- CONTEMPORARY ISSUES OF WOMEN AS HEALTH PROFESSIONALS -
12.11.2009
After three decades of increasing numbers of women entering previously male-dominated health professions, few academic health centers have what might be considered a “critical mass” of women full professors, much less women leaders. A brief status report on women in academic medicine introduces a discussion of recent research on why gender differences in the advancement of professionals persist. For instance, no matter how complex the technical requirements of a woman’s occupation, Western culture expects her to be more nurturing and emotionally accessible than a man. At the same time, it places a low value on caretaking roles, in terms of both prestige and financial remuneration. Forward-looking institutional strategies to enhance the development of women health professionals target features of the work culture that may be “simply the norm” but that disadvantages women. The concluding section of this entry attempts responses to the questions: Is the increasing number of women entering medicine and other health professions mitigating the impact of gender? And how is gender diversity changing the profession? Of all the health profession schools, the most extensive data is available on medical schools (and they are largest in terms of budget and size); therefore, this statistical report centers on women in academic medicine. Most trends and findings cited would apply as well to other health professions that were male-dominated until recently. In 2001 women constituted 45 percent of U.S. medical students, 39 percent of dental students, and 41 percent of osteopathic students (by comparison, women are 55% of enrollees in four-year colleges/universities). The number of men applying to medical school has been declining faster than the number of women. For instance, between 1995 and 2001, the number of men applying to medical school declined by 33 percent, compared to 17 percent for women. If this rate of change continues, by 2005, half of first-year medical students nationally will be women. The proportion of full-time medical school women faculty in 2001 was 28 percent (in dental schools, 25%, and in osteopathic schools, 39%). The proportion of medical school instructors who are women has been steadily increasing and is now 46 percent, but only 12 percent of full professors are women. With regard to the proportion of men and women faculty at each rank, these proportions have remained remarkably stable, especially at the full professor rank (Bickel, 2001). For instance, in 2001, 10.9 percent of all women faculty and 30.9 percent of all men faculty were full professors; in the mid-1980s, these proportions were 9.9 percent and 31.5 percent, respectively. In 2001, 14 percent of tenured medical school faculty (all ranks) were women. Between 1995 and 2001, the percent of women with tenure actually dropped from 14 percent to 12 percent, about the same proportional decline as the percent of men tenured (32% to 28%) (Bickel, 2001). Data from the Association of American Medical College’s Faculty Roster System also reveal that the average annual rate of women faculty attrition (9.1%) exceeds that of men (7.7%) (Yamagata). With regard to academic administrative roles, in 2001 women chaired approximately 214 departments (91 basic science and 123 clinical departments [including interim and acting chairs]), which is about 8 percent of all medical school chairs. This total constitutes an average of just 1.7 per medical school, and at least 20 of 125 medical schools have no women chairs (most of these have never had one). The specialties with the largest number of women chairs are microbiology, pathology, anesthesiology, family medicine, obstetrics/gynecology, and pediatrics (Bickel, Clark, and Lawson). By 2002 the number of women assistant, associate, and senior associate deans at American medical schools totaled approximately 422 (an average of three per school); three schools had no woman in a decanal position. As of July 2002, women held deanships at eight of the 125 U.S. medical schools (two were interim positions). In osteopathic schools, women held three of nineteen deanships and in dental schools, none.
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