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A roadmap of strategies to support cardiovascular researchers: from policy to practice

Abstract

Cardiovascular disease remains the leading cause of death worldwide. Cardiovascular research has therefore never been more crucial. Cardiovascular researchers must be provided with a research environment that enables them to perform at their highest level, maximizing their opportunities to work effectively with key stakeholders to address this global issue. At present, cardiovascular researchers face a range of challenges and barriers, including a decline in funding, job insecurity and a lack of diversity at senior leadership levels. Indeed, many cardiovascular researchers, particularly women, have considered leaving the sector, highlighting a crucial need to develop strategies to support and retain researchers working in the cardiovascular field. In this Roadmap article, we present solutions to problems relevant to cardiovascular researchers worldwide that are broadly classified across three key areas: capacity building, research funding and fostering diversity and equity. This Roadmap provides opportunities for research institutions, as well as governments and funding bodies, to implement changes from policy to practice, to address the most important factors restricting the career progression of cardiovascular researchers.

Key points

  • Diversity is key to innovation, but the current system and culture of the cardiovascular research sector are driving researchers, particularly those from under-represented groups, out of the sector.

  • Our team conducted research to identify the key short-term, medium-term and long-term solutions to addressing issues faced by early-career and mid-career researchers, focusing on three key areas: capacity building, research funding and fostering diversity and equity.

  • Capacity building needs to support collaboration and team-based research, improve and incentivize mentorship, and provide training to cardiovascular researchers to develop management, financial and communication skills.

  • Research funding needs to be used to improve job security and the assessment of career disruptions and opportunities and to support early-career and mid-career cardiovascular researchers to prepare for leadership roles.

  • To improve diversity and equity in cardiovascular research, working parents, women and individuals from other under-represented groups need additional support.

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Fig. 1: The current reality and future goals of the cardiovascular research sector.

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Acknowledgements

The authors thank the Australian Cardiovascular Alliance (ACvA) Board for their support and acknowledge that the authors were members of the ACvA Emerging Leaders Committee at the time this paper was written. The authors acknowledge the supporting roles of the ACvA President G. Figtree, ACvA Chief Executive Officer K. Doyle and ACvA Project Officer M.-P. Hsu in the facilitation of this initiative. Finally, the authors acknowledge the following international cardiovascular researchers for their honest and generous feedback: M. Bertagnolli (McGill University, Canada), E. Bianchini (Institute of Clinical Physiology, Italy), D. Casarini (Federal University of São Paulo, Brazil), L. Gafane-Matamane (North-West University, South Africa), A. Kirabo (Vanderbilt University, USA), C. McCarthy (University of South Carolina, USA), A. Montezano (University of Glasgow, UK) and M. Patel (India Association for Parenteral and Enteral Nutrition Association, India). E.T. (105215), S.C.I. (102821), R.E.C. (102484), D.S.P. (104774), L.B. (102498), S.G.W. (105622), A.C.C. (105631) and F.Z.M. (101185, 105663) are funded by fellowships from the National Heart Foundation of Australia. The National Health and Medical Research Council of Australia supports K.M.M.C. through a C.J. Martin Fellowship (1112125) and L.B. through an Emerging Leader Investigator Grant (1172987). F.Z.M. is also supported by a Senior Medical Research Fellowship from the Sylvia and Charles Viertel Charitable Foundation.

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All the authors wrote parts of the manuscript, and reviewed and edited the manuscript before submission, all having a substantial role.

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Correspondence to Francine Z. Marques.

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Nature Reviews Cardiology thanks Barbara Casadei, who co-reviewed with Rohan Wijesurendra, and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

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Related links

Athena Scientific Women’s Academic Network Charter: https://www.advance-he.ac.uk/equality-charters/athena-swan-charter

Black in Cardio: https://blackincardio.com/

Black in Physiology: https://blackinphysiology.com

Dimensions: https://www.nserc-crsng.gc.ca/InterAgency-Interorganismes/EDI-EDI/Dimensions_Dimensions_eng.asp

European Research Council: https://erc.europa.eu

MINDSHIFT: https://www.eumindshift.eu

Science in Australia Gender Equity: https://www.sciencegenderequity.org.au/the-athena-swan-accreditation-framework/

STEMM Equity Achievement Change: https://www.aaas.org/programs/sea-change

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Chapman, N., Thomas, E.E., Tan, J.T.M. et al. A roadmap of strategies to support cardiovascular researchers: from policy to practice. Nat Rev Cardiol 19, 765–777 (2022). https://doi.org/10.1038/s41569-022-00700-1

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