Impact of gender in congenital heart surgery: Results from a national survey

Objective: There are limited data regarding the impact of gender within congenital heart surgery. Our aim was to assess gender-related experiences by surgeons in this field.Methods: A cross-sectional survey was emailed to practicing congenital heart sur-geons to ascertain the perception of gender in 5 domains: training, professional career, clinical practice, personal life, and career outlook.Results: The survey response rate was 94% (17/18) for women and 44% (112/257) for men. More than half of women (53%) were discouraged from pursuing congenital heart surgery (P < .001) and reported a negative impact of gender in attaining their first congenital heart surgery job (P < .001) compared with men. Despite similar demographics, women reported lower starting annual sal-aries ($150K-$250K vs $250K-$400K), lower current annual salaries ($500K -$750K vs $750K-$1M), lower academic ranks (clinical instructor 6% vs 4% [P = .045], assistant professor 35% vs 19% [P = .19], associate professor 41% vs 25% [P = .24], and professor 6% vs 41% [P = .005]) along with lower annual salaries at the associate professor ($500K-$750K vs $1M-$1.25M) and professor levels ($1M-$1.25M vs>$1.5M) compared with men. Sexual harassment was expe-rienced more frequently by women both in training (65% vs 6%, P <.001) and in practice (65% and 4%, P < .001).Conclusions: This survey highlights many areas of gender-related differences: discouragement due to gender to pursue congenital heart surgery, sexual harass-ment in training and practice, salary and academic rank differentials, negative gender perception at work, and lower career satisfaction for women. Despite various differences between both genders, the majority in each group would choose to enter this profession again as well as encourage others to do so. (J Thorac Cardiovasc Surg 2023;165:1669-77)