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Gender biases: why is he so driven and she so overlooked?

Jane MacDonald

Westmead Hospital, NSW, Australia

In the last 30 years there has been a gender revolution in Australian Society.  The participation of women in the workforce has increased to the point where it is regarded as “normal” for women to work. 
In medicine 50-55% of first year medical students are female. 20% of ANZCA fellows were female in 2002, and this percentage is rising as 35% of trainees in that year were female. The increasing number of women is occurring across all specialties with 43% of specialist training positions in NSW being held by women in 2003. However, women on average work less hours per week than men, and increasingly are looking for more family friendly working hours. How is this feminisation of the workforce affecting the culture of our workplace?
In this presentation I will explore the history of medical women. I will start with Margaret Bulkley who, disguised as James Barry, was the first female medical graduate in the English speaking world when she obtained a degree from Edinburgh University in 1812. Elizabeth Blackwell was the first female American graduate in 1849 and Elizabeth Garret Anderson the first in the United Kingdom in 1870. In Australia Margaret Whyte was the first woman to graduate, topping Medicine and Surgery in 1891 when she graduated from Melbourne University. All these women had to fight against significant opposition. Janet Greig became the first female anaesthetist in Melbourne in 1902 and Gwen Wilson was the first female to obtain the DA in 1945.
The gender revolution has brought with it not only changes in the language of gender, but changes in attitude. Now women are no longer driven by the need to prove they are equal. The critical issue for them now is finding ways to balance work and life successfully.
Ten years ago Dr Di Khursandi surveyed all the female members, and randomly selected male members, of the ASA. The survey explored gender issues in the personal and professional lives of anaesthetists.  The survey was prompted by the perception in Australia that there were few women in executive and academic positions. Was this due to the so-called “glass ceiling”. Particular issues identified in the survey were combining anaesthetic training with domestic responsibilities, the single anaesthetist, doctor-doctor marriages, part-time work, attitudes of colleagues to women, career paths and financial problems. In reviewing the situation ten years on the glass ceiling appears to have dissolved. Many problems have been addressed. How are things on the coalface now for women anaesthetists and how is this gender revolution affecting our male colleagues?

ANZCA Work Force Survey 2002
Holmes, Rachel The Secret Life of Dr James Barry Victorian England’s Most Eminent Surgeon Tempus Publishing Ltd, Gloucestershire UK 2007
Mackay, Hugh Advance Australia…Where? Hachette Australia 2007
Sobecks, N.W. et al When Doctors Marry Doctors: A survey Exploring the Professional and Family Lives of Young Physicians Ann Intern Med 1999 Vol 30 No. 4 (part 1)
Strange Khursandi, D.C. Unpacking the Burden: Gender Issues in Anaesthesia Anaesthesia and Intensive Care 1998; 26: 78-85
Wilson, Gwen One Grand Chain the History of Anaesthesia in Australia 1846-1962 vol 1, and 1934-1962 vol 2 ANZCA Melbourne 1995
www.health.nsw.gov.au/workforce/doctors/section2med2000.pdf

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