Department of Cardiology, Northern Health, Epping, Victoria, Australia.
Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.
Open Heart. 2021 Jul;8(2). doi: 10.1136/openhrt-2021-001678.
Significant gender disparities exist in some medical specialties, particularly cardiology. We assessed work, personal life and work-life balance in women in cardiology in Australia and New Zealand (NZ), compared with other specialties, to determine factors that may contribute to the lack of women in the specialty.
This study is a prospective survey-based cohort study comparing cardiology and non-cardiology specialties. An online survey was completed by female doctors in Australia and NZ, recruited via email lists and relevant social media groups. The survey included demographics, specialty, stage of training, work hours/setting, children and relationships, career satisfaction, income and perceptions of specialty.
452 participants completed the survey (median age 36 years), of which 57 (13%) worked in cardiology. Of all respondents, 84% were partnered and 75% had children, with no difference between cardiology and non-cardiology specialties. Compared with non-cardiology specialties, women in cardiology worked more hours per week (median 50 hours vs 40 hours, p<0.001), were more likely to be on call more than once per week (33% vs 12%, p<0.001) and were more likely to earn an annual income >$3 00 000 (35% vs 10%, p<0.001). Women in cardiology were less likely to agree that they led a balanced life (33% vs 51%, p=0.03) or that their specialty was female friendly (19% vs 75%, p<0.001) or family friendly (20% vs 63%, p<0.001).
Compared with other specialties, women in cardiology reported poorer work-life balance, greater hours worked and on-call commitments and were less likely to perceive their specialty as female friendly or family friendly. Addressing work-life balance may attract and retain more women in cardiology.
在某些医学专业中，特别是心脏病学，存在显著的性别差距。我们评估了澳大利亚和新西兰（NZ）心脏病学领域女性的工作、个人生活和工作-生活平衡情况，并与其他专业进行了比较，以确定可能导致该专业女性缺乏的因素。
这是一项前瞻性基于调查的队列研究，比较了心脏病学和非心脏病学专业。通过电子邮件列表和相关社交媒体群组，向澳大利亚和 NZ 的女性医生招募参与者，完成了一项在线调查。该调查包括人口统计学、专业、培训阶段、工作时间/环境、孩子和关系、职业满意度、收入和对专业的看法。
452 名参与者完成了调查（中位数年龄 36 岁），其中 57 名（13%）从事心脏病学工作。所有受访者中，84%有伴侣，75%有孩子，心脏病学和非心脏病学专业之间没有差异。与非心脏病学专业相比，心脏病学领域的女性每周工作时间更长（中位数 50 小时比 40 小时，p<0.001），每周更有可能不止一次值班（33%比 12%，p<0.001），并且更有可能年收入超过 30 万美元（35%比 10%，p<0.001）。心脏病学领域的女性更不同意她们的生活平衡（33%比 51%，p=0.03）或她们的专业对女性友好（19%比 75%，p<0.001）或对家庭友好（20%比 63%，p<0.001）。
与其他专业相比，心脏病学领域的女性报告工作-生活平衡更差，工作时间和值班承诺更长，并且更不可能认为她们的专业对女性友好或对家庭友好。解决工作-生活平衡问题可能会吸引和留住更多的女性从事心脏病学工作。
