In Reply I thank Burgess et al for writing in response to the article by my colleagues and me1 and for emphasizing the global nature of the obstacles that are often encountered by women considering becoming cardiologists that continue even after joining the field. Given the near-equal proportion of women in internal medicine training programs and their persistent underrepresentation in cardiology training programs,2 we have to recognize that cardiology is not diversifying substantially. Indeed, at the current pace, it will take our profession 170 years to include women at the same level as internal medicine residencies do now,3 while our fellowships are less diverse than residences in almost any field, including general surgery, vascular surgery thoracic surgery, and urology. The situation for interventional and electrophysiology training is worse still—just 8% of US trainees are women.