OR12-5
Discrimination against physicians in interventional cardiology based on career stage
Presenter
Thanasis (Athanasios) Rempakos, MD, Minneapolis Heart Institute Foundation, Minneapolis, MN, MN
Thanasis (Athanasios) Rempakos, MD1, Michaella Alexandrou, MD1, Deniz Mutlu, MD2, Dimitrios Strepkos, MD2, Pedro E P Carvalho, MD2, Allison Barbara Hall, M.D.3, Barbara A Danek-Karatasakis, MD4, Arnold H. Seto, MD, MPA, FSCAI5, Binita Shah, M.D., FSCAI6, Courtney Baechler, MD1, Delaine Thomas2, James W. Choi, M.D., FSCAI7, Jeremy D Rier, D.O., FSCAI8, Kathleen Kearney, M.D., FSCAI9, Ki E Park, M.D., FSCAI10, Mosi Bennett2, Santiago Garcia, M.D., FSCAI11, Thao Duong, MD12, Dr. Jimmy L Kerrigan, M.D., FACC, FSCAI13, Bavana V Rangan, BDS, MPH2, Olga Mastrodemos2, Yader B. Sandoval, M.D., FSCAI14, M. Nicholas Burke, M.D.15 and Emmanouil S. Brilakis, MD, PhD, FSCAI15, (1)Minneapolis Heart Institute Foundation, Minneapolis, MN, MN, (2)Minneapolis Heart Institute Foundation, Minneapolis, MN, (3)Memorial University of Newfoundland, St. John's, NL, CANADA, (4)The University of Washington, SEATTLE, WA, (5)Long Beach VA Health Care System, Long Beach, CA, (6)NYU Grossman School of Medicine, New York, NY, (7)Texas Health Heart and Vascular Specialists: Presbyterian Hospital, Dallas, TX, (8)WellSpan Cardiology - York, York, PA, (9)The University of Washington, Seattle, WA, (10)The University of Texas Southwestern Medical Center, Gainesville, FL, (11)The Christ Hospital Health Network, Cincinnati, OH, (12)UC San Diego Health, La Jolla, CA, (13)Ascension Saint Thomas Heart, Nashville, TN, (14)Minneapolis Heart Institute - Abbott Northwestern Hospital, Minneapolis, MN, (15)Minneapolis Heart Institute® - Abbott Northwestern Hospital, Minneapolis, MN
Keywords: Diversity Equity and Inclusion (DEI) and Women in Innovations (WIN)
Background
Limited data exist regarding discrimination against interventional cardiologists (ICs) across different career stages.
Methods
We performed an online, anonymous, international survey of ICs. Physicians with less than 10 years in practice, 11 to 20 years, and over 21 years were categorized as early, middle, and late career, respectively.
Results
The survey had 445 participants: 190 in early career, 124 in middle career, and 131 in late career. Early career respondents were less likely to practice in the US (45% vs 65% vs 79%, p<0.001) and identify as non-Hispanic white (27% vs 52% vs 64%, p <0.001) compared with middle and late career respondents. A higher proportion of early (17%) and middle career (14%) respondents identified as women compared with late career respondents (5%, p=0.006). Early and middle career participants were more likely to believe that ICs face discrimination based on age, gender, accent, race, religion, and sexual orientation than their late-career counterparts (Figure 1A). They also reported higher instances of discrimination from patients, families, peers, supervisors, and support and nursing staff than those in late career (Figure 1B). Furthermore, early (17%) and middle career (15%) physicians more frequently reported being mistaken for non-physician staff compared with those in late career (8%, p=0.041). However, this difference was no longer significant after adjusting for gender (p=0.349).
Conclusions
Our survey provides a snapshot of the current status of discrimination faced by interventional cardiologists based on career stage. 