Program Directors Survey on Diversity in Cardiovascular Training Programs

Area of Science:

• Medical Education
• Cardiovascular Medicine
• Diversity and Inclusion

Background:

• Under-representation of women and minorities in cardiovascular disease (CVD) specialties is a persistent issue.
• The impact of the CVD learning environment on diversity remains under-explored.
• Understanding program directors' (PDs) approaches to diversity is critical.

Purpose of the Study:

• To investigate characteristics of the CVD learning environment influencing diversity.
• To examine strategies employed by PDs to enhance diversity in CVD training programs.
• To identify barriers and resources for improving diversity in cardiology fellowships.

Main Methods:

• A survey of U.S.-based Cardiovascular PDs was conducted.
• The survey assessed perceptions of diversity and learning environment characteristics.
• Data from 58% of PDs across geographically diverse programs were analyzed.

Main Results:

• 86% of PDs believe diversity in CVD needs improvement, with 70% seeing training programs as key.
• 89% of PDs have attempted diversity enhancement, using strategies linked to PD sex and trainee demographics.
• Lack of qualified candidates and cardiology culture were identified as major barriers.

Conclusions:

• CVD PDs prioritize diversity and actively pursue recruitment and environmental strategies.
• Standardizing strategies and providing national resources can support PDs in diversity efforts.
• The cardiology community has an opportunity to foster greater inclusivity in training.