Tag Archives: Environment

ACC Survey: 44% of Cardiologists Report a Hostile Work Environment

In a survey of cardiologists from around the world, 44% of respondents reported experiencing a hostile work environment at some point in their careers.

A key finding was that of those who reported a hostile work environment, 62% said it had some effect and 13% said it had a significant impact on their professional activities with colleagues.

Almost half of those who reported such an environment, 46%, said the behavior affected patient care.

“Perceived emotional harassment or discrimination — and it may be small micro-invalidations, microaggression against women or people of color, or it could even by these little insults like being interrupted constantly or not introduced as a doctor — these things are very damaging and impact not just professional advancement and satisfaction, but they can also impact patient care,” said lead author Garima Sharma, MD, from Johns Hopkins University School of Medicine, Baltimore, Maryland.

Higher rates of reported hostile work environment (HWE) were found among women cardiologists (68% vs 37% for men), Black cardiologists (53% vs 43% for Whites), and North American cardiologists (54% vs 38% for South Americans).

As part of an American College of Cardiology effort to better understand the workplace experienced by their 54,000+ members and beyond, an anonymous online survey was sent to 71,022 cardiologists, of whom 8% or 5931 (77% men; 23% women) responded.

The results were published in the May 18 issue of the Journal of the American College of Cardiology.

Both ACC members and non-members listed in the ACC database were eligible for participation. Medical students and nonphysicians were excluded.


“This is really just scratching the surface, but I think it’s important to note that no other subspecialty in medicine has been able to do a survey like this at this scale,” said Sharma.

Emotional harassment was reported by 29% of respondents (43% of women vs 26% of men). Sexual harassment was reported by 4% overall (12% of women and 1% of men).

Discrimination in some form was reported by 30% overall, 56% of women and 21% of men. Gender was the most frequent cause of discrimination (44%), followed by age (37%), race (24%), religion (15%), and sexual orientation (5%).

In this 50-item online survey conducted by the American College of Cardiology, HWE was defined as emotional harassment, discrimination, or sexual harassment.

In an interview with theheart.org | Medscape Cardiology, Sharma readily acknowledged that their survey was designed with a North American lens.

“What someone might find offensive or inappropriate is so variable and cultural, but I think the larger message here is that 44% of respondents felt harassment of some kind — whether it was sexual, emotional, based on age or gender or sexual orientation, or something else — that hindered their ability to practice medicine.”

On multivariate analysis, women had the highest odds of experiencing HWE (OR, 3.39; P < .001) as were cardiologists early in their career (OR, 1.27; P < .001).

Javed Butler, MD, MPH, MBA, University of Mississippi Medical Center, Jackson, Mississippi, and Ileana L. Piña, MD, Central Michigan University, Midlands, Michigan, authored an editorial comment published alongside the paper. They called the results “disturbing, to say the least.”

They noted some concern regarding the low response rate and the possibility of “responder bias,” but ultimately decided that “even if one were to assume that most of the cardiologists who did not respond to the survey actually felt that hostile work environment is not an issue, this is not a reason to ignore the results of this survey and not address the concern of the individuals who did.”

Regardless, strong action is needed. “For egregious infractions, there should be a zero-tolerance policy,” they write, with “strict legal and human resource interventions” used as a deterrent against, for example, forced sexual behavior and reviews of complaints by “nonconflicted, diverse third parties” to calm fears of internal ramifications.

Important to understand better, they write, is whether this is an issue in some way more pertinent to the cardiology world, or more generalized to the medical field?

Sharma feels that cardiology may be a more hostile environment to women and minorities than some other subspecialties. “While the face of medicine is more diverse, cardiology is still predominantly a field of White men, which is partly why the ACC is working so hard to better understand these issues and affect change,” said Sharma.

“We’ve moved the needle somewhat, but women are still only 21% of the cardiology workforce, while, for example, 50% of internal medicine graduates are women. In cardiology, it’s still a leaky pipeline where women just get worn out from the discrimination and harassment and hostility, and it’s perceived by trainees as being a really difficult subspecialty for women.”

The authors have disclosed no relevant financial relationships.

J Am Coll Cardiol. Published in the May 18, 2021 edition. Abstract, Editorial

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This post originally appeared on Medscape Medical News Headlines

Video: Milestone Unveils New Hot Wheels Unleashed Environment

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This post originally appeared on Nintendo Life | Latest News

Hot Wheels

If you’ve got the need for speed, one game you might want to be on the lookout for is Hot Wheels Unleashed. It’s arriving this September and is being developed by the racing experts at Milestone – known for series such as Ride, MotoGP and Monster Energy Supercross.

In a new update today, Mattel and Milestone have unveiled the game’s second stunning gameplay environment known as the Skyscraper. This new environment follows on from the dark and rusty Garage map.

“Set in a construction site, Skyscraper will include tracks set on three different floors of the building under construction, with areas that will definitely test players’ fear of heights.”

In addition to this, the video also shows off six new vehicles out of 60+ plus available at launch. They include the Bump Around, Mountain Mauler, Sandivore, Boom Car, Buns of Steel, Fast Gassin and Motosaurus.

Hot Wheels Unleashed will arrive on Nintendo Switch on 30th September. Pre-orders are available now and there are four different versions to choose from. Find out more in our previous post. What do you think of the new track? Comment below.

How Music Helps Fuel the Perfect Heist Environment in Operation: Tango

Good video game theme music is iconic, but it’s often the atmospheric background score that pushes a game to new heights. In Operation: Tango, two players are working together as Agent or Hacker to try and save the world by hacking, heisting, and high-speed chasing; the music playing throughout helps to foster the high-intensity feeling of being a secret agent or elite hacker.

Music and score are mediums that command emotion and can build the tone of the story being told. Many fans look at the soundtrack within a movie or television show as a foundation to set the scene. This is no different in the ever-evolving world of video games. The characteristics of video games allow a more immersive experience than a film or television show. You are in control of the actions of a character rather than passively watching events unfold. A great soundtrack and score blend perfectly into the atmosphere of your video game world, almost to the point where you don’t notice it directly, but a bad score sticks out like a sore and awkward thumb. For a video game developer, you must have a soundtrack that can create an atmosphere to captivate the player and help seamlessly fit into the world you’ve built, this is something we wanted to ensure we achieved with Operation: Tango and did so by building tension with each note, and with each crescendo.

Operation Tango
When sneaking through a packed morning commute train, the music in Operation: Tango gives you both the sense of stealth and urgency as you search for your target.

Video game composers must consider their audiences as active participants in the way the music is performed. For some games, this means composing a score that doesn’t have a distinct beginning or end so even if players take their time on a level they won’t be rattled by a track restarting half a dozen times. In other cases, composers make use of highly dynamic scoring where the music needs to smoothly transition to a new theme whenever the player reaches a new area or enters combat. Operation: Tango presents an interesting task to our composers, the amazing team over at Vibe Avenue, because not only did we need to have a score that creates the world our agents are playing in, we also needed to have it work on different screens and viewpoints, as the game is played asymmetrically.

Composer Grant Kirkhope (Donkey Kong 64, GoldenEye 007, and many more), says that “The images tell the story, but the music tells you how to feel,” and he couldn’t be more correct. If you think back to some of the tensest moments in your favourite video games, the way your heart beats fast in tempo to the music as a big crescendo happens and the final boss is slain, it’s the music that fuels that tension. Nothing is more impactful than the perfect music to set up a heist, much like the soundtrack and score of Operation: Tango.

Operation Tango
Safecracking wouldn’t feel the same without the high tension tunes in the background as your try to find the right combination to unlock your prize.

From the planning phase to infiltration, to sneaking past guard drones, we want the players of Operation: Tango to feel that they are right in the action of their very own heist, depending on their partner to keep them alive. If we think back to some of the inspirations behind Operation: Tango, classic Hollywood spy thrillers such as “Mission Impossible,” the soundtrack helped the audience feel on the edge of their seats for that iconic heist scene, and we want our players to feel just as powerful in our game.

The right music and score can make even a normal task, like sneaking some snacks from the fridge at 3 AM, feel like a high-stakes heist, and we can’t wait for you to feel that rush as you and your partner save the world in Operation: Tango, no matter which role you choose.

Liz Macdonell, Community Manager, Clever Plays Studio

This article originally appeared on Xbox Wire