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CMAJ : Canadian Medical Association Journal logoLink to CMAJ : Canadian Medical Association Journal
. 1996 Jan 1;154(1):21–27.

Do Canadian female surgeons feel discriminated against as women?

L E Ferris 1, S E Mackinnon 1, C L Mizgala 1, I McNeill 1
PMCID: PMC1488087  PMID: 8542564

Abstract

OBJECTIVE: To describe female surgeons' perceptions of discrimination against them as women during the selection and training process and in career development and advancement, and to describe trends over time. DESIGN: Population survey of practising Canadian female surgeons. SETTING: Canada. PARTICIPANTS: All 459 female members in good standing of the Royal College of Physicians and Surgeons of Canada or the Corporation professionnelle des médecins du Québec, or both, practising in Canada as of March 1990. Participants completed a survey between March 1990 and May 1992, the response rate was 91% (419/459). OUTCOME MEASURES: Reported levels of discrimination during selection and training and in career development and advancement, institutional policies on maternity leave and job sharing, and the existence of female role models or mentors. RESULTS: Discrimination during the process of selection for residency was reported by 15% (63/413) of the respondents. Just over half of the respondents (206/405) reported male attending staff as being discriminatory during training, and 41% (168/407) reported nursing staff as being discriminatory. Almost half of the respondents (199/408) indicated that discrimination did not hinder their career development or advancement at all, and 29% (118) indicated that it had little effect. Almost two thirds (245/381) reported no maternity leave policies during residency or practice, and 78% (296/379) reported having no job-sharing opportunities. Although 82% (338/413) agreed that female medical students need female role models, 80% (330/415) reported they did not have a female mentor. CONCLUSIONS: Although most of our respondents perceived no discrimination in their selection for residency and reported that discrimination did not hinder their career development or advancement, the perception of discrimination during surgical training suggests that there needs to be a concentrated effort to identify and address problems. Moreover, since few respondents reported having institutional policies on maternity leave and job-sharing or female mentors, these issues need to be examined.

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Selected References

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  1. Bickel J. Maternity leave policies for residents: an overview of issues and problems. Acad Med. 1989 Sep;64(9):498–501. doi: 10.1097/00001888-198909000-00002. [DOI] [PubMed] [Google Scholar]
  2. Bowman M., Gross M. L. Overview of research on women in medicine--issues for public policymakers. Public Health Rep. 1986 Sep-Oct;101(5):513–521. [PMC free article] [PubMed] [Google Scholar]
  3. Clarke P. J. Surgical careers and female students. Lancet. 1992 Apr 18;339(8799):994–995. doi: 10.1016/0140-6736(92)91576-t. [DOI] [PubMed] [Google Scholar]
  4. Cohen E. D., Korper S. P. Women in medicine: a survey of professional activities, career interruptions, and conflict resolutions. Trends in career patterns. (Second of two parts). Conn Med. 1976 Mar;40(3):195–200. [PubMed] [Google Scholar]
  5. Costanza M. E. Women in medical leadership. J Am Med Womens Assoc. 1989 Nov-Dec;44(6):185–186. [PubMed] [Google Scholar]
  6. Ducker D. G. The professional context for women physicians: collegial relations, role models, and mentors. J Am Med Womens Assoc. 1988 Jul-Aug;43(4):106–108. [PubMed] [Google Scholar]
  7. Eisenberg C. Women as physicians. J Med Educ. 1983 Jul;58(7):534–541. doi: 10.1097/00001888-198307000-00002. [DOI] [PubMed] [Google Scholar]
  8. Farrell K., Witte M. H., Holguin M., Lopez S. Women physicians in medical academia. A national statistical survey. JAMA. 1979 Jun 29;241(26):2808–2812. [PubMed] [Google Scholar]
  9. Franco K., Evans C. L., Best A. P., Zrull J. P., Pizza G. A. Conflicts associated with physicians' pregnancies. Am J Psychiatry. 1983 Jul;140(7):902–904. doi: 10.1176/ajp.140.7.902. [DOI] [PubMed] [Google Scholar]
  10. Franco K., Evans C. L., Best A. P., Zrull J. P., Pizza G. A. Conflicts associated with physicians' pregnancies. Am J Psychiatry. 1983 Jul;140(7):902–904. doi: 10.1176/ajp.140.7.902. [DOI] [PubMed] [Google Scholar]
  11. Freedman J. Maternity leave: rights, rules and regulations. J Am Med Womens Assoc. 1992 May-Jun;47(3):85–86. [PubMed] [Google Scholar]
  12. Gordin R., Jacobsen S. J., Rimm A. A. Women in surgery: a study of first-year medical students. Bull Am Coll Surg. 1991 Oct;76(10):22–30. [PubMed] [Google Scholar]
  13. Gray C. Few all-male bastions left in medical practice. Can Med Assoc J. 1980 Nov 22;123(10):1046–1051. [PMC free article] [PubMed] [Google Scholar]
  14. Grisso J. A., Hansen L., Zelling I., Bickel J., Eisenberg J. M. Parental leave policies for faculty in U.S. medical schools. Ann Intern Med. 1991 Jan 1;114(1):43–45. doi: 10.7326/0003-4819-114-1-43. [DOI] [PubMed] [Google Scholar]
  15. Henryk-Gutt R., Silverstone R. Career problems of women doctors. Br Med J. 1976 Sep 4;2(6035):574–577. doi: 10.1136/bmj.2.6035.574. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Huang E. H., Jonasson O. A pregnant surgical resident? Oh my! JAMA. 1991 Jun 5;265(21):2859–2860. doi: 10.1001/jama.1991.03460210105040. [DOI] [PubMed] [Google Scholar]
  17. Jolly P. Women physicians on U.S. medical school faculties. J Med Educ. 1981 Feb;56(2):151–153. doi: 10.1097/00001888-198102000-00017. [DOI] [PubMed] [Google Scholar]
  18. Klevan J. L., Weiss J. C., Dabrow S. M. Pregnancy during pediatric residency. Attitudes and complications. Am J Dis Child. 1990 Jul;144(7):767–769. doi: 10.1001/archpedi.1990.02150310035021. [DOI] [PubMed] [Google Scholar]
  19. Levinson W., Tolle S. W., Lewis C. Women in academic medicine. Combining career and family. N Engl J Med. 1989 Nov 30;321(22):1511–1517. doi: 10.1056/NEJM198911303212205. [DOI] [PubMed] [Google Scholar]
  20. Lorber J. The limits of sponsorship for women physicians. J Am Med Womens Assoc. 1981 Nov;36(11):329–338. [PubMed] [Google Scholar]
  21. Mackinnon S. E., Mizgala C. L., McNeill I. Y., Walters B. C., Ferris L. E. Women surgeons: career and lifestyle comparisons among surgical subspecialties. Plast Reconstr Surg. 1995 Feb;95(2):321–329. [PubMed] [Google Scholar]
  22. Mizgala C. L., Mackinnon S. E., Walters B. C., Ferris L. E., McNeill I. Y., Knighton T. Women surgeons. Results of the Canadian Population Study. Ann Surg. 1993 Jul;218(1):37–46. doi: 10.1097/00000658-199307000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Ochberg R. L., Barton G. M., West A. N. Women physicians and their mentors. J Am Med Womens Assoc. 1989 Jul-Aug;44(4):123–126. [PubMed] [Google Scholar]
  24. Paluszny M., Poznanski E. Reactions of patients during pregnancy of the psychotherapist. Child Psychiatry Hum Dev. 1971 Summer;1(4):266–274. doi: 10.1007/BF01441089. [DOI] [PubMed] [Google Scholar]
  25. Phelan S. T. Sources of stress and support for the pregnant resident. Acad Med. 1992 Jun;67(6):408–410. doi: 10.1097/00001888-199206000-00014. [DOI] [PubMed] [Google Scholar]
  26. Ramos S. M., Feiner C. J. Women surgeons: a national survey. J Am Med Womens Assoc. 1989 Jan-Feb;44(1):21–25. [PubMed] [Google Scholar]
  27. Relman A. S. The changing demography of the medical profession. N Engl J Med. 1989 Nov 30;321(22):1540–1542. doi: 10.1056/NEJM198911303212209. [DOI] [PubMed] [Google Scholar]
  28. Roeske N. A., Lake K. Role models for women medical students. J Med Educ. 1977 Jun;52(6):459–466. doi: 10.1097/00001888-197706000-00001. [DOI] [PubMed] [Google Scholar]
  29. Sayres M., Wyshak G., Denterlein G., Apfel R., Shore E., Federman D. Pregnancy during residency. N Engl J Med. 1986 Feb 13;314(7):418–423. doi: 10.1056/NEJM198602133140705. [DOI] [PubMed] [Google Scholar]
  30. Scadron A., Witte M. H., Axelrod M., Greenberg E. A., Arem C., Meitz J. E. Attitudes toward women physicians in medical academia. JAMA. 1982 May 28;247(20):2803–2807. [PubMed] [Google Scholar]
  31. Schaller J. G. The advancement of women in academic medicine. JAMA. 1990 Oct 10;264(14):1854–1855. [PubMed] [Google Scholar]
  32. Sells J. M., Sells C. J. Pediatrician and parent: a challenge for female physicians. Pediatrics. 1989 Aug;84(2):355–361. [PubMed] [Google Scholar]
  33. Shapiro J. Pregnancy during residency: attitudes and policies. J Am Med Womens Assoc. 1982 Apr;37(4):96-7, 101-3. [PubMed] [Google Scholar]
  34. Tamburrino M. B., Evans C. L., Campbell N. B., Franco K. N., Jurs S. G., Pentz J. E. Physician pregnancy: male and female colleagues' attitudes. J Am Med Womens Assoc. 1992 May-Jun;47(3):82–84. [PubMed] [Google Scholar]
  35. Tardiff K., Cella D., Seiferth C., Perry S. Selection and change of specialties by medical school graduates. J Med Educ. 1986 Oct;61(10):790–796. doi: 10.1097/00001888-198610000-00002. [DOI] [PubMed] [Google Scholar]

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