Evidence map›Paper›PMID 40996048›Full record

ArticleJournal of the American Heart Association2025

Barriers and Facilitators to Women's Careers in Academic Cardiology: A Multicenter Qualitative Analysis.

Sarah K Gualano, Molly Harrod, Martha Quinn, Erin Price, Ranya Sweis, Susan Matulevicius, Eve A Kerr

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah K GualanoDivision of Cardiovascular Medicine University of Michigan Ann Arbor MI USA.ORCID 0000-0001-5080-8743
Molly HarrodCenter for Clinical Management Research, Health Service Research & Development, LTC Charles S. Kettles VA Medical Center, VA Ann Arbor Healthcare System Ann Arbor MI USA.ORCID 0000-0001-5080-7249
Martha QuinnSchool of Public Health University of Michigan Ann Arbor MI USA.ORCID 0000-0003-0011-2929
Erin PriceDepartment of Internal Medicine University of Michigan Ann Arbor MI USA.
Ranya SweisDivision of Cardiology Northwestern University Chicago IL USA.ORCID 0000-0003-3584-6797
Susan MatuleviciusDivision of Cardiology UT Southwestern Medical Center Dallas TX USA.ORCID 0000-0003-3092-0492
Eve A KerrDivision of General Medicine, Department of Internal Medicine University of Michigan Ann Arbor MI USA.ORCID 0000-0002-8492-7086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen remain underrepresented in cardiology. The culture of academic cardiology is referenced as a barrier to inclusivity. Surveys provide a limited understanding of experiences faced by female cardiologists. The purpose of this study was to characterize organizational cultural barriers and facilitators to career advancement for women in academic cardiology using in-depth interviews and qualitative thematic analysis.

methodsTwenty-three women in 3 academic cardiology divisions were interviewed using a semistructured guide tailored to the study aim. Thematic analysis of interview transcripts was performed using an inductive and deductive coding approach. Through this multistep analysis process, themes and subthemes were identified.

resultsThree themes were identified as barriers to careers in academic cardiology. (1) Institutional and divisional practices negatively impacted careers by limiting leadership opportunities, pay and resource inequity, variable recognition and promotion, and harassment. (2) The covert culture or unintended norms within a system negatively impacted all participants through tolerance of benevolent paternalism, achievement limited to "women's work," and gender stereotypes and behavior norms. (3) Consequences of these experiences included burnout and a desire to leave their institution. Mentorship, protected time, and financial support for academic productivity were identified as career facilitators.

conclusionsProfessional barriers remain for women in academic cardiology, fundamentally linked to the conflict between personal values and the culture of their division. Academic cardiology divisions committed to gender equity should align policies with practice to increase both women's representation as well as success in cardiology.

Indexed as

Academic Medical CentersCardiologistsCardiologyCareer ChoiceCareer MobilityPhysicians, WomenAdultFemaleGender EquityHumansLeadershipMiddle AgedOrganizational CultureQualitative ResearchSexismgender equityqualitative researchwomen in cardiology

Identifiers

PMID40996048
PMCPMC12684517

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.