Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Implementing an anti-bullying culture in cardiology

Bullying is common in cardiology and can have substantial adverse effects. However, bullying can be addressed by substantive leadership, organizational and individual efforts to build an inclusive and respectful culture.

This is a preview of subscription content, access via your institution

Access options

Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.


  1. Douglas, P. S. et al. 2022 ACC Health Policy Statement on building respect, civility, and inclusion in the cardiovascular workplace: a report of the American College of Cardiology Solution Set Oversight Committee. J. Am. Coll. Cardiol. 79, 2153–2184 (2022).

    Article  Google Scholar 

  2. American College of Cardiology. Building respect, civility, and inclusion in the cardiovascular workplace: Health Policy Statement. (2022).

  3. Averbuch, T., Eliya, Y. & Van Spall, H. G. C. Systematic review of academic bullying in medical settings: dynamics and consequences. BMJ Open 11, e043256 (2021).

    Article  Google Scholar 

  4. Pei, K. Y. et al. National assessment of workplace bullying among academic surgeons in the US. JAMA Surg. 155, 524–526 (2020).

    Article  Google Scholar 

  5. Valantine, H. A., Le Fauve, C. E., Morris, K. A. & Riley, W. T. Ending sexual harassment in science: designing and administering a survey that can lead to an improved organizational climate. Acad. Med. 97, 364–369 (2022).

    Article  Google Scholar 

  6. Harris, T. B. et al. Advancing equity in academic medicine through holistic review for faculty recruitment and retention. Acad. Med. 97, 631–634 (2022).

    Article  Google Scholar 

  7. Ackerman-Barger, K. & Jacobs, N. N. The microaggressions triangle model: a humanistic approach to navigating microaggressions in health professions schools. Acad. Med. 95(12S), S28–S32 (2020).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Pamela S. Douglas.

Ethics declarations

Competing interests

The author declares no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Douglas, P.S. Implementing an anti-bullying culture in cardiology. Nat Rev Cardiol (2022).

Download citation

  • Published:

  • DOI:


Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing