Journal Articles on Sex and Gender Specific Care

Tuesday, December 6, 2011

Is medicine becoming a woman's world?

Graphic design by James O'Brien

In the UK, women doctors are set to outnumber their male counterparts by 2017. The press has dubbed the rise "worrying" and "bad for medicine" but in an editorial in Student BMJtoday, author Maham Khan ponders the sex specific shift in medicine and asks if too many female doctors is bad for medcine?                       

Jane Dacre, Medical School Director at University College London, believes feminisation is a fact, but disagrees that medicine is becoming overfeminised and suggests that the rise of women doctors is bridging the gender divide. "I don't think we have yet reached an era of feminisation. What we are doing is reaching equality," she says.
Many studies show women dominate in specialties such as general practice, paediatrics, and palliative care, but some branches of medicine, such as cardiology and general surgery, remain closed or unattractive to women, according to consultant cardiologist, Professor Jean McEwan. Other prominent professors agree that women are not reaching the highest positions, and research shows that, unfortunately, a gender pay gap still exists in medicine.
"Medicine is not a profession of gender equality," says Anita Holdcroft, Emeritus Professor of anaesthesia at Imperial College. "Research shows women often feel uncomfortable in negotiations over pay. But yet they are doing the work. And the percentage of women who apply for clinical excellence awards is less than men." She suggests we need to think about how to overcome some of these gender barriers and enable women to "become visible. 
So, why are men becoming an endangered species in medicine? Will Coppola, a senior lecturer at University College London, believes the problem starts at secondary school. "There is a serious problem with underachievement of boys at school," he says, and he suggests that medicine is becoming a less attractive career option for men for reasons such as loss of status, regulation and control, and decreased autonomy.
But is a female future bad practice, asks Khan? Despite the fears propagated by the media, more women in the medical profession could lead to safer practice, she writes. A review of complaints received by the National Clinical Assessment Service (NCAS) shows women are less likely to be subject to disciplinary hearings.And she adds that findings published in a report from the Equality and Human Rights Commission highlight the progress of women in medicine. "With the report saying it will take women 55 years to reach equal status with men in the senior judiciary and 73 years for women directors in FTSE 100 companies, it seems in terms of numbers, female doctors have made giant leaps for womankind," she concludes.
The question for US physicians (rhetorical, of course)  are women good for medicine?! Given the need to adjust clinical trials to reflect sex and gender specific differences, and to report findings that reflect differences in sex and/or gender, and the challenge of caring for women based on their biopsychosocial needs rather than as an estimate of what's good for men, suggests that more women is just the medicine needed to improve the  health of all.


  1. In my experience, women are just more naturally concerned about health, while men are more attracted into the more technical or business oriented fields. I guess this may be one reason why there are more females in the medical field.
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  3. I never really paid much attention to the number of female and male doctors. From what I can tell the last time I visited the hospital, the numbers were pretty even. Still, I guess you're right Janice, some things are just that much better with a woman's touch.

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