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  <front>
    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Arq Bras Cardiol</journal-id>
      <journal-id journal-id-type="publisher-id">abc</journal-id>
      <journal-title-group>
        <journal-title>Arquivos Brasileiros de Cardiologia</journal-title>
        <abbrev-journal-title abbrev-type="publisher">Arq. Bras. Cardiol.</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">0066-782X</issn>
      <issn pub-type="epub">1678-4170</issn>
      <publisher>
        <publisher-name>Sociedade Brasileira de Cardiologia - SBC</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v3">wHNTnZGRKFJnm6KkJvWcQHC</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v2">S0066-782X2019000800299</article-id>
      <article-id pub-id-type="doi">10.5935/abc.20190168</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Letter to the Editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Gender Equity in Healthcare: An Issue of Justice or Need?</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid">0000-0002-0732-9920</contrib-id>
          <name>
            <surname>Lemke</surname>
            <given-names>Viviana Guzzo</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="corresp" rid="c1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution content-type="orgname">Sociedade Brasileira de Hemodin&#226;mica e Cardiologia Intervencionista - SBHCI</institution>
        <addr-line>
          <city>S&#227;o Paulo</city>
          <state>SP</state>
        </addr-line>
        <country country="BR">Brazil</country>
        <institution content-type="original">Sociedade Brasileira de Hemodin&#226;mica e Cardiologia Intervencionista - SBHCI, S&#227;o Paulo, SP - Brazil</institution>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution content-type="orgname">Grupo MINT - Mulheres Intervencionistas</institution>
        <addr-line>
          <city>Curitiba</city>
          <state>PR</state>
        </addr-line>
        <country country="BR">Brazil</country>
        <institution content-type="original">Grupo MINT - Mulheres Intervencionistas, Curitiba, PR - Brazil</institution>
      </aff>
      <author-notes>
        <corresp id="c1"><bold>Mailing Address: Viviana Guzzo Lemke,</bold> Rua dos Curiangos, 1036. Postal Code 83327-158, Residencial Andorinhas, Alphaville, Pinhais, PR - Brasil. E-mail: <email>vivana@terra.com.br</email>
				</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic">
        <day>02</day>
        <month>09</month>
        <year>2019</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <month>08</month>
        <year>2019</year>
      </pub-date>
      <volume>113</volume>
      <issue>2</issue>
      <fpage>299</fpage>
      <lpage>299</lpage>
      <permissions>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/" xml:lang="en">
          <license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <kwd-group xml:lang="en">
        <title>Keywords</title>
        <kwd>Cardiologists</kwd>
        <kwd>Women</kwd>
        <kwd>Medicine/trends</kwd>
        <kwd>Leadership</kwd>
        <kwd>Gender Identity</kwd>
        <kwd>Interventionals</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <p>With great interest on the topic, we read the article &#8220;The Profile of the Brazilian Cardiologist - A Sample of the Members of the Brazilian Society of Cardiology&#8221;, by Faganello et al.,<xref ref-type="bibr" rid="B1">1</xref> where the professional and personal characteristics of Brazilian cardiologists are reported. The significant gender differences were highlighted in the mini-editorial &#8220;Profile of Brazilian Cardiologists: A look on Female Leadership in Cardiology and Stress - Challenges for the Next Decade&#8221; by Mesquita et al.,<xref ref-type="bibr" rid="B2">2</xref> where peculiarities such as payment and the small number of women in Cardiology are analyzed according to an intriguing point of view.</p>
    <p>These articles resonate with the &#8220;Women&#8217;s Letter&#8221; by Oliveira et al.,<xref ref-type="bibr" rid="B3">3</xref> a document based on current objectives, which require long-term efforts and structural changes in the medical culture, especially regarding the participation of women in executive positions in medical specialty societies and healthcare-related government bodies.</p>
    <p>The important study &#8220;Medical demographics in Brazil 2018&#8221; by Scheffer et al.,<xref ref-type="bibr" rid="B4">4</xref> reports a reality which is already known by cardiologists: despite the fact that women currently represent the majority of students at Medical schools, indicating that doctors up to 34 years of age are mostly women, 70% of Cardiologists are men. This reality further contributes for the small number of women choosing Interventional Cardiology as their specialty.</p>
    <p>Acknowledging the need for a greater and more effective participation of women in Medicine and Science as a whole, the Brazilian Society of Hemodynamics and Interventional Cardiology has created the so called &#8220;Mulheres INTervencionistas - MINT (Women Interventionists), whose objective is to pursue gender equality at a professional and patient level, encouraging female doctors to choose Interventional Cardiology as their specialty, thus helping improve the odds to have equal career opportunities as men, in addition to increasing the awareness of the interventional and research community about gender-related disparities in the diagnosis and treatment of patients with cardiovascular diseases, supporting the routine participation of women in clinical trials to guarantee women are present in all aspects of scientific literature, be it in clinical trials, guidelines or regulatory processes.</p>
    <p>Finally, going back to the remark made by the mini-editorial, sexism cannot bel et aside in the analysis as one for the factors that discourage women to take up medical careers. Struggling for equal conditions and payment must be more than an objective, since, as reported in the important Lancet editorial in February 2019, &#8220;Feminism is for everybody&#8221;, gender equality is not only a matter of justice and rights, it is essential to produce better research and provide better patient care. It is the duty of medical societies to head this change of paradigma for opportunities to be akin to all, adding forces so that the well known female characteristic, caring for others, may benefit all of our patients.</p>
    <p>
      <fig id="f1">
        <graphic xlink:href="1678-4170-abc-113-02-0299-90168-gf01.jpg"/></fig>
    </p>
  </body>
  <back>
    <ref-list>
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  </back>
  <sub-article article-type="translation" id="s1" xml:lang="pt">
    <front-stub>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Carta ao Editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Equidade de G&#234;nero na Sa&#250;de: Justi&#231;a ou Necessidade?</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <contrib-id contrib-id-type="orcid">0000-0002-0732-9920</contrib-id>
          <name>
            <surname>Lemke</surname>
            <given-names>Viviana Guzzo</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">1</xref>
          <xref ref-type="aff" rid="aff4">2</xref>
          <xref ref-type="corresp" rid="c2"/>
        </contrib>
      </contrib-group>
      <aff id="aff3">
        <label>1</label>
        <institution content-type="original">Sociedade Brasileira de Hemodin&#226;mica e Cardiologia Intervencionista - SBHCI, S&#227;o Paulo, SP - Brasil</institution>
      </aff>
      <aff id="aff4">
        <label>2</label>
        <institution content-type="original">Grupo MINT - Mulheres Intervencionistas, Curitiba, PR - Brasil</institution>
      </aff>
      <author-notes>
        <corresp id="c2"><bold>Correspond&#234;ncia: Viviana Guzzo Lemke,</bold> Rua dos Curiangos, 1036. CEP 83327-158, Residencial Andorinhas, Alphaville, Pinhais, PR - Brasil. E-mail: <email>vivana@terra.com.br</email>
				</corresp>
      </author-notes>
      <kwd-group xml:lang="pt">
        <title>Palavras-chave</title>
        <kwd>Cardiologistas</kwd>
        <kwd>Mulheres</kwd>
        <kwd>Medicina/tend&#234;ncias</kwd>
        <kwd>Participa&#231;&#227;o nas Decis&#245;es</kwd>
        <kwd>Educa&#231;&#227;o M&#233;dica</kwd>
        <kwd>Lideran&#231;a</kwd>
        <kwd>Identidade de G&#234;nero</kwd>
        <kwd>Intervencionistas</kwd>
      </kwd-group>
    </front-stub>
    <body>
      <p>Com grande interesse no assunto lemos o artigo &#8220;O Perfil do Cardiologista Brasileiro - Uma Amostra de S&#243;cios da Sociedade Brasileira de Cardiologia&#8221;, de Faganello et al.,<xref ref-type="bibr" rid="B1">1</xref> em que s&#227;o apresentadas as caracter&#237;sticas profissionais e pessoais dos cardiologistas brasileiros. As diferen&#231;as significativas entre os g&#234;neros foram ressaltadas no minieditorial &#8220;Perfil dos Cardiologistas Brasileiros: Um Olhar sobre Lideran&#231;a Feminina na Cardiologia e sobre o Estresse - Desafios para a Pr&#243;xima D&#233;cada&#8221;, de Mesquita et al.,<xref ref-type="bibr" rid="B2">2</xref> em que peculiaridades como a remunera&#231;&#227;o e o pequeno n&#250;mero de mulheres na Cardiologia s&#227;o analisadas sob um ponto de vista inquietante. </p>
      <p>Essas mat&#233;rias fazem coro com a &#8220;Carta das Mulheres&#8221;, de Oliveira et al.,<xref ref-type="bibr" rid="B3">3</xref> documento alicer&#231;ado em objetivos atuais, mas que necessitam de trabalho incans&#225;vel a longo prazo, com mudan&#231;as estruturais na cultura m&#233;dica, especialmente no que se refere &#224; participa&#231;&#227;o da mulher em cargos executivos dentro das sociedades de especialidades m&#233;dicas e entidades governamentais relacionadas &#224; sa&#250;de da popula&#231;&#227;o.</p>
      <p>O importante estudo &#8220;Demografia m&#233;dica no Brasil 2018&#8221;, de Scheffer et al.,<xref ref-type="bibr" rid="B4">4</xref> apresentou a todos uma realidade j&#225; conhecida pelos m&#233;dicos cardiologistas: apesar de as mulheres, atualmente, serem a maioria dos estudantes nas escolas de Medicina, o que j&#225; se reflete nos m&#233;dicos at&#233; 34 anos, faixa em que as m&#233;dicas est&#227;o em maior n&#250;mero, na Cardiologia, 70% dos m&#233;dicos s&#227;o do sexo masculino. Essa realidade contribui ainda mais para o pequeno n&#250;mero de mulheres que escolhem a Cardiologia Intervencionista como &#225;rea de atua&#231;&#227;o.</p>
      <p>Reconhecendo a necessidade de uma maior e mais efetiva participa&#231;&#227;o das mulheres na Medicina e na Ci&#234;ncia como um todo, a Sociedade Brasileira de Hemodin&#226;mica e Cardiologia Intervencionista criou o grupo Mulheres INTervencionistas (MINT), cujo objetivo &#233; buscar a igualdade de g&#234;nero tanto no &#226;mbito profissional como do paciente, incentivando as m&#233;dicas a escolher a Cardiologia Intervencionista, ajudando a alcan&#231;ar chances de carreira iguais &#224;s dos homens, mas tamb&#233;m aumentando a conscientiza&#231;&#227;o da comunidade intervencionista e de pesquisa sobre as disparidades relacionadas ao g&#234;nero no diagn&#243;stico e tratamento de pacientes com doen&#231;as cardiovasculares, apoiando a inscri&#231;&#227;o rotineira de mulheres em ensaios cl&#237;nicos e assegurando a defer&#234;ncia das mulheres em todos os aspectos da literatura cient&#237;fica, sejam ensaios cl&#237;nicos, diretrizes ou processos regulat&#243;rios.</p>
      <p>Por fim, voltando &#224; observa&#231;&#227;o feita no minieditorial, o sexismo n&#227;o pode deixar de ser analisado como um dos fatores de desincentivo &#224;s mulheres nas carreiras m&#233;dicas. Trabalhar por igualdade de condi&#231;&#245;es e de remunera&#231;&#227;o deve ser mais que um objetivo, pois, como relatado no importante editorial do <italic>Lancet</italic>, de fevereiro de 2019, &#8220;Feminism is for everybody&#8221; (&#8220;O feminismo &#233; para todos&#8221;)<xref ref-type="bibr" rid="B5">5</xref>, a equidade de g&#234;nero n&#227;o &#233; apenas uma quest&#227;o de justi&#231;a e direitos, mas crucial para produzir a melhor pesquisa e oferecer o melhor atendimento aos pacientes. Cabe &#224;s sociedades m&#233;dicas encabe&#231;arem essa mudan&#231;a de paradigma para que as oportunidades sejam semelhantes para todos, agregando for&#231;as para que a conhecida capacidade de cuidar do outro, caracter&#237;stica feminina, possa beneficiar nossos pacientes.</p>
      <p>
        <fig id="f2">
          <graphic xlink:href="1678-4170-abc-113-02-0299-90168-gf01-pt.jpg"/></fig>
      </p>
    </body>
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