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Relationships | 05/06/2008 11:16 am

He Said: 'There Are Too Many Female Doctors'; She Said: 'What?!' by Judith Dobrzynski

Editor’s Note: Judith H. Dobrzynski is a former writer/editor at The New York Times and is now a freelance contributor to many magazines and newspapers.

Anyone who continues to doubt the backlash against the advancement of women in business and politics may be interested in the new front that’s opening up in medicine. Apparently, because of a looming shortage of physicians — a shortfall of somewhere between 50,000 and 100,000 relative to demand in the U.S. by 2020 — there’s been a concern for some time that too many doctors are women.

What? you may say. How can widening the pool of potential doctors to more than half the population lead to a shortage?

In fact, according to a recent article written by my former Business Week colleague, Catherine Arnst, that’s exactly what many male physicians think. The ratio of women to men in American medical schools is now about 1 to 1, and about one-third of the physician population here is female. But, the men say, studies show that female physicians work, on average, 20 percent to 25 percent fewer hours than male physicians, and see 10 percent fewer patients — no doubt because they have to rush home to cook and clean and care for their families. Women also, quite naturally, take time off early in their careers — no doubt to become mothers.

Ergo, there are too many woman doctors, especially as the nation ages and requires more care.

The argument seems to be raging abroad, too. In fact, the topic is changing from a private debate to a public one largely because of a recent commentary published in the British Medical Journal. Written by one Brian McKinstry, a general practitioner in Scotland, it argues that hospitals need to consider those statistics about women when they recruit doctors "in the absence of a profound change in our society in terms of responsibility for childcare." Following that logic, women who want to be doctors don’t have the choice of career or family (and certainly not both); the men in charge will decide for them. And won’t we women be back where we started, decades ago?

You can read Cathy’s entire article by clicking here. It’s an eye-opener.

37 Reader Comments (so far…) Sign In or Register to comment

Mugsy Peabody
Thank you, I appreciate it.
By Mugsy Peabody on 05/07/2008 11:34 pm
Bonnie Oliver
Last year I underwent out-patient surgery but developed complications at home and ended up hospitalized for six days. On one hospital visit my internist arrived and soon thereafter the surgeon and finally another internist. All three physicians were women. I remember quite distinctly as the three doctors reviewed my case as I lay there listening; thinking how unlikely it is that all three were female. Or was it?
By Bonnie Oliver on 05/06/2008 4:04 pm
Dona Howlett
I love my woman Doctor. After her care for thirty years she is retiring…….I’m happy for her, but sad for me. Men Doctors seem to be curt……fast/in and out without really listening to your problems or symptoms. My doctor listens…..cares and treats. Here’s to all the good women doctors! I hope I find a new good WOMAN doctor to take her place in my life.
By Dona Howlett on 05/06/2008 4:26 pm
CK en Queue
What a luxury to be discussing doctors, male or female, pro or con. My town is increasingly dependent on PAs and nurse practitioners, which, from personal experience isn’t necessarily a bad thing. But the choice remains, first find a doctor’s practice which is even accepting new patients and schedule an appointment four months out, or be seen almost immediately by a nurse practitioner in an office visit which can easily prove thrice as thorough. I, too, would like to see an increase in the overall enrollment at medical schools in this country.
By CK en Queue on 05/06/2008 5:15 pm
Mugsy Peabody
Wasn’t the deal with Northern Exposure that they got med school paid for and then served for three years or something in a town underserved?
By Mugsy Peabody on 05/07/2008 11:32 pm
Ms. Dee
What if they heightened the incentives for medical studies within the military. Military doctors were always so good. Our young women in uniform might leap at the opportunity.
By Ms. Dee on 05/06/2008 6:32 pm
Bella Mia
Elite military medical corp people are training in our inner cities like Newark, New jersey, and Camden and Philly, where they see more gunshot wounds than in Bagdad. In Chicago this April one weekend saw 9 killed and 36 total shootings, this in one of only two states with total gun bans. Recently I went into the hospital for a heart issue. The young woman doctor examined me and when I told her I had 7 children - she looked at me and said, “I want to have more children, but with my work schedule I can hardly take care of the one I have, my hours are so long.” I thought: Wow, what a price to pay. The doctor who examined me in my room was a young woman doctor born in India. I told her about my children and how I was finishing my degree online so I could be home with them. She said, “What are you, some kind of superwoman? By the time I get home I am too tired to feed my baby. My husband does it while I fall asleep in the chair. I am so tired all the time. When I am home I am sleeping most of the time.” I thought to myself: “My goodness, did anyone ever tell these women what they would be giving up by choosing this high pressure life-style?” I felt sorry for both of these exhausted young women.
By Bella Mia on 05/06/2008 9:18 pm
Lana Light
I hope you doing well Bella Mia…and YES you are superwomen!!! to be a Mom is 24 hours JOB TOO!!!!My doctor is a women and I think trust is important and communication.
By Lana Light on 05/06/2008 10:48 pm
C A Rose
I am living testament to excellent doctors male and female. I interview every doctor before I accept their care. I make them a deal. I agree to not be a pain in the rear complaining patient who calls them on a whim, if they agree to listen and believe me when I tell them there’s something wrong. I tell them that I will always be honest with them and expect them to do the same. I don’t want any secrets or surprises. I close the deal by telling them that I will do everything in my power to stay alive and healthy, and I expect them to do everything in their power to keep me that way. It may seem like a strange approach for someone who is on a Medicare Advantage Plan and have to choose from a list of plan providers but it works for me. Best of all, it empowers me. Lastly, yes I have fired doctors, thrown nurses out of my hospital room, and reported inept physicians and surgeons to the heads of their depts and made them answer for their mistakes. I think Edith Ann would be proud of me!
By C A Rose on 05/07/2008 12:33 am
Maurine H
Well, Cynthia, I’m certainly proud of you! You’re a great role model.
By Maurine H on 05/07/2008 2:40 am
Barbara
I very much agree with Bella Mia. Our medical schools have kept class sizes artificially small and now we are surprised that doctors are retiring and there are not enough new ones to fill the gap…and more as the aging population requires more medical care. Did none of the people in charge of these medical schools not read the demographics? The solution is not to churn out more of the same model of vastly overworked, tired, no-time-for-anything doctors, but rather to retool. Make being a doctor into a role that can be done in a reasonable amount of time, with some (never enough…I know, I’m a working executive with precious little time for my family) time left over for a real personal life. Just because this is the way it has been does not mean it’s the way it has to be.
By Barbara on 05/07/2008 6:43 am
Bella Mia
The system does have to be retooled and economic realities addressed. It makes no sense to work part time as a doctor yet have to pay hundreds of thousands of dollars in malpractice insurance. Tort reform will give more doctors more options to practice where and what they choose. Now many states are hemorrhaging doctors due to crippling malpractice premiums. States that have limited liability, like Texas, are attracting top doctors.
By Bella Mia on 05/07/2008 8:47 am
Dorothy S
Bella Mia, Here in Pa., the Med. Dr.’s took a half day away from work just to have town hall meetings about the Tort Reform and how we are have fewer Dr.’s willing to STAY in Pennsylvania due to the cost of insurance. My Dr. had to move his practice and now I drive further. He uses PA’s —which I just love the ones I have worked with, and 4 out of 5 are female. Actually, another male cousin has a wife who decided to finish as a PA, due to the stories of the other family with a M.D. and lawyer. Tort Reform . YES! Maybe the final two candidates could be asked a question about this in debates this Fall.
By Dorothy S on 05/07/2008 11:33 am
E .
Dorothy - Yes. It is difficult, particularly so here in PA. Good luck finding a quality gynecologist of whatever gender willing to take on new patients.
By E . on 05/07/2008 12:20 pm
Ms. Dee
I’m not sure what you mean by “re-tooled”. Medical science is extremely complex. Human anatomy doesn’t change. The function or malfunction of systems interacting within the body, and then the body’s interaction with its environment…mechanical interaction and then chemical interactions…it’s a complicated business. And to be a worthy practitioner of the healing arts requires an astute and discerning mind… It’s a unique mix, and not always revealed on any kind of exam. I’m still heartbroken over Mugsy’s story. Did her daughter-in-law’s doctor ever do a blood work-up? Or did he just send her away as some sort of hysteric. It’s awful. I quote my favorite professor, Dr. John Legler, when I say, “One of the most valuable diagnositc tools any doctor has at his or her disposal is a conscious patient!” But I’ve had my complaints ignored by women as much as men in the field of medicine. One of the most responsible practitioners I ever dealt with was a woman. I too, was complaining of low energy and spotty sleep. I was there to make an appointment and spend whatever, and she just happened to be standing behind the receptionist and said, “Are you taking a good multi-vitamin?” I wasn’t. She told me to do start doing that and come back if it didn’t help. Well, it did help. And it saved me a bundle. My mother worked as an R.N. for thirty years, was always intimidated by doctors, but never afraid to speak up is she thought they were “missing” something.
By Ms. Dee on 05/07/2008 9:47 am