Triumphs And Tribulations Of Women In The Medical Profession

A Brief Journey Through Time


Following International Women’s Day this month, I decided to re-live the past about an issue I remain passionate about to this day by focusing on the history of women in medicine.

From historical hurdles to modern-day milestones, the medical profession’s landscape has been challenging for women, adorned with both struggle and success.

But are these barriers slowly being broken down?

It’s a tale of resilience and reform, where revolutionary women continue to forge paths through the once impenetrable walls of a male-dominated field.

As I delve further into the narrative of women in the profession I ultimately stand beside, I uncover the strides and setbacks, painting a slow portrait of progress.


Pioneering Pacesetters: The Maiden Voyage Into Medicine


The first beacon of progress in the UK, where I was born, was the admission of women into the medical profession.

It was the London School of Medicine for Women, established in 1874, that opened its doors to the first female medical students, setting a precedent for inclusion and igniting a movement that would grow with time.

These pioneers faced immense prejudice and resilience, yet their determination laid the groundwork for future generations.

For an extended period, the Royal Free Hospital stood as a beacon of inclusivity in London, championing women’s access to medical education. In partnership with the London School of Medicine for Women, established in 1877, the hospital provided a nurturing environment for female students to complete their clinical training.

Spearheaded by Elizabeth Garrett Anderson, a trailblazing advocate for women’s rights in medicine, it is proudly affiliated with the University of London, solidifying its commitment towards gender equality.

She is also known for being the first woman to qualify in Britain as a physician and surgeon.

By 1896, this commitment flourished into the esteemed London Royal Free Hospital School of Medicine for Women, symbolising a pivotal shift towards gender-inclusive medical education.

In 1998, the institution made a historic stride forward by merging with the medical school of University College Hospital, further amplifying opportunities for aspiring female medical professionals.

This momentous amalgamation led to the institution’s rechristening as UCL Medical School in 2008, reaffirming its dedication to empowering women in medicine and fostering an environment of equality and opportunity for all.


Bias And Barriers: The Historical Hurdles


Despite the initial breakthrough, women in medicine have historically navigated a labyrinth of gender bias and institutional barriers.

From limited access to education and training to unequal pay, opportunities and covert sexual harassment, the climb has been and continues to be steep.

Women have historically been relegated to certain specialties, deemed more ‘appropriate’ for their gender, while leadership roles have largely remained elusive.

Statistical Snapshots: The Present Picture


Today, the tide is turning, albeit gradually. Women account for a growing percentage of the medical workforce, with over 50% of medical school entrants being female in certain countries.

According to the OECD, in 2019, almost half of all doctors were female. This ranged from about three-quarters in Latvia and Estonia to less than one-quarter in Japan and South Korea.

However, the higher echelons of medicine still reflect a stark gender disparity. For instance, in the UK, only about a third of specialist positions are held by women and the gender pay gap in medicine looms large, with female doctors earning significantly less than their male counterparts.

Furthermore, surgeons continue to be predominantly male despite a narrowing of the gap. 27 percent of surgeons are women, compared with 24 percent in 2009.

Cultural Shifts: Changing The Clinical Climate


The medical profession is slowly but surely transforming.

Initiatives aimed at mentorship and leadership development for women are gaining ground. Policies addressing work-life balance, parental leave and flexible working hours make the profession more accessible and equitable.

There is a growing recognition of the need for diversity in medical research, acknowledging that gender differences can impact diagnosis, treatment and outcomes.

The Superior Trendsetters: Women Who “Wowed”


Throughout history, many women have shattered ceilings and set new standards in medicine.

Figures like Elizabeth Blackwell, the first woman to receive a medical degree in the United States and Gerty Cori, the first woman to win the Nobel Prize in Physiology or Medicine, have paved the way.

In the UK, Dame Sally Davies, the first female Chief Medical Officer for England, exemplifies the heights women can achieve in the medical hierarchy.

Advocacy And Action: The March For Momentum


The struggle is far from over and the need for continuing advocacy remains self-evident.

Organisations like the Medical Women’s Federation and the American Medical Women’s Association have been instrumental in championing the rights and representation of women in the field.

These groups and many individuals advocate for policy changes, provide networking opportunities and promote research on women’s health issues.


The Unfinished Symphony Of Success


The narrative of women in medicine is one of remarkable resilience and indomitable spirit.

It’s a story that continues to unfold, with each achievement and every obstacle overcome adding notes to an unfinished symphony of success.

Above all else, it still grates me to this day that, when I have been working in a hospital setting, I have overheard patients addressing a female member of staff adorned, professionally, in scrubs and asking, “When am I going to see the doctor?

I sense the so-called female medical staff member rolling her eyes in the back of her head and then answering with the usual calm and collected reply: “Thank you for asking, but you’re actually talking to one.

My Motive of Mentioning This


Well, it may become more apparent if you knew I had the privilege of qualifying as a doctor from the above medical institution nearly a quarter of a century ago. Perhaps we should stop asking the same old, relentless question regarding gender disparity and fix the problem.

Now.

What about you? Do you think the zeitgeist of today’s societal attitude towards women in medicine is finally changing?

Thoughts and comments are welcome.

For more information regarding this subject, please refer to the Medical Women’s Federation here.

This was an interesting TED talk that also openly discusses the ongoing issues with Women in Medicine, including the disproportionate amount who have considered taking their own life compared with men.
You can read more about my thoughts on suicide, in general, in a previously published article by clicking here.

Have a thought or comment? Please share it in the box below…⬇️

Have a thought or comment? Please share it in the box below...⬇️

11 thoughts on “Triumphs And Tribulations Of Women In The Medical Profession”

  1. Your blog is a beacon of light in the often murky waters of online content. Your thoughtful analysis and insightful commentary never fail to leave a lasting impression. Keep up the amazing work!

  2. Susan Tyler-Freer

    Thanks, Paul! It’s helpful to have historical perspective on how hard this has been for everyone, as it makes the hardships less personal if they are spread across the while tribe.

    I do mostly medical education now as primary care in Australia is almost entirely delivered by a collection of unrelated private practice small businesses, and that is not where I am comfortable working. I see the impact of childhood and family trauma as well as significant trauma in training, and what that does to specialty trainees and consultant doctors… it’s just so destructive. Our industry is highly enriched for trauma histories, and generalist specialties (paeds, pall med, geris, psych, rural/remote, family medicine, rehab, public health, general practice, etc.) are probably enriched again as a subset of the factors promoting trauma survival are the same factors that enhance the clinical reasoning and communication that incremental care requires. Episodic care specialties (emergency, respiratory, gastro, ICU, anaesthetics, surgery, etc) require a different cognitive approach, but again, those skills are similar to the tactical skills that abused people use to survive. Sometimes those same skills become obstacles to progression through training though, or make exams unnecessarily difficult. So much of the despair and professional dissatisfaction I see was simply, at its root, not necessary. I hope we can steer it away from the younger ones, but there is a lot of momentum behind it all, and the people in charge are thinking like a victim most of the time too. I hope the whole of the world someday is able to come to terms with the real cost of facilitating intergenerational and interpersonal trauma, but at least I can expect our profession to sack up and do it regardless. Stay strong.

    1. Surrinder Singh

      I cannot agree with you more, Dr Tyler-Freer. What an extremely thoughtful and insightful comment. Unfortunately, as I see it, the healthcare system in all countries I worked in is always like a pressure cooker effect ready for the lid to blow off. It hasn’t really changed at all since I was a medical student.

  3. Brenda Ferguson Marston

    Attitudes are changing but there’s always more that could be done to support and in encourage women in this field.

    1. Surrinder Singh

      Brenda, I totally agree with you and thank for taking the time to read my blog that highlights there could be a lot more done in this unique profession.

  4. Thank you for the privilege of reading your article and raising awareness on many issues which women in medicine have had to endure.
    After reading it, I was curious as to what is the situation in my country – Ukraine.
    According to official statistics, 82% of medical staff in Ukraine are females. However, there is a difference depending on the level of the healthcare system.
    For example, 83% and 61% of female doctors are in primary care and secondary care, respectively and 97% of women are among middle and junior medical staff (nurses, midwives, orderlies).
    In my opinion, it is good that women prevail in many medical specialities (paediatrics, nursing) as they bring more warmth and empathy. Meanwhile, I believe that surgery with all blood, trauma and amputations, this specialty should remain more male-oriented because, in this case, when cold logic is needed, warm and empathy might be deleterious.
    When I qualified as a specialist in the last year at my Medical University, I had one of two options – to become a paediatrician or a paediatric orthopaedist-trauma specialist (surgeon!).
    I decided that my career trajectory would follow the former (paediatric physician), as it aligned closer to my female nature 🙂
    Now I believe, that it shouldn’t be quotes or special initiatives to encourage more women or men in medicine.
    We need equal rights, a gender-neutral level of salary and appreciation to all medical professionals. This is really hard work and it is worthy of ongoing respect.

    1. Surrinder Singh

      Dear Dr Tanya
      Thank you so much for your thoughtful comments after reading. Indeed, maybe more nations need to learn more like Ukraine, Latvia and Estonia where women are not marginalised. As far as I’m concerned, these countries lead by example in a healthcare system that is diametrically opposite from what I was used to when I read medicine.
      And, I do agree, paediatricians display the most empathy than any other specialty that I know of – which is why it is suited to you for sure to your nature having spoken to you on several occasions.
      Kind regards
      Dr SS 🇺🇦🇦🇺

  5. Super article. Une des grandes femmes françaises connu dans la médecine est Marie Curie (1867-1934) je suis aide soignant et dans mon métier la femme est beaucoup représenté.

    1. Surrinder Singh

      Jeremie, merci d’avoir lu mon blog. Oui, Dr Marie Curie était certainement une personne attentionnée comme tu!

  6. In Norway they have been talking about introducing quotas as so few men are getting into med school – 70% are female. The problem always remains of who cares for the woman’s children – even in Norway it is tough and most surgeons are male (I think due to the necessarily uncompromising work rotas).

    1. Surrinder Singh

      Dr Campbell, thank you for the insight in how the Norwegian system operates. I also think a systemic issue with most modern countries is the inequality in paid parental leave. If men had the same entitlement in terms of the length they could take, this could perhaps pave the way so that women could be more career-minded as oppose to the traditional system of being a default child-raiser. Here’s to more house-husbands, leaving more women bread-winners!
      Also, it was interesting to learn that in countries such as Latvia and Estonia, 3/4 of medical students are ♀. 🙂