The contemporary cardiology workplace is fraught with hostility, including discrimination and harassment, according to new data from a global survey. A very low response rate, however, raises questions as to why clinicians refrained from participating in the project. Also this week, the American College of Cardiology and American Heart Association (ACC/AHA), released a consensus report on professionalism and ethics that potentially could help rectify many of the issues hindering physician well-being in the workplace. The survey, published in the May 18, 2021, issue of the Journal of the American College of Cardiology, is far from the first to document a challenging culture in medicine generally and in cardiology specifically. But lead author Garima Sharma, MD (Johns Hopkins University School of Medicine, Baltimore, MD), told TCTMD it is the first to consolidate international perspectives: from Africa, Asia, the Caribbean, Eastern Europe, the European Union, the Middle East, Oceana, and North, Central, and South America.