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Lack of Equity in the Cardiology Physician Workforce: A Narrative Review and Analysis of the Literature

Michelle Keir1, Chanda McFadden2, Shannon Ruzycki3

  • 1Section of Cardiology, Department of Cardiac Sciences, Cumming School of Medicine, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.

CJC Open
|January 7, 2022
PubMed

Insights

Cardiology in Canada lacks gender and racial diversity, not mirroring the population. Addressing publication bias and systemic barriers is crucial for equity, diversity, and inclusion in cardiac sciences.

Area of Science:

  • Cardiology
  • Medical Workforce Diversity
  • Health Equity

Background:

  • The Canadian cardiology workforce's gender and racial composition does not reflect the general population.
  • Rising social awareness necessitates addressing equity, diversity, and inclusion (EDI) principles within the profession.
  • Publication bias and peer-review oversights in cardiac sciences literature are contemporary issues.

Purpose of the Study:

  • To review the literature on equity and diversity among cardiac physicians.
  • To identify challenges and systemic barriers faced by women and racial-minority physicians in cardiology careers.
  • To propose a new paradigm of professionalism incorporating EDI advancements.

Main Methods:

  • A narrative review of published literature on equity and diversity in cardiology.
  • Analysis of contemporary examples of publication bias in cardiac sciences.
  • Summary of challenges and systemic barriers for underrepresented groups.

Main Results:

  • Significant disparities exist in gender and racial representation within Canadian cardiology.
  • Women and racial-minority physicians encounter substantial challenges and systemic barriers in cardiology.
  • Publication bias and peer-review process issues have been identified in cardiac sciences.

Conclusions:

  • The cardiology profession must actively address the lack of diversity to align with population demographics.
  • Overcoming systemic barriers is essential for fostering an inclusive and equitable cardiology workforce.
  • Adapting professionalism standards to include EDI principles is imperative for all physicians.

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