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心脏病学领域的女性:关键现状与前行的呼吁。

Women in cardiology: critical status and a call to move forward.

作者信息

Farhan Hasan Ali, Dakhil Zainab Atiyah

机构信息

Scientific Council of Cardiology, Iraqi Board for Medical Specializations- Baghdad Heart Centre, Baghdad, Iraq.

Department of Medicine, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq.

出版信息

Egypt Heart J. 2020 Jul 27;72(1):45. doi: 10.1186/s43044-020-00078-w.

DOI:10.1186/s43044-020-00078-w
PMID:32719952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7385045/
Abstract

BACKGROUND

Healthcare workforce should mirror the population in representing patients' diversity; however, in certain medical specialties like cardiology, there is a significant under-representation of females in fellowship programs. There is limited data discussing this issue in the Middle East, and up to our knowledge, no prior literature has cast a light on this subject in Iraq.

MAIN TEXT

Women represent not a minority but rather a negligible proportion of cardiologists in the Middle East, in general, and in Iraq, in particular, as over two decades, recruiting females in cardiology training never progressed. Women are facing many challenges that explain this gender gap, mainly work-life balance and risk of exposure to radiation in addition to society's perceptions in the Middle East that underestimate women in interventional specialties.

CONCLUSIONS

Serious efforts and forward steps should be taken by decision makers in cardiology fellowship programs and national cardiology societies to bridge this gender gap in order to improve cardiovascular care for both genders regardless of social barriers and traditional customs and to offer more access of care to those female patients who wish to be treated by female doctors based on their personal convictions.

摘要

背景

医疗保健劳动力应反映出患者群体的多样性;然而,在某些医学专科领域,如心脏病学,女性在专科培训项目中的占比严重不足。中东地区关于这一问题的数据有限,据我们所知,此前尚无文献探讨伊拉克的这一问题。

正文

总体而言,在中东地区,尤其是伊拉克,女性心脏病专家所占比例微不足道,而非少数群体,因为二十多年来,心脏病学培训中招收女性的情况从未有过进展。女性面临诸多导致这一性别差距的挑战,主要是工作与生活的平衡以及辐射暴露风险,此外还有中东社会对介入专科女性的低估看法。

结论

心脏病学专科培训项目的决策者和国家心脏病学学会应认真努力并采取积极措施来弥合这一性别差距,以便无论社会障碍和传统习俗如何,都能改善两性的心血管护理,并为那些基于个人信念希望由女医生治疗的女性患者提供更多就医机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4127/7385045/df076887ec51/43044_2020_78_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4127/7385045/df076887ec51/43044_2020_78_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4127/7385045/df076887ec51/43044_2020_78_Fig1_HTML.jpg

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本文引用的文献

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Current Demographic Status of Cardiologists in the United States.美国心脏病学家的当前人口统计学状况。
JAMA Cardiol. 2019 Oct 1;4(10):1029-1033. doi: 10.1001/jamacardio.2019.3247.
2
Women in Cardiology: The British Junior Cardiologists' Association identifies challenges.心脏病学领域的女性:英国初级心脏病专家协会发现了一些挑战。
Eur Heart J. 2019 Jan 14;40(3):227-231. doi: 10.1093/eurheartj/ehy828.
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Career Preferences and Perceptions of Cardiology Among US Internal Medicine Trainees: Factors Influencing Cardiology Career Choice.
妇女参与脆弱和受冲突影响国家的卫生劳动力队伍:范围综述。
Hum Resour Health. 2021 Aug 4;19(1):94. doi: 10.1186/s12960-021-00635-7.
美国内科住院医师对心脏病学的职业偏好和认知:影响心脏病学职业选择的因素。
JAMA Cardiol. 2018 Aug 1;3(8):682-691. doi: 10.1001/jamacardio.2018.1279.
4
Choosing a Career in Cardiology: Where Are the Women?选择心脏病学领域的职业:女性都在哪里?
JAMA Cardiol. 2018 Aug 1;3(8):691-692. doi: 10.1001/jamacardio.2018.1286.
5
The trend of feminization of doctors' workforce in Oman: is it a phenomenon that could rouse the health system?阿曼医生劳动力女性化趋势:这是一个可能引发医疗体系变革的现象吗?
Hum Resour Health. 2018 Apr 27;16(1):19. doi: 10.1186/s12960-018-0283-y.
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How do we attract and retain women in cardiology?我们如何吸引并留住从事心脏病学领域工作的女性?
Clin Cardiol. 2018 Feb;41(2):264-268. doi: 10.1002/clc.22921. Epub 2018 Feb 26.
7
Women in cardiology practice in a "man's world".在“男性主导的世界”里从事心脏病学工作的女性。
Hellenic J Cardiol. 2017 May-Jun;58(3):250-251. doi: 10.1016/j.hjc.2017.05.011. Epub 2017 Jun 23.
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Women in Cardiology: Very Few, Different Work, Different Pay.心脏病学领域的女性:人数极少,工作不同,薪酬各异。
J Am Coll Cardiol. 2016 Feb 9;67(5):542-4. doi: 10.1016/j.jacc.2015.11.002. Epub 2015 Nov 8.
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To be a female cardiologist in the Middle East.成为中东地区的一名女心脏病专家。
Int J Cardiol. 2014 Feb 1;171(2):e20. doi: 10.1016/j.ijcard.2013.11.127. Epub 2013 Dec 6.