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1 – 10 of 315Feminization of medicine in France has come about in several stages, in connection with student and medical specialists recruitment. Its dynamics show that it can’t be considered…
Abstract
Feminization of medicine in France has come about in several stages, in connection with student and medical specialists recruitment. Its dynamics show that it can’t be considered as a virtually definitive gender reversal, but should rather be viewed as a dynamic recomposition closely related to societal changes and economic situations. I explain the way women succeeded in entering medicine via the concours, and how their situation has often given rise to wrongful interpretations concerning their ‘choices’. Finally, I reflect on the complex connections between feminization and the democratization of medical recruitment, on the one hand, and with the transformations within the liberal model in medicine, on the other. I conclude that the feminization of medicine questions a wide array of social relations in the domains of family, health, economics and politics, as a complex social fact.
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In this introductory chapter, I discuss the rationale for this edited collection and the contribution it can make to advancing knowledge of gender inequalities and promoting…
Abstract
In this introductory chapter, I discuss the rationale for this edited collection and the contribution it can make to advancing knowledge of gender inequalities and promoting social justice in the medical profession and medical education. I provide a short overview of and critique of popular debates in the medical community in the United Kingdom and I also discuss briefly research about women’s careers in the United Kingdom and globally. The introductory chapter provides a description of each chapter and its contribution to scholarship about gender, careers and inequalities in Medicine/Medical Education.
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Parallel to the increase in the number of women taking up medical careers, the reform of the 3rd cycle of medical studies in France has brought about some changes in professional…
Abstract
Parallel to the increase in the number of women taking up medical careers, the reform of the 3rd cycle of medical studies in France has brought about some changes in professional norms. The traditional model of general practitioner (GP) practice usually refers to a totally dedicated male doctor, with the domestic support of a female carer. For many women doctors this model of reference clashes head on with the traditional division of the roles between women and men. The current forms of the “social contract between the sexes” are questioned and women GPs introduce specific (time) strategies for managing medical practice and family life.
Maria Tsouroufli, Mustafa Özbilgin and Merryn Smith
Attempts to modernise the National Health Service (NHS) in the UK involve promoting flexible approaches to work and training, restructuring postgraduate training and increasing…
Abstract
Purpose
Attempts to modernise the National Health Service (NHS) in the UK involve promoting flexible approaches to work and training, restructuring postgraduate training and increasing control and scrutiny of doctors' work. However, the medical community has responded with expressed anxiety about the implications of these changes for medical professionalism and the quality of patient care. This paper aims to address these issues.
Design/methodology/approach
Drawing on literature on nostalgia, gender, identity and organisations, the paper explores the narratives of 20 senior NHS hospital doctors to identify ways in which doctors use nostalgia to react to organisational and professional challenges and resist modernisation and feminisation of medicine.
Findings
This paper illustrates how senior hospital doctors' nostalgic discourses of temporal commitment may be used to constitute a highly esteemed professional identity, creating a sense of personal and occupational uniqueness for senior hospital doctors, intertwined with gendered forms of othering and exclusionary practices.
Practical implications
Nostalgia at first sight appears to be an innocuous social construct. However, this study illustrates the significance of nostalgia as a subversive practice of resistance with implications for women's career and identity experiences. Change initiatives that seek to tackle resistance need also to address discourses of nostalgia in the medical profession.
Originality/value
The main contribution of this study is that we illustrate how supposedly neutral discourses of nostalgia may sometimes be mobilised as devices of resistance. This study questions simplistic focus on numerical representation, such as feminisation, as indicative of modernisation and highlights the significance of exploring discourses and head counts for understanding resistance to modernisation.
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Judy McKimm, Ana Sergio Da Silva, Suzanne Edwards, Jennene Greenhill and Celia Taylor
Women remain under-represented in leadership positions in both clinical medicine and medical education, despite a rapid increase in the proportion of women in the medical…
Abstract
Women remain under-represented in leadership positions in both clinical medicine and medical education, despite a rapid increase in the proportion of women in the medical profession. This chapter explores potential reasons for this under-representation and how it can be ameliorated, drawing on a range of international literatures, theories and practices. We consider both the ‘demand’ for and ‘supply’ of women as leaders, by examining: how evolving theories of leadership help to explain women’s’ leadership roles and opportunities, how employment patterns theory and gender schemas help to explain women’s career choices, how women aspiring to leadership can be affected by the ‘glass ceiling’ and the ‘glass cliff’ and the importance of professional development and mentoring initiatives. We conclude that high-level national strategies will need to be reinforced by real shifts in culture and structures before women and men are equally valued for their leadership and followership contributions in medicine and medical education.
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This chapter focuses on the orientation towards the medical profession shown by 18-year-old Sardinian students who were asked to write in an essay how they imagined their future…
Abstract
This chapter focuses on the orientation towards the medical profession shown by 18-year-old Sardinian students who were asked to write in an essay how they imagined their future. Interest in the medical profession opens up interesting views on what this path may represent for young people given the current general climate of work uncertainty. This chapter focuses on students’ career narratives and, in particular, on their perceived difficulties in accessing medical studies and on the reasons this profession appears so attractive to them. Medicine is, in fact, constructed as a solid, gendered professional path, with a clear vocation career-wise, and it is kept safe from the increasing uncertainty of the labour market. Further, a career in medicine is easy to imagine because there are several medical TV series. Third, the concept of medicine is embedded with positive values and care-centred attitudes, and it therefore ‘sounds good’. The specific ways in which these orientations are gendered are discussed.
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Ellen Kuhlmann and Ivy Lynn Bourgeault
This article aims to provide an overview on key trends in public sector policy and professional development and how they intersect with gender and diversity. It seeks to explore…
Abstract
Purpose
This article aims to provide an overview on key trends in public sector policy and professional development and how they intersect with gender and diversity. It seeks to explore new configurations in the relationship between gender and the professions and to develop a matrix for the collection of articles presented in this volume.
Design/methodology/approach
The authors link social policy and governance approaches to the study of professions, using the health professions and academics as case studies. Material from a number of studies carried out by the authors together with published secondary sources provide the basis of our analysis; this is followed by an introduction of the scope and structure of this thematic issue.
Findings
The findings underline the significance of public policy as key to better understand gender and diversity in professional groups. The outline of major trends in public sector professions brings into focus both the persistence of gender inequality and the emergence of new lines of gendered divisions in the professions.
Practical implications
The research presented here highlights a need for new models of public sector management and professional development that are more sensitive to equality and diversity.
Originality/value
This article focuses on the “making” of inequality at the interface of public policy and professional action. It introduces a context sensitive approach that moves beyond equal opportunity policies and managerial accounts and highlights new directions in research and policy.
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Colette Henry and Lorna Treanor
This paper has the purpose of exploring the potential for entrepreneurship education within veterinary medicine. It aims to examine some of the key themes in the entrepreneurship…
Abstract
Purpose
This paper has the purpose of exploring the potential for entrepreneurship education within veterinary medicine. It aims to examine some of the key themes in the entrepreneurship education literature, discuss the make‐up of the UK veterinary sector, consider veterinary curricula requirements and illustrate how entrepreneurship education can benefit veterinary students.
Design/methodology/approach
The approach adopted by the authors includes a literature review, in‐depth discussion and the development of hypotheses for further study.
Findings
Entrepreneurship education has the potential to make a valuable contribution to veterinary medicine curricula. This is due to the fact that the majority of veterinary graduates will work in or even own/co‐own a veterinary business (i.e. a small veterinary practice) at some point in their career. In this context, the authors illustrate how entrepreneurship education can enhance both employable and day one/year one skills. The high entry requirements for veterinary programmes and the gender shift towards a predominantly female under‐ and postgraduate population add further interesting dimensions to the paper and present possible avenues for further research.
Research limitations/implications
This is a conceptual paper and it is fully recognised that the concepts and hypotheses proposed need to be further developed and tested at the empirical level. Some interesting avenues for future research that could contribute significantly to this field are also identified.
Originality/value
The paper highlights the potential value of incorporating entrepreneurship education within veterinary curricula. It also identifies how such incorporation can enhance students' employable skills and deliver many of the skills included in veterinary medicine's day one/year one competences' agenda.
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Despite the well‐documented resistance to feminism and gender equality within universities, the profound implications for feminist academics have not received sufficient…
Abstract
Purpose
Despite the well‐documented resistance to feminism and gender equality within universities, the profound implications for feminist academics have not received sufficient attention. In this paper the author aims to focus on the inauthentication of feminist academic work by powerful actors in higher education and the implications for feminist academic careers. The author illustrates through her professional experience at a UK medical school how the othering and exclusion of feminists, sustained through surveillance and power mechanisms of organisational life, can disrupt and interrupt feminist academic identity.
Design/methodology/approach
This is a reflective piece of work that attempts to illustrate the author's experiences of occupational segregation and marginalisation within a patriarchal and an emerging “entrepreneurial” academic department. The author attempts to represent her lived professional experiences as a feminist academic in a medical school, through the use of narrative and metaphors.
Findings
Drawing on notions of othering, interrupted and storied subjectivities, the author illustrates how gendered expectations and constructions of academic performance and success within patriarchal organisations can “make up” and “break up” the professional self and affect the nomadic nature of academic careers and identities.
Practical implications
This paper contributes to theory about workplace identities and practice of gender equality in academia.
Originality/value
The author illustrates how the intersections of identities (feminist, social scientist, woman) can shape personal stories, professional experiences and careers within universities. The author demonstrate how personal stories can uncover gender inequalities and challenge dominant paradigms of knowledge and research within a micro‐web of emotionality and power relations.
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This chapter explores the inequalities and restrictions faced by women as they entered the medical profession in the United Kingdom. A case study in the first hospital in the…
Abstract
This chapter explores the inequalities and restrictions faced by women as they entered the medical profession in the United Kingdom. A case study in the first hospital in the United Kingdom to be founded and run by women, the Edinburgh Hospital for Women and Children, it demonstrates the importance of history for understanding women doctor’s early career choices and opportunities. The chapter begins with an outline of nineteenth-century notions of feminine propriety. It considers how middle-class women sought to subvert these restrictions and gain an active role in public life, and explores how this impacted upon arguments in favour of medical women. It reveals the significance of the changing nature of medical knowledge in this period, and considers how this contributed to the emergence of two distinct specialisms, both of which became the preserve of women doctors: maternal welfare schemes in the 1900s, and the treatment of VD in the inter-war period. The chapter concludes with its contribution to this edited collection.
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