National Institute of Cardiovascular Diseases, 831 01, Bratislava, Slovakia

30. New Clinic, Yusif Səfərov küçəsi, Baku, Azerbaijan

31. Department of Cardiology, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria

32. Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-091, Warsaw, Poland

33. Cardiology “B” Department, Ibn Sina Hospital Med V University, 62, Jbran Khalil Jbran Street, Souissi, Rabat, Morocco

34. School of Medicine, University of Banja Luka, Save Mrkalja 14, Banja Luka, 78000, Republic of Srpska, Bosnia and Herzegovina

35. University “Ss Cyril and Methodius”, Skopje 1000, North Macedonia

36. Medizinische Klinik I, Abteilung für Kardiologie und Angiologie, Universitätsklinikum Gießen, Klinikstraße 33, 35392, Gießen, Germany

37. Heart Failure and Heart Transplant Unit, Cardiology, Hospital Clínic, C. de Villarroel, 170, 08036, Barcelona, Spain

38. Cardiology Department, Liverpool Heart and Chest Hospital, Thomas Dr, Liverpool L14 3PE, United Kingdom

39. Cardiology Department, National Heart Institute, 5 Ibn Nafise Square, Mit Akaba, Agouza, Giza, Egypt

40. CNR—Regione Toscana, Fondazione Gabriele Monasterio, Via Giuseppe Moruzzi, 1, 56124, Pisa, Italy

Abstract

Abstract Aims Women’s participation is steadily growing in medical schools, but they are still not sufficiently represented in cardiology, particularly in cardiology leadership positions. We present the contemporary distribution of women leaders in cardiology departments in the World Health Organization European region. Methods and results Between August and December 2020, we applied purposive sampling to collect data and analyse gender distribution of heads of cardiology department in university/third level hospitals in 23 countries: Austria, Azerbaijan, Belgium, Bosnia-Herzegovina, Croatia, France, Germany, Greece, Italy, North Macedonia, Morocco, Poland, Portugal, Russia, Serbia, Slovakia, Slovenia, Spain, Switzerland, Tunisia, Turkey, Ukraine, and the UK. Age, cardiology subspecialty, and number of scientific publications were recorded for a subgroup of cardiology leaders for whom data were available. A total of 849 cardiology departments were analysed. Women leaders were only 30% (254/849) and were younger than their men counterpart (♀ 52.2 ± 7.7 years old vs. ♂ 58.1 ± 7.6 years old, P = 0.00001). Most women leaders were non-interventional experts (♀ 82% vs. ♂ 46%, P < 0.00001) and had significantly fewer scientific publications than men {♀ 16 [interquartile range (IQR) 2–41] publications vs. ♂ 44 (IQR 9–175) publications, P < 0.00001}. Conclusion Across the World Health Organization European region, there is a significant gender disparity in cardiology leadership positions. Fostering a diverse and inclusive workplace is a priority to achieve the full potential and leverage the full talents of both women and men.

Publisher

Oxford University Press (OUP)

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