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Abstract 15642: Discrimination Against Physicians in Interventional Cardiology

2023· article· en· W4389980727 on OpenAlexaboutno aff
Athanasios Rempakos, Michaella Alexandrou, Bahadir Simsek, Spyridon Kostantinis, Judit Karácsonyi, Deniz Mutlu, Allison B. Hall, Arnold H. Seto, Barbara A. Danek, Binita Shah, Courtney Jordan Baechler, Delaine Thomas, James W. Choi, Jeremy Rier, Kathleen E. Kearney, Ki Park, Mosi K. Bennett, Santiago García, Thao Duong, Jimmy Kerrigan, Ahmed Al‐Ogaili, Bavana V. Rangan, Olga Mastrodemos, Salman Allana, Yader Sandoval, M. Nicholas Burke, Emmanouil S. Brilakis

Bibliographic record

VenueCirculation · 2023
Typearticle
Languageen
FieldSocial Sciences
TopicDiversity and Career in Medicine
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineEthnic groupFamily medicineInternal medicine

Abstract

fetched live from OpenAlex

Background: Data on discrimination against physicians in the field of interventional cardiology are limited. Methods: We performed an online, anonymous, international survey of interventional cardiologists. Results: A total of 445 interventional cardiologists participated in the survey. Median age was 46-50 years and most (61%) practice in the United States. Among the participants, 13% were women and 13% belonged to underrepresented minority groups. Participants were asked to discern which characteristics contribute to discrimination against physicians in their workplace. Several characteristics were identified (Figure): language accent (48%), race/ethnicity (44%), age (44%), gender (43%), and appearance/clothing (40%). Women were more likely to have experienced discrimination by patients and families (81% vs 54%; p<0.001), peers (81% vs 45%; p<0.001), supervisors (73% vs 43%; p<0.001), support staff (64% vs 36%; p<0.001), and nursing staff (63% vs 37%; p=0.001), compared with men. Similarly, among participants who practice in the US, UK, Canada, and Australia (n=296), physicians whose first language was not English were more likely to have experienced discrimination from patients and families (73% vs 46%; p<0.001), peers (63% vs 35%; p<0.001), supervisors (56% vs 33%; p<0.001), support staff (51% vs 28%; p<0. 001), and nursing staff (52% vs 31%; p=0.001), compared with native English speakers. Both women (60% vs 7%; p<0.001) and underrepresented minority groups (28% vs 12%; p=0.003) were more likely to be mistaken for a non-physician employee, compared with men and non-underrepresented minority groups respectively. While 9% (n=42) of the total participants reported incidents of discrimination to their respective organizations, only 19% of those (n=8) expressed satisfaction with the response received. Conclusions: Our survey provides a snapshot of the current status of discrimination faced by interventional cardiologists.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.010
Threshold uncertainty score0.033

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0100.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.055
GPT teacher head0.325
Teacher spread0.271 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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