Beverly H. Lorell, MD. FACC, FAHA

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Women Careers in Cardiology
June 3-4, 2005 Heart House

• Beverly H. Lorell, MD. FACC, FAHA
• Professor of Medicine, Harvard
• Vice President. Chief Medical Technology
  Officer Guidant Corporation

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Women Careers in Cardiology

• Is inclusion of women in cardiology solved, or
  only a US problem? .
• 2005 women 50 medical school graduates, but
  only 14 of cardiology trainees and only 6 of
  current ACC fellows are women
• President Pamela Douglas MD, Presidents Page,
  JACC 451543, 2005
• 35th Bethesda Conference Cardiologys Workforce
  Crisis - 2004
• Working Group of the British Cardiology Society -
  2005

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Women Careers in Cardiology

• What do we know today about .
• Emerging trends in cardiology training?
• Cardiology subspecialty selection
• Career selection
• Challenges
• Opportunities for change

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Women Careers in Cardiology
American Board of Internal Medicine 2005
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Women Careers in Cardiology
Percentage of First-Year Internal Medicine
Fellows who are Female
American Board of Internal Medicine 2005
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Number of First -Year Internal Medicine Fellows
by Subspecialty
American Board of Internal Medicine 2005
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Women Careers in Cardiology

• The proportion of US/Canadian medical school
  graduates entering cardiovascular disease
  increased from 57 to 66 from 1999 to 2003.

American Board of Internal Medicine 2005
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Women Careers in Cardiology
The percentage of cardiovascular disease fellows
who are women has increased from 15 in 1999/00
to 18 in 2002/03. But.
American Board of Internal Medicine 2005
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Women Careers in Cardiology
Number of First Year Fellows by Suspecialty(1)
Number of First Year Fellows by Subspecialty
American Board of Internal Medicine 2005
(1) Some data presented here differs from earlier
reports because the table has been updated to
reflect the most accurate data currently
available.
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Women Careers in Cardiology
Percentage of First-Year Fellows by Gender
American Board of Internal Medicine 2005
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Women Careers in Cardiology
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Women Careers in Cardiology
ACC Women in Cardiology Section 2005

• Career Number Percent
• Total 462
• Clinical Cardiology 252 55
• ECHO / Non Invasive 55 12
• Interventional Cardiology 47  10
• Heart Failure and Transplant  30  6.5
• EP 26  5.5
• Research, Full - time  13 2.8
• Nuclear Cardiology  12  2.6
• Other (Including Industry, Govt) 9  1.9
• Preventive Cardiology  8  1.7
• Critical Care Medicine  7 1.5
• Invasive Cardiology  2 
• Administration   1
• ------------------------------------------
• Cardiovascular Surgery  5
• Pediatric Cardiology  49 
• Pharmacology  1 
  1 

Sample n462 from total 2600
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Women Careers in Cardiology

• ACC Professional Life Survey 1998
• Female cardiologists were
• More likely to be single ( 19 vs 4) or
  childless (37 vs 12)
• More likely to depend on child caregivers (66 vs
  23)
• Perceive lack of peer parity (39 vs 3)
• Perceive discrimination in conduct of
  professional activities (71 vs 21)

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Women Careers in Cardiology

• What are opportunities for change?
• Early in the path Talent identification and
  recruitment
• Mentoring when and how
• Develop critical support structures in the work
  place including child care
• Addressing the interventional macho barrier
• What can we learn from industry?

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Women Careers in Cardiology

• What can we learn from industry?
• High level commitment to work environment and
  culture that promotes inclusiveness
• Value proposition of Intellectual Capital
  inclusiveness optimizes talent and talent
  development for benefit of organization, as well
  as the individual
• Develop processes for managing and enhancing an
  organizational culture of inclusiveness

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Women Careers in Cardiology
Women Leaders Senior Emerging!
Medical Schools
Campus Experienced Recruiting
Diversity Strategy
Performance Development
Metrics for Success Change
Communications
Culture
Mentor Groups
Succession Management
Leadership Development
ACC ESC
Workplace
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Women Careers in Cardiology

• Women in Cardiology the next Organizational
  Performance Measure?
• Leadership recruitment, development succession
  planning
• National forums for peer-reviewed recognition of
  success both the individual and organization
• Transparent metrics for parity