Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Cardiology Physicians and Fellows in Training

The number of practicing lesbian, gay, bisexual, transgender, and queer (LGBTQ+) cardiologists is unknown despite diversity initiatives focused on understanding workforce demographics.

The aim of this study was to evaluate the prevalence, sources of mistreatment, and measures of wellness among the LGBTQ+ cardiology community.

An online survey was sent to the American College of Cardiology Fellow in Training and Early Career Professional Listservs and shared on social media sites. The survey included the Short-Negative Acts Questionnaire and LGBTQ+ -specific harassment questions. Chi-square analysis and Fisher exact tests were performed to compare responses between LGBTQ+ and non-LGBTQ+ respondents.

A total of 188 respondents completed the survey (56% Fellow in Training). One-third (33%) identified as LGBTQ+. Gender identity data included: transgender (3%), nonbinary (2%), gender queer (1%), and agender (1%). LGBTQ+ physicians were less likely to agree with the statements 'LGBTQ+ patients were treated fairly' (40% vs 66%, P < 0.001), and 'leadership dealt with people demonstrating poor behavior fairly' (34% vs 51%, P = 0.029) compared to heterosexual peers. LGBTQ+ physicians were more likely to report gender policing and heterosexist harassment compared to heterosexual peers (P = 0.002). The majority of physicians (91%) were satisfied with their decision to become a cardiologist.

This current analysis of LGBTQ+ cardiologists in the workplace identifies opportunities to address mistreatment impacting the LGBTQ+ community. Despite experiencing mistreatment, LGBTQ+ cardiologists report high job satisfaction. Further work is necessary to create a safe space and diverse cohort of physicians required to meet the needs of LGBTQ+ patients at risk for cardiovascular disease.