Lessons from Legends in Cardiovascular Nursing

A significant portion of the AHA 2021 Scientific Sessions was focused on mentorship for early career individuals in research and medicine. Insights from the Interview with Nursing Legends in Cardiovascular Science were particularly illuminating. During this session, Dr. Christopher Lee, Professor and Associate Dean for Research at the Boston College William F. Connell School of Nursing; Dr. Kathleen Dracup, Dean Emeritus and Professor Emeritus, University of California, San Francisco, School of Nursing; and Dr. Martha Hill, Dean America at Johns Hopkins University School of Nursing offered advice from their experiences mentoring individuals of varying career levels. Here are some key takeaways for individuals who want to advance their career:

Take the show on the road

Determine professional goals and how to reach them. For those interested in research, a defined program of research and possibly multiple contingency topics of study that are of interest to several funders is needed. It is also necessary to know the road, or what success looks like given the scientific focus and what one wants to accomplish during an academic career. Finally, it is important to acknowledge that there is no one pathway to success and that success is in many ways self-defined.

Do a legacy exercise

The legacy exercise, which is sometimes referred to as a eulogy or obituary exercise involves imagining your retirement party or eulogy and thinking about who you want to speak and what you want them to say about you. This reflection essentially determines what type of legacy you want to leave behind, what you want to be known for and by whom. 
The exercise often reveals details which are not on your CV. It might not mirror scientific goals, and possibly will not align with perceived ideas of success. Ultimately, the exercise can help one focus on the rewarding aspects of work and other parts of life, even faced with challenges.

Consider personal challenges

Mentors often observe personal challenges among both colleagues. Dr. Lee pointed out that life outside of work and issues of personal importance need to be taken into consideration. In fact, he mentioned that he sometimes advises against taking on additional work or submitting extra grants because of competing demands and priorities on other aspects of life. Dr. Lee is also adamant that the best way to have a lasting and impactful career as a scientist is to have great fulfillment in personal life.

Diversify your research team

Diversity brings great insight into fields in business and research, and in decision making.
 Cardiovascular nurses often do not practice alone, and it would be beneficial for research teams to reflect this. Although diversity was spoken specifically of the multi-professional nature of cardiovascular nursing research, it is not limited to it. 
In a general sense, investigators should seek out collaborators who share passion for research, who are concerned about the outcomes of interest, and who are more knowledgeable about the research methods. These elements can help bolster various aspects of projects.


As exemplified by the speakers, connecting at conferences and in research has led to long collaborations and friendships. Whether a mentor, early career or mid careers professional, the benefits of networking can be incredibly gratifying.

Overall, the speakers addressed ways to alleviate challenges for colleagues of all career phases. Their advice diminished the pressure of preconceived ideas of success by supporting the development of personal definitions of achievement. Determining goals and paths, thinking about legacy, including diverse perspectives in projects, and expanding professional networks give individuals more power and opportunity to grow. The speakers have a wealth of knowledge, experience and advice which make them not only legends, but also champions for the success of others.




Feel Like An Imposter? Strategies For Dealing With Early Career Self-Doubt

As we were wrapping up our first editorial meeting for the AHA Early Career Bloggers on Saturday at Scientific Sessions 2018, the new bloggers were given this advice: “Over the next three days, do something [at Scientific Sessions] outside of your comfort zone.” This year’s Scientific Sessions offered some novel experiences –  augmented reality in the Cath Lab, network analysis for high throughput data, and machine learning for dummies. But the thing that made me the most uncomfortable was having my research recognized by my council.

If you have read my World AIDS Day blog, you know that most of my research and clinical work has been in the field of HIV. I came to the cardiovascular space out of necessity because my patients living with HIV were developing cardiovascular disease at higher rates than those without HIV. I never worked as a CICU nurse or in cardiac rehabilitation, and I still get confused about the many different types of antihypertensive medications. I could reasonably be considered a cardiovascular carpetbagger. Yet I work hard to understand cardiovascular science and practice guidelines because I know it is important to helping people living with HIV enjoy the healthiest life possible. Knowing this, about five years ago, my mentors pushed me to get more involved with the American Heart Association which has led me attend various AHA conferences, review abstracts, and apply for (and receive) AHA Research funding.

This year at Scientific Sessions, I was honored with the Council on Cardiovascular and Stroke Nursing (CVSN) Research Article of the Year Award. It is an incredible honor recognizing work that I am proud of. And while I am grateful to the CVSN and the sponsor for this award, my first thoughts after receiving the notification of award  were, “Wow, this is amazing,” quickly followed by, “Why me? Why an article on improving cardiovascular health in people living with HIV? Maybe they didn’t get other nominations.”  I felt undeserving and uncomfortable being honored for work I invested the last three years of my life in and I could not understand why.

Imposter Phenomenon, or Imposter Syndrome, first defined in 1979 by Clance and Imes, are feelings of fraudulence by high achievers who “do not attribute their success to their own abilities despite their many achievements and accolades.”  Recent research suggests most professionals can relate to these feelings, but it can be especially prevalent as new roles are taken on, especially in first jobs or new challenges. While Impostor Syndrome is associated with academic success, it is also associated with poor mental health outcomes including anxiety, depression, psychological distress, and minority student status stress.  There is also  evidence that Imposter Syndrome can make one reluctant to seek out new professional opportunities. Thus, Imposter Syndrome may be especially stunting to early career scientists and clinicians.

Strategies for Managing Imposter Syndrome

  • Recognize that many people have the same feelings of self-doubt at some point in their career
  • Talk about it and ask your trusted mentors and colleagues about their own feelings of being an imposter
  • Write down your strengths and how those led to your accomplishments
  • Develop a strong, safe social support network to share your feelings of self-doubt
  • Read about/listen to others talking about imposter syndrome, there are many great resources available which can help you contextualize your experiences
  • Be present for others who are going through similar experiences

The strategies for managing Imposter Syndrome are timeless but seem hard to achieve. A recent paper by Dr. LaDonna and colleagues in Academic Medicine suggests that having senior colleagues speak openly about their own experiences with self-doubt can have a positive effect. In addition to open discussion about self-doubt, is the importance of a strong support network the importance of perspective and reflection on their own strengths in order to expel “negative views of their own flaws”.

While such strategies may seem contradictory to social media which often highlights success but rarely failures, a recent twitter discussion on Imposter Syndrome (hosted by Emma Clayton of NHS Women Leaders) did just that. This discussion reveled many useful strategies and resources and created a space for people to share their experiences with imposter syndrome with others who had similar struggles. Emma is currently building a website designed to serve as a hub for women to come together and mentor each other as they seek new leadership roles, which should be up later this month.  In reading through her thread, I realized that my feelings of unworthiness can be a double-edged sword and that in the end I just need own it. I need to let my discomfort with my success drive me, not distress or diminish me; motivate, not isolate, me; and above all else,  never let it hold me back from confidently, passionately,  pursuing my goals.

As you reflect back upon your accomplishments in 2018, I hope that you have not feelings of being an imposter stop you from enjoying those successes or thwart progress toward your own goals. But if you are one of the many of us who have, this new year resolve to lessen the negative impact of the imposter and advance confidently in the direction of your dreams.

Photo by Paul Joyce on flikr



Early Career Blog

Being at the American Heart Association makes me realize (again) that I have one of the greatest jobs in the world. There are so many inspiring people and talks and I am happy that I can share some of my experience in the Early Career blogging program.

Leonie in front of heart and torch at Scientific Sessions

The first day of the American Heart was all about the early career scientists. Speakers gave great advice on how to find a mentor, the transition to how to succeed in grants, the transition to faculty, how to respond to a rejection letter and how to get your name out there. Tips that were given you can read on the blogs by Bailey DeBarmore and Fawaz Abdulaziz M Alenezi. The second day of the American Heart were for me the day of awards. In this blog, I would like to acknowledge researchers who achieved awards for mentoring, research achievements or are finalists.
Cardiovascular Stroke and Nursing Counsel (CVSN) Kathleen Dracup award
This award highlights the importance of early-career mentoring in cardiovascular and stroke nursing to the CVSN. This year the award was given to Dr. Susan J. Pressler. I would like to congratulate her and thank her for being an example with her gifts and generosity in mentoring Early Career scientists.

Dracup Distinguished Lecture Program

Kathleen A. Lembright Award
This award recognizes and encourages excellence in cardiovascular research by established nurse scientists. This year winner is Dr. Shirley Moore. She gave a great talk about the responsibility of researchers to report on null trials.

Dr. Shirley Moore speaking at the Lembright Award

null trials slide

Martha N. Hill New investigator Award
This award recognizes the outstanding contributions of investigators in understanding, preventing, and treating cardiovascular diseases.

I would like to congratulate the finalists this year: Dr. Margo B Minissian and Dr. Billy Canceres.

Dr. Margo B Minissian conducted research in the association of spontaneous preterm delivery and postpartum vascular function.

Dr. Billy Canceres conducts research in high cardiovascular disease risk in sexual minority women.

Three people at Scientific Sessions
Congratulations to your all!

Leonie Klompstra Headshot

Leonie Klompstra is a Nurse Scientist at the Linköping University in Sweden. Her primary focus is on heart failure and rehabilitations.