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  • 1. Council on Clinical Cardiology Women in Cardiology Spring 1999 Roxanne A. Rodney, MD, Chair Chair’s Message gram, who commented on the O ur committee continues to work to foster the pro- degree of isolation they experi- fessional development of enced compared with their inter- all women in cardiology. We nal medicine residency. Note that developed the Women in women comprise only 10% of Cardiology Travel Grant to assist cardiology trainees, compared women cardiologists-in-training with 37% of residents in internal by sponsoring their attendance at medicine. the AHA Scientific Sessions and The inaugural Women in at our luncheon program. Cardiology Travel Grants were Given the fiscal constraints of awarded at the 1998 Scientific training programs, many appli- Sessions. Recipients included cants had not previously had an those with research excellence opportunity to attend scientific and those who excelled clinical- sessions. There were those who ly. Pediatric cardiology trainees were the sole woman in their pro- were also represented. A list of IN THIS ISSUE: Chair’s Message.......................................................................................1 Women in Academic Medicine—The Data...............................................3 Clinical Research Under Seige ................................................................4 The Alternative Work Schedule: Is Part-time Possible for a Cardiologist? .......................................................................5 Getting Involved in the AHA and the ACC................................................8 List of Travel Grant Recipients ...............................................................10 Reflections—Women in Cardiology Travel Grant Recipient...................11 AHA Women in Dallas ............................................................................12 Life as a Pediatric Cardiologist...............................................................13 American College of Cardiology Update ................................................14 Call for Fellowship Applications..............................................................15 Call for Travel Grant Applications...........................................................16 Application for Membership....................................................................18 American Heart Association Services ....................................................19
  • 2. WOMEN IN ACADEMIC MEDICINE our 25 awardees and information pertaining to applications for the – THE DATA 1999 travel grants are included in this newsletter. We appreciate T Wyeth-Ayerst’s recognition of the he Association of American ly 2.4 times more likely to have value of this initiative and of their Medical Colleges (AAMC) tenure than women (37% and 17%, four-year commitment to fund the Women in U.S. Academic respectively). There was concern same. Medicine 1998 statistics reveal that that women are disproportionately We are committed to assisting overall there has been no signifi- leaving academia. Overall, women women in cardiology in fulfillingcant recent change. constituted 32% of new faculty and their goals—both personal and For U.S. medical schools, women 28% of departing faculty. However, comprise 43% of new entrants and professional. The topic of our sixth at 36% of schools, the percentage annual luncheon program, “Time 43% of total enrollees. Pediatrics of women leaving exceeded the Management and Organizational (64%) and obstetrics/gynecology percentage joining the faculty. Skills,” was presented by Lois (63%) have the highest proportion For department chairs, the mean Margaret Nora, MD, JD. A summa- of women residents. Twenty-three number of women is one, with a percent of all women residents are mode of zero. At the time of the ry of Dr. Nora’s presentation is in internal medicine. Women con- survey, there were nine women provided. stitute 37% of all residents in inter- medical school deans. Thirty-one A networking reception was held nal medicine and 24% of internal percent of schools report that none prior to the program. We encourage medicine subspecialty trainees. of their “most important institu- your attendance at our next lun- With regard to faculty rank, 10% tional committees” are chaired by cheon program in November 1999. women. Of the remaining schools, of women are full professors, 19% Plan to attend the ACC Women in the range was 10% to 57%. Women are associate professors, 50% Cardiology luncheon, which will assistant professors, and 17% are are least likely to chair a financial be held on Monday, March 8 in instructors. For men, the percent- committee. New Orleans. Our committees ages are as follows: 31%, 25%, Forty percent of schools had per- (AHA and ACC) continue to share 35%, and 8%, respectively. Gender formed an analysis of salary equity a productive collaboration. distribution across the rank has not within the previous 5 years. More This edition of the newsletter fea- changed in more than 15 years. schools reported “unexplainable tures articles on the crisis in acade- With the inclusion of basic science undercompensation” of women mic clinical research, an update on and non-tenured faculty, schools than those reporting no disparities. women in academic medicine, have an average of 19 women full Private schools were less likely to alternative work schedules, professors, compared with 160 have conducted such an analysis increasing your involvement in the men at this rank. than public schools. AHA and ACC, life as a pediatric To address barriers to leadership Seventy percent of schools report- cardiologist, and much more. opportunities, the AAMC’s Project ed funding women in medicine We continue to encourage your Implementation Committee on activities. There was a discrepancy input in achieving our shared Increasing Women’s Leadership in the amount of the funding report- goals. initiated a 5-year plan with a sur- ed by the dean’s office and by the vey benchmarking the representa- women’s liaison officers, with the Roxanne A. Rodney, MD tion of women in leadership roles officers reporting a lower figure. in U.S. medical schools. The data indicate that men are approximate- Roxanne A. Rodney, MD WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 3
  • 3. CLINICAL RESEARCH UNDER SIEGE grants now account for one third of to include more MDs, T o address the threatened sta- tus of clinical research at academic medical centers, the research budget. Due to fiscal pressures in healthcare delivery · enhancing collaborations of clinical and basic science the National Institutes of Health and an increasing need to generate i n v e s - (NIH) convened a panel, the NIH clinical revenue, faculty protected tigators, Director’s Panel on Clinical time for research has dwindled. The panel also found that many · enhancing the role of General Clinical Research Centers Research, to review the status and (GCRCs), to offer recommendations. clinical faculty members have had The percentage of NIH applica- little formal training in research techniques. · continuing research opportuni- ties for medical students, and tions submitted by MDs has plum- meted from 40% in 1972 to 25% in The recommendations include: · fostering collaborations be- tween academic investigators 1997. In addition, first-time appli- and industry. cations from MDs have fallen 30% · the promotion of clinical re- search training courses (K30 in 3 years, and it has decreased by grants), Reference 6% for PhDs. Based upon these data, if this trend is not reversed, it · the development of grants for young investigators (K23 Nathan DG. Clinical Research— is projected that applications sub- grants), Perceptions, Reality, and Proposed Solutions. JAMA. 1998;280:1427- mitted by MDs will be virtually nonexistent. · partial salary support for men- tors (K24 grants), 1431. At academic medical centers, industry and private foundation · the restructuring of patient oriented research study sections Roxanne A. Rodney, MD 4 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 4. THE ALTERNATIVE WORK SCHEDULE: IS PART-TIME POSSIBLE FOR A CARDIOLOGIST? But despite the perception that need to make a similar change. I f work hours are so important to women cardiologists, why working an alternative type sched- Although an afternoon off was aren’t more of us negotiating ule is an impossibility in our pro- standard for her group, Linda and working alternative schedules? fession, many of us are doing just decided that to increase the flexi- The answer is likely twofold. First, that. What is often involved is sim- bility she needed a full day a week there are the numbers. Only 5% of ply “tweaking” the existing stan- away from the practice. Because practicing adult cardiologists and dard schedule to make it more liv- she has continued to see a large 10% of adult cardiology fellows able. Janet Wright, MD, is a full number of patients and log billing are women. These numbers partner (and the only woman) at numbers that are in the upper 25% bespeak isolation. The sole woman Northstate Cardiology in Chico, compared with her other 6 partners, in a group practice or cardiology CA. Several years ago she made the her group has had little problem division may well not wish to decision to arrange her office with the arrangement. Linda “rock the boat” by pushing for any schedule such that she had one describes her schedule as in a state change in the standard, rigorous afternoon off per week—something of flux, however. “Some weeks I schedule of rounds, teaching and that wasn’t previously done in her need to come in for the morning on research responsibilities, office my ‘day off’ just to catch up on time, and night and weekend call But despite the perception charts and paperwork. But overall that have been accepted (and even that working an alterna- the increased flexibility allows me created) by her male colleagues or tive type schedule is an to schedule teacher conferences chief. Second, and probably more and do other things that just can’t important, cardiology is not impossibility in our profes- sion, many of us are doing be done on the weekend.” viewed as a subspecialty that But what about not just an alter- allows for much slack. The acute just that. native to the standard schedule but nature of the disease processes in a job that is significantly reduced the patients for whom we care, practice. She informed her partners in hours, calls, and other responsi- coupled with the need for aggres- of her decision and asked that they cover for her during those hours as bilities? How are self-identified sive, urgent and very hands-on they would if she were on vacation “part-time” cardiologists altering therapeutic intervention, calls to or away at a meeting. She met with their schedules? There are as many mind a physician who is ever-ready some resistance at first, but over permutations of such arrangements and ever-present. Doesn’t sound much like part-time work, does it? time, not only did her partners as there are cardiologists negotiat- For a cardiologist, what is part- agree to her plan, each of them has ing and working them. The possi- time work? In a high-stress busi- started to schedule a half day off bilities range from a full weekday ness job a maximum of 40 hours a each week, too. Clearly not a part- schedule with no night or weekend week with a guarantee that you’ll timer, Janet pursued an alternative call to limiting hours or days leave by 5 PM every day is consid- to the standard schedule and ended worked during the week but taking ered a part-time position. Likewise, up changing the nature of her entire a full share of the on-call responsi- a cardiologist who attempts to practice’s way of operating. bility at night and on the weekends. impose any boundaries on the stan- After the birth of her son, 2 years Cardiologist Susan K. Bennett, dard schedule or set limits to hours after starting her practice at MD, negotiated a part-time posi- per day worked may be viewed as Wilmington Health Associates in tion as an Assistant Professor of part-time even though he or she Wilmington, NC, cardiologist Medicine at the University of puts in a 40- to 60-hour work week. Linda P. Calhoun, MD, felt the Maryland just after she finished her WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 5
  • 5. fellowship training. She worked 4 with my office by phone and keep schedule for another 1.5 years at days most weeks, except for when my beeper on during my days off to which time she resumed both full- she was on the clinical service at deal with any problems that arise. time hours and tenure accrual. She which time she expanded to the In addition, loading up my brief- is now Professor of Medicine and usual 5 days per week. Susan nego- case with paperwork that can be Chief of Cardiology at the VA tiated a part-time schedule when done at home has allowed me to Hospital in Gainesville. she later joined her current group, have the time flexibility I wanted Such midcourse corrections are Cardiology Associates, P.C. in when I negotiated this job. not uncommon in the world of Washington, DC. “You have to be But what is workable in a prac- part-time work. Surveys of corpo- very explicit about what you want tice or at the junior faculty level is rate workers document that the (when negotiating),” she says, “and clearly much riskier if your sites large majority of part-time employ- remain flexible.” She works 2 full are set on an academic career with ees work beyond their agreed upon days and 3 half days per week in tenure and promotion. In some cir- schedule and many don’t receive the office, but recently expanded to cumstances, though, it is still a pos- compensation for the additional 5 full days for several months at sibility. There is significant institu- time (4). Scheduled half days that her group’s request to fill a sched- tional variability in this area. routinely turn into full days or the uling gap until a new physician Marian C. Limacher, MD, took assumption of additional responsi- was recruited. “My arrangement advantage of an option to delay bility without appropriate renegoti- works for my group, “Susan ation of the terms of the part-time says, “because we’re large contract can lead to a situation enough (13 cardiologists) to wherein the part-time, more flexi- allow for my scheduling flexi- ble position is more an illusion bility.” than a reality. I agree. The large size of my How is the option of part-time group, 19 (Northside Cardiol- cardiology viewed by the ogy, The Care Group, LLC in employer: our chiefs and manag- Indianapolis), has a lot to do ing partners? “I wish that more of with my ability to work a part- us could do that,” says Linda L. time schedule also. I work 2 half Demer, MD, Chief of the days and 2 full days per week and time to a tenure decision after join- Division of Cardiology at UCLA take no night or weekend calls. My ing the Cardiology Division at the Medical Center. “It doesn’t work in group’s decision to divide calls into University of Florida at Gaines- all cases and really depends on the day and night calls shortly after I ville. At that institution, tenure niche the (cardiologist) fits in.” started with them (6 1/2 years ago) accrual is allowed over a more She feels that the need for travel to has allowed me to continue to have extended period of time as long as defend one’s research and to estab- a full hospital and office-based the hours worked are at least half- lish a presence on a national level practice and still have more control time. At the time she availed her- can limit the options for a part-time over the time that I spend at work. self of this optional track, Marian’s academic position. But it is her My group’s firm belief that “when children were 17 and 9 months old hope that greater use of e-mail and you’re off, you’re off” was cultural and she contracted to work half- teleconferencing in the future will norm long before I joined them, so time. After a year, during which add needed flexibility. “It can be my “off” time is covered for in the she found herself working 5-day very hard to satisfy tenure expecta- same way as if I were on vacation. weeks and leaving at 4 or 5 PM, it tions if (you’re) part-time,” she I, too, spend an occasional morning was obvious that she was working says, but feels that “institutions off in the office catching up on closer to 75% time. She renegotiat- have to change to attract good peo- charts and paperwork. I check in ed and continued working that ple.” Clifford C. Hallam, MD, 6 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 6. CEO of the Care Group, LLC in new arrangement need to be 2. Limacher, MC, Zaher CA, Indianapolis, IN, where I practice, thought about well in advance of Walsh MN, Wolf WJ, Douglas echoes the feeling that the feasibil- the actual negotiation. What may PS, Schwartz JB, Wright JS, ity of a part-time cardiology posi- be an ideal schedule for the indi- Bodycombe DP. The ACC tion is highly dependent on the vidual might not be easily achieved Professional Life Survey: individual physician and the needs in a particular practice or division. Career Decisions of Women of the group. But in some cases he Whereas with slight modification, thinks that it is workable: “If an the proposal may be looked on and Men in Cardiology. J Am individual brings new or needed quite favorably, even on the first go Coll Cardiol 1998;32:827-35. skills to the practice, the group round. Anticipating and trouble- 3. Kristhof KM. “Redefining very clearly benefits without the shooting problems in advance can Success: Part-Time Profes- more significant outlay in salary lead to a successful negotiation, sionals Are Shaping a New commanded by a full-time cardiol- just as ongoing reevaluation of the Work Ethic.” Los Angeles ogist.” arrangement and remaining flexi- Times, 6 February 1995, Part- Whatever the ultimate hybrid ble can keep an alternative sched- Time Careers Special Section. schedule—only slightly different ule viable over time. 4. Catalyst Consulting Group, from the norm or a truly part-time References “Flexible Work Arrangements, arrangement, it is abundantly clear that the cardiologist negotiating the Part II: Succeeding With Part- 1. Tolliver C, Chambers N. Going change has to take the lead. Issues Part-time: The Insider’s Guide Time Options” (New York), of salary, alteration in allotted days for Professional Women Who (1993). for vacations and meetings, and an Want a Career and a Life. Avon estimation of the duration of the Books, 1997. Mary Norine Walsh, MD WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 7
  • 7. GETTING INVOLVED IN THE AMERICAN HEART ASSOCIATION AND AMERICAN COLLEGE OF CARDIOLOGY: A PRIMER T here are many excellent rea- ers of the AHA and ACC, the two Association. One should start with sons why female cardiolo- organizations have somewhat dif- the local AHA affiliates. These gists should volunteer for ferent though complimentary mis- organizations have a number of local and national involvement in sions. The AHA has a strong inter- committees that sponsor local the American Heart Association est in patient education and fund- fund-raising, continuing medical (AHA) and American College of raising and is a major source of education, and lay educational Cardiology (ACC): funding for basic and clinical events. The best way to get research in heart disease and involved with the AHA for the first 1. It increases one’s visibility stroke. The ACC, on the other time is to volunteer at the affiliate and hence name recognition hand, has a strong commitment to level. Call the affiliate’s executive both locally and nationally; director or the president of the 2. It provides an opportunity to affiliate and express your enthusi- develop leadership skills; asm for becoming a member of one 3. It greatly expands one’s pro- of the local committees. It won’t fessional contacts; take long before you’re placed on a 4. It increases one’s awareness committee. and understanding of issues Once you have put in some vol- affecting cardiologists; and unteer time on one of these com- 5. It contributes to the fight for mittees, let it be known to the exec- optimal cardiovascular care utive director and the president that and disease prevention. you very much would like to serve on the affiliate’s board of directors. How does one accomplish the Eventually, you may want to vol- task of getting involved? unteer as an officer of the local The answer to this question is a affiliate. paraphrase of former Speaker of Having thus gained some first- the House, Tip O’Neill’s famous hand experience and knowledge remark: “All politics are local.” physician education and advocacy. involving the inside structure and The paraphrase is as follows: “Face An assessment of your talents and function of the AHA, you might to face contact, i.e., local involve- interests may lead you to one orga- want to work on a national AHA ment, is the best first step to nization over the other. Both orga- committee. Again, the best way to appointment to local and national nizations recognize the importance accomplish this goal is to make AHA and ACC committees.” of the involvement of female cardi- yourself known to the administra- This article focuses on the two ologists and have Committees on tive and professional leadership of largest organizations that represent Women in Cardiology. the Clinical Council. I would sug- specialists in cardiovascular medi- gest the following strategy, cine. However, the advice is easily American Heart Association although many other techniques adapted to other organizations. would undoubtedly also work: Although there is considerable Let’s look first at how one gets overlap among the physician lead- involved with the American Heart 1. Write a letter to the Council 8 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 8. administrator in Dallas inform- Unlike the AHA, the ACC is Membership in the BOG provides ing him/her of your desire to almost exclusively a physician an opportunity for additional serve on a Council committee. organization with little formal involvement in BOG task forces The current administrator is layperson/ patient involvement. and committees and opens the door Leslie Austin, and her address is American College of Cardiology to appointment to the College’s as follows: AHA National representation at the local level national committees. Center, 7272 Greenville Ave- consists of state chapters, which As has been previously stated, nue, Dallas, TX 75231-4596. exist in all but a few states. Each hard work in whatever role is 2. Follow up this letter with a state has an ACC governor who assigned is important and the phone call to the administrator also serves as chapter president. It assigned responsibilities must be or, even better, express your may be easier to get involved in taken seriously. interest with a face-to-face states in which chapters exist National committee assignments encounter during the National because they offer positions on Scientific Session in November. chapter committees as well as the are made toward the end of each 3. In addition, write a letter to the opportunity to represent your com- year by the incoming College physician Chairperson of the munity as its chapter councillor. President. Nominations are solicit- council expressing your strong The first person to contact should ed from members of the Board of desire to serve on a Council be the state ACC Governor. If you Trustees, Board of Governors, etc. committee. If this letter doesn’t don’t know who this is, call the in the late summer and early fall. If get you a Council appointment national ACC (800-253-4636) or you have an interest in national the first time you write it, send a visit the website (www.acc.org) committee involvement, request a second, and even a third letter. Without a doubt, he or she will be list of the standing committees Don’t forget that you must be a delighted to hear from you and will from College headquarters in Fellow of the Council in order find a role for you at the state level. Bethesda and identify one or more to serve on its committees. For As with the AHA, experience in which you believe you could be information concerning fellow- gained as a committee member or a valuable member. Express your ship see page 15. council member may lead to the interest in being nominated to your 4. Work diligently when you are opportunity to chair a committee or Governor or any other individual in assigned to a committee. Hard become a member of the chapter a position to submit your name. work and enthusiasm are executive committee. Don’t be discouraged if your first always noticed and before long Chapter presidents/governors are nomination is unsuccessful. Try you’ll probably be asked to elected every 4 years by popular again next year! chair a committee and thus ballot by all college members Working within the AHA and serve on the Council’s govern- residing in the state/region. The ACC is a delightful experience ing body, the Executive nominees for the position are Committee. selected by the sitting and immedi- because of the friendships and the ate past chapter president. This professional network that you will American College of Cardiology position is time-consuming but establish. At the same time, it’s extremely rewarding. The gover- easy to feel good about working for Like the AHA, the ACC is well nor sits on the Board of Governors organizations with such worth- organized at both the national and (BOG) of the College, a wonderful while goals. Best of luck—we look local levels. It is headquartered in organization that fosters the acqui- forward to working with you. Bethesda, the home of a large and sition of leadership skills and extremely talented full-time staff offers the chance to meet col- Joseph S. Alpert, MD and and physician teaching facility. leagues from across the country. Linda D. Gillam, MD WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 9
  • 9. 1998 AHA/Wyeth-Ayerst Women in Cardiology Travel Grant Recipients Maria N. Ansari, MD Jennifer Han, MD Raquel C. Martin, MD University of California Stanford University Medical Center Baystate Medical Center Adult Cardiology Adult Cardiology Adult Cardiology San Francisco, CA Millbrae, CA Springfield, MA Lynn A. Batten, MD Smadar Kort, MD Kerry Strong Russell, MD, PhD Tulane University Medical Center The New York Hospital—Cornell Yale University Pediatric Cardiology Medical Center Adult Cardiology Metairie, LA Adult Cardiology Branford, CT New York, NY Laura R. Benzaquen, MD Harvard Medical School Adult Cardiology Monica R. Shah, MD Cambridge, MA Duke University Adult Cardiology Beth S. Biegelsen, MD Durham, NC Boston Medical Center Adult Cardiology Regina L. Sohn, MD, PhD Boston, MA Brigham and Women's Hospital Adult Cardiology Theresa M. Brennan, MD Brookline, MA University of Iowa Hospitals and Clinics Elizabeth A. Tarka, MD Adult Cardiology University of Pennsylvania Iowa City, IA Medical Center Adult Cardiology Sung Hee Leslie Cho, MD Philadelphia, PA Cleveland Clinic Foundation Adult Cardiology Beachwood, OH Kara A. Thompson, MD Grace Kung, MD University of Texas– Reema Chugh, MD University of California–San Houston Medical Center Washington University/ Francisco Adult Cardiology Barnes-Jewish Hospital Pediatric Cardiology Houston, TX Adult Cardiology San Francisco, CA St. Louis, MO Ann T. Tong, MD Lang Lin, MD Beth Israel Deaconess Medical Center Elizabeth S. Gold, MD University of Florida Adult Cardiology University of Washington Adult Cardiology Brookline, MA Adult Cardiology Gainesville, FL Seattle, WA Debbie R. Wright, MD Karen S. MacMurdy, MD Texas Tech University Madhavi Gunda, MD University of Maryland Health Sciences Center Henry Ford Health System Adult Cardiology Adult Cardiology Adult Cardiology Baltimore, MD Lubbock, TX Rochester Hills, MI Donna Marchant, MD Susan J. Zieman, MD Fatima Hakkak, DO North Shore University Hospital Johns Hopkins University Debora Heart & Lung Center Adult Cardiology Adult Cardiology Adult Cardiology Whitestone, NY Baltimore, MD Burlington, NJ 10 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 10. Reflections – Women in Cardiology Travel Grant Recipient and basic science research that was new found friends in a relaxed A s a recipient of this year’s Women in Cardiology ongoing within the arena of heart environment at The Ranch. Lois Travel Grant, I was fortu- disease and stroke. Nora, MD, JD, Associate Professor nate to have been able to attend my The week finally culminated in a of Neurology, Professor of Law, first American Heart Association wonderful reception in our honor, Associate Dean for Academic Annual Scientific Sessions in the twenty-five recipients of this Affairs at the University of Dallas, Texas, November 8-11, year’s AHA/Wyeth-Ayerst Women Kentucky spoke about time man- 1998. I left the fall-like weather of in Cardiology Travel Grant. This agement and organizational skills, Detroit, Michigan, where I am cur- intimate gathering at the Wyndham a topic that we could all relate to as rently a second year cardiology fel- Anatole was a perfect opportunity women trying to juggle our busy low at Henry Ford Hospital, only to to meet the other recipients, but professional and personal lives be greeted by unseasonably cool more importantly to share our com- with never enough time, but Dr. and damp weather for my first visit mon experiences and to develop lasting friendships. There were Nora helped us understand the to Dallas. My only disappointment of the entire trip by far, since I was many opportunities that evening to need to organize and prioritize. expecting much warmer weather in meet and interact with several pre- On behalf of all the recipients, I the south. eminent women in cardiology would like to take this opportunity The actual scientific poster ses- including Martha N. Hill, RN, PhD to thank the AHA Council on sions held at the Dallas Convention who was the key note speaker. Her Clinical Cardiology Committee on Center were enormous and with words were insightful and inspir- Women in Cardiology and Wyeth- nearly 40,000 people in attendance ing, but I think I can safely say on Ayerst for providing us with this quite overwhelming for a first time behalf of all the recipients that we unique opportunity. The AHA attendee and presenter such as were honored to be able to share an Scientific Sessions were an ideal myself. It soon became obvious, evening with such accomplished setting to make new friendships however, that there was so much individuals. The commemorative and network with other female fel- going on that I could not possibly plaques were the perfect momento lows in training, to identify men- attend everything, and that I would to remind us of our accomplish- tors and to cultivate research inter- have to become selective. The ments and what we have yet to ests. All of these opportunities environment was exciting but most achieve. would not have been possible with- of all intellectually stimulating. The sixth annual luncheon pro- out your commitment to fostering Whether it was a poster session or gram for Women in Cardiology our professional development a plenary session, I found myself in was one last and final opportunity awe of the vast amount of clinical to network and to get to know our Madhavi Gunda, MD WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 11
  • 11. AHA Women in Dallas · D r. Lois Nora stood in front Important but nonurgent tasks making everything count for of 150 female cardiologists include professional duties one two, and cardiologists-in-train- ing at the AHA Women in would and should be performing but get pushed aside by the urgent · maintaining a weekly/monthly planner, Cardiology luncheon on November issues. These include professional · avoiding procrastination, 10, 1998, balancing fragile Chris- advancement such as writing · systemizing routines, and tmas tree balls in a crystal bowl. As she kept crowding the large multi- papers or the enrichment of person- al relationships. That which we · establishing priorities. At the end of the presentation she colored ornaments into the bowl would/should do if there were but asked for suggestions from the par- the audience awaited the time ticipants; practical things that car- when she would start dropping the diologists can do to better manage balls. It was an obvious metaphor their time. Several suggestions for the professional and personal from the audience focused upon life of the female physician and the the importance of delegating tasks women there clearly identified to good, responsible help (nurses, with the situation. This was the secretaries) when possible. Other essence of Dr. Nora’s presentation. strategies emphasized the need to She, as an Associate Professor of take advantage of time-sparing Neurology, Associate Dean for advances such as returning tele- Academic Affairs and Professor of phone calls from the car phone and Law at the University of Kentucky, using other conveniences of the wife, and mother could speak to the issue of time management. more hours in a day. Unimportant modern age. and nonurgent issues may include Special guests at this presenta- Drawing heavily upon the princi- tion were the recipients of the ples espoused by Stephen Covey in television and pleasure reading. his book Seven Habits of Highly Of course it came down to the AHA/Wyeth-Ayerst Women in Effective People, she categorized fact that time is a precious com- Cardiology travel grants. The 25 all tasks, both professional and per- modity, and Dr. Nora proposed fellows-in-training received an sonal, into four groups: important several strategies and rules to bet- early indoctrination into the practi- and urgent; unimportant but ter manage and control the use of cal and often frustrating aspects of urgent; important but not (yet) time. actually practicing medicine be it urgent, and unimportant and nonur- There were “Rules,” which in an academic or private setting. gent. Important and urgent issues included the following: There was opportunity for them to the appropriate use of the word interact with practicing cardiolo- comprised professional deadlines and pressing patient issues, where- · “No,” gists and to benefit from Dr. Nora’s as unimportant but urgent would be · delegating tasks, experience. all e-mail and telephone calls that demand immediate attention. · designating a quiet hour every day to complete “important Marla Mendelson, MD tasks,” 12 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 12. Life as a Pediatric Cardiologist P ediatric cardiology was the with ultrasound performed on the this transcends bureaucratic con- first subspecialty of pedi- pregnant mother. Also, ever- straints and provides the pediatric atrics to be recognized. In improving results of repair of con- cardiologist with a sense of acade- the 1940s, Dr. Helen Taussig was a genital heart disease has expanded mic and clinical freedom that is young pediatrician at John’s the field into adulthood and even rapidly disappearing in other fields Hopkins. The mortality in patients to the elderly. of medicine. with congenital heart defects was There is a relatively high propor- In the 1970s, when cardiac prohibitively high, especially in tion of women among pediatric catheterization was the only reliable infants with cyanotic heart disease. cardiologists compared with adult method of diagnosis of congenital She was asked to take charge of cardiologists. heart disease, being a pediatric car- the care of these patients at John’s diologist had the combined Hopkins. At that time, this was a demands of an acute-surgical spe- depressing and unrewarding task cialty, high-risk obstetrics, and gen- and not many physicians were eral pediatrician. It was an all-con- willing to take it on. Most of the suming vocation requiring many patients died before their first skills and allowing for little person- birthday and not much was al and family life. Surprisingly, it known of the intricacies of their attracted many talented women in problems. Dr. Taussig took on the spite of the dilemma of choice task vigorously and ran with the between work and family life ball. The first aortopulmonary which traditionally is regarded as a shunt (Blalock-Taussig) was done Currently, there are approximate- women’s work. It was difficult for in 1945 in the United States. ly 800 pediatric cardiologists in the these women to combine clinical At a time when there were very U.S. and approximately 30% of work, teaching, research, and fami- few female cardiologists, this these are women. The preponder- ly life. Thus, they were often unable remarkable woman pioneered pedi- ance of women in pediatric cardiol- to reach the higher echelons in this atric cardiology. Concomitantly, ogy when compared with adult car- subspecialty. there was an explosion of diagnos- diology, is probably because it During the 1980s and 1990s, the tic and surgical technology in car- combines the attractions of pedi- continued development of the spe- diac disease in the 50s, 60s, and atrics for women with the excite- cialty led to subspecialization into 70s. Her painstaking clinical work ment of a dynamic and crisis-ori- newer disciplines such as pediatric and research resulted in improved ented specialty. The increasingly echocardiography, electrophysiolo- understanding and treatment of improved survival rate and progno- gy, and interventional cardiology. many congenital cardiac condi- sis of congenital cardiac disorders At the same time, pharmaceutical tions. Her efforts also resulted in creates grounds for long lasting developments reduced the urgency the training of many pediatric car- doctor-patient relationships similar and number of patients needing diologists who continued to to extended family ties. This is par- emergent interventions. The result advance the field. Pediatric cardi- ticularly attractive for those who was a more manageable work ology has become an exciting and appreciate the satisfaction of the schedule and time demand for the dynamic discipline which now doctor-patient relationship. physician. It became more manage- includes the diagnosis and treat- A pediatric cardiologist’s rela- able for women to combine a bal- ment of congenital heart disease tionship with his/her patient starts anced family life with this rigorous prior to birth. This is largely due to inutero and many now continue in specialty and encouraged more the development of fetal imaging old age. In this era of managed care, women to enter the field. WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 13
  • 13. Women in pediatric cardiology American College of Cardiology Update can currently have normal lives, a I satisfying profession, and more n March, 1998, the ACC Board on how to take back control of your commitment to mentoring and net- of Trustees approved the for- time and still maintain your sanity. working. It has become a more mation of a standing committee There will be time for questions rewarding and manageable field on Women in Cardiology (WIC). and specific problem-solving. This group is the continuation of In other activities, the ACC WIC for future generations of women the Ad Hoc Task Force on Women Committee submitted Dr. pediatric cardiologists. Bernadine Healy’s name as a nom- in Cardiology but now has the ben- For women pediatric cardiolo- efit of standing staff support, an inee for the 1999 Elizabeth gists to sustain their status in the annual budget, and an established Blackwell Medal of the American field and to have a better quality of mechanism for nomination of Medical Women’s Association. A life and professional satisfaction, members and chair. The list of thirteen candidates were pro- they should recognize the hurdles Committee will continue to work posed by the Committee for con- they face as a group and provide closely with the AHA WIC sideration of inclusion in future more support of each other. The Committee to coordinate program- vacancies of ACC committees. The cumulative wisdom of the group ming and initiatives. The ACC Committee is currently developing should be shared for the improve- WIC Committee will sponsor a a proposal for the ACC to sponsor luncheon panel at the upcoming a 1-day seminar and series of ment of their career path and Scientific Sessions of the ACC in workshops entitled, Professional opportunities. New Orleans on Monday, March 8, Development: Enhancing Effec- We should salute women whose 1999. The topic is “Getting tiveness and Managing Change.” If vision, sacrifices, persistence, and Organized: How to Unclutter Your approved, the program will take hard work have, along with their Life.” D. J. Watson, President of place the Saturday prior to the male colleagues, made pediatric s’organized©, a Professional ACC Scientific Sessions, on March cardiology the specialty it is today. Business Operations company in 12, 2000, in Anaheim, CA. Pensacola, FL, will provide advice Soraya Nouri, MD Marian Limacher, MD Upcoming AHA Scientific Conferences For additional information E-mail April 29-30: Compliance in Health- July 25-Aug 6: 25th 10-Day Seminar scientificconferences@heart.org care and Research, Waltham, MA on the Epidemiology and Prevention of Cardiovascular Diseases, Tahoe, May 24-26: Cardiovascular Disease CA 1999 and Stroke Quality of Care and Outcomes Research Conference, San Sept 26-Oct 1: International 6-Day March 24-27: 39th Annual Confer- Diego, CA Symposium on Congenital Heart ence on Cardiovascular Disease Disease Embryology, Pathology, and Epidemiology and Prevention, July 9-14: Hypertension Summer Cardiac Imaging Orlando, FL School, Boulder, CO Nov 7-10: 72nd Scientific Sessions, April 8-11: Existing Databases: Do Aug 18-22: Molecular Cellular and Atlanta, GA, Phone (214) 706-1543, They Hold the Answer to Clinical Integrated Physiological Approaches Fax (214) 373-3406 Questions in Geriatric Cardiovascular to the Failing Heart, Salt Lake City, Disease and Stroke?, Washington, DC UT 14 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 14. Announcements, Resources, and Call for Job Postings Fellowship This new section contains infor- submit articles and notices to Applications mation on upcoming events, Leslie Austin at the AHA National Fellowship in the Council on educational opportunities, and Center, 7272 Greenville Ave., Clinical Cardiology recognizes positions available that may be of Dallas, TX 75231, for considera- excellence, innovation, and lead- interest to our readers. Please tion in future issues. ership in clinical cardiology in private practice or academic set- ting. Fellowship is generally reserved for physicians and med- RESOURCES ical scientists who are board-cer- tified in cardiovascular disease. Candidates should be able to The AAMC Women in Medicine (WIM) webpage demonstrate active involvement (http://www.aamc.org/wim) provides information on pro- in activities that reflect the mis- fessional development seminars, programs, activities, and sion of the AHA. Board certifica- products. Their quarterly publication “Women in Medicine tion and competence in clinical Update” is also on the webpage. practice are necessary, but not sufficient, for election to fellow- ship. Fellowship is a requirement The American Medical Women’s Association (AMWA) for serving on Council subcom- webpage (http://www.amwa-doc.org) provides information mittees. Fax your request for including programs and publications. Council on Clinical Cardiology fellowship applications and instructions from the Credentials Secretary at (214) 373-0268. The deadlines for application are January 15 and June 1. AHA Web Site http://www.amhrt.org Visit the Women's Web site www.women.americanheart.org WOMEN IN CARDIOLOGY NEWSLETTER SPRING 1999, NUMBER 1 15
  • 15. AHA/Wyeth-Ayerst WOMEN IN CARDIOLOGY TRAVEL GRANT PROGRAM The AHA Council on Clinical Cardiology Committee on Women in Cardiology is pleased to announce a travel grant program for women cardiology fellows. The purpose of this grant is to encourage and recognize outstanding academic and clinical performance during cardiovascu- lar-related specialty training. The grant subsidizes travel expenses to the American Heart Association’s annual meeting and attendance at the Women in Cardiology professional devel- opment program. Outstanding trainees from ACGME- or AOA-approved training programs may apply to receive a $750 travel grant to subsidize meeting registration, airfare, hotel, and meals for travel to the American Heart Association’s annual Scientific Sessions, November 7-10, 1999, in Atlanta, Georgia. This grant is intended to acknowledge outstanding trainees who exemplify a balance between clinical expertise and scientific interests. Although applicants may be actively engaged in research and have associated publications, this is not a requirement for application and selec- tion. The application is to be made on the enclosed form and should not exceed these two pages. The first page must be endorsed by the training director, and the remainder of the application incor- porates a statement written by the candidate outlining how receipt of this grant will further career objectives. The AHA must receive applications for the 1998 Travel Grant to Attention: Leslie Austin by August 1, 1999. Selection of the trainees will be confirmed no later than September 1, 1999. If you have further questions, please feel free to contact Leslie Austin at (214) 706-1435 or by E-mail lesliea@heart.org. 16 SPRING 1999, NUMBER 1 WOMEN IN CARDIOLOGY NEWSLETTER
  • 16. AHA/Wyeth-Ayerst WOMEN IN CARDIOLOGY TRAVEL GRANT PROGRAM APPLICATION FORM Deadline for Receipt of Application: August 1, 1999 PLEASE TYPE Name: __________________________________________________________ Date of Birth: _________________ Last, First and M.I. Degrees Preferred Mailing Address: ________________________________________________________________________ _____________________________________________________________________________________________ Daytime Phone: __________________ Fax: ____________ E-mail: _________________________________ Fellowship Training Program: _____________________________ Institution: _______________________________ Fellowship Year (1/2/3 etc.): ________ Name of Training Program Director: ___________________________ Check Payable to: Institution _________ Trainee________ Social Security Number: __________________ Ethnic Origin (circle one): White, Black, Hispanic, Native American, or Asian Pacific Islander Education: Name/Location of Institution Date Graduated Degree College or University: _____________________________________________________________________________ Medical School:__________________________________________________________________________________ Post Graduate Training: Appointments (e.g., Internship/Residency/Fellowship) Name and Location of Institution Area of Specialization Inclusive Dates ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ If selected, I will attend the 72nd Scientific Sessions of the American Heart Association and the Women in Cardiology professional development program on November 7-10, 1999, in Atlanta, GA. AHA Abstract Submitted Attended Prior AHA Sessions Signed: ____________________________________________ ______________________________ Nominee’s Signature Date TRAINING PROGRAM DIRECTOR’S ENDORSEMENT (ACGME– or AOA–approved program in Cardiology) I certify that this candidate is enrolled in our program. Signed: ____________________________________________ ______________________________ Training Program Director’s Signature Date PLEASE RETURN THE APPLICATION TO THE AMERICAN HEART ASSOCIATION BY AUGUST 1, 1999. APPLICATIONS EXCEEDING TWO PAGES MAY BE DISQUALIFIED. Send to Leslie Austin, Women in Cardiology, AHA, 7272 Greenville Ave., Dallas, TX 75231 NOMINEE’S PERSONAL STATEMENT: Please confine to one page a personal statement outlining: 1) how receipt of the Women in Cardiology Travel Grant will further your professional development and goals; 2) your research and clini- cal interests; 3) any publications and presentations at meetings; and 4) any additional information pertaining to your choice of cardiology as a career.
  • 17. We Want YOU To Become a Member Council on Clinical Cardiology The American Heart Association As a member of the Council, you will invites you to join the Council on enjoy the following benefits: Clinical Cardiology. This council pro- motes excellence in patient care, edu- · Advance notification for registration cation, and clinical research in cardio- and abstract submission for national Complete this form and mail vascular disease. It helps to bring clin- AHA meetings. ical perspective to the AHA’s position · Early registration, reduced registra- along with your payment to papers, practice guidelines, and scien- tion fees to the AHA’s Scientific tific statements. It is responsible for the Sessions and council programs. American Heart Association clinical sessions at the AHA’s annual · The Council newsletter. Scientific Sessions (including sym- · Information about research funding PO Box 62073 posia, panels, and cardiovascular con- and patient education materials. Baltimore, MD 21264-2073 ferences) that are designed to keep · Reduced journal subscription rates physicians informed about recent developments in clinical cardiology. for Circulation; Arteriosclerosis, The council also sponsors selected Thrombosis, and Vascular Biology; scientific conferences and serves as Stroke; Hypertension; and an advocacy group for patients with Circulation Research. cardiovascular disease. · A voice in the AHA. YES! I want to join the Council on Clinical Cardiology. Dues $40. Questions?? Call Customer Service at 800-787-8984 Name ____________________________________________________ Degree ________ (410-361-8080 outside US) or Address _________________________________________________________________ fax 800-787-8985 City _________________________ State ____________Zip ________ Country ________ (410-361-4048 outside the US) Phone ________________________________ Fax ______________________________ EMail ___________________________________________________________________ Month/Year of Birth ____/____ Gender (M) (F) Speciality__________________ Race/Ethnicity: American Indian Asian Black Hispanic White If paying by credit card, you % of time spent: (=100%) ___Student ___Research ___Administration may fax your order to ___Teaching ___Clinical ___Other (specify) ____________________________ 800-787-8985 (410-361-4048 outside the US) Are you interested in vascular biology? Yes No Specialty _________________________________________________________________ Advance payment required This offer expires 12/31/99 Check enclosed (Payable to the American Heart Association drawn on US bank in US dollars) MasterCard Visa American Express Credit Card #___________________________________________ Exp. Date__________ Signature as it appears on card _______________________________________________ D8J094A Total Payment $______________
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