When does gender matter? Gender differences in specialty choice among physicians

Work and Occupations

Volumn 38, Issue 2, 2011, Pages 221-262

  Ku, Manwai C ^a  

^a STANFORD UNIVERSITY   (United States)

Author keywords

aspirations and preferences; gender segregation; professions; specialty choice among physicians; women in medicine

Indexed keywords

EID: 79955545738     PISSN: 07308884     EISSN: 15528464     Source Type: Journal    
DOI: 10.1177/0730888410392319     Document Type: Article

References (85)

1. Association of American Medical Colleges. (2008). Table 1. Medical Students, Selected Years, 1965-2008. Retrieved from https://www.aamc.org/download/53408/data/table01_2008.pdf
2. American College of Surgeons Health Policy Research Institute. (2010). The Surgical Workforce in the United States: Profile and Recent Trends. Retrieved from http://www.acshpri.org/documents/ACSHPRI_Surgical_Workforce_in_US_apr2010.pdf
3. American Medical Association. (2008). Table 1. Physicians by Gender (Excludes Students). Retrieved from http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/women-physicians-congress/statistics-history/table-1-physicians-gender-excludes-students.shtml
4. American Medical Association Physician Master File. (1995/1999/2003/2007). Conducted by the American Medical Association [producer]. Medical Marketing Services, Inc. [distributor].
5. Arnold M. W.,Patterson A. F.,Tang A. S. Has implementation of the 80-hour work week made a career in surgery more appealing to medical students?. American Journal of Surgery. 2005;189: 129-133.
6. Arvantes, J. (2007, March, 22). Primary care physician shortage creates medically disenfranchised population. AAFP News. Retrieved from http://www.aafp.org/online/en/home/publications/news/news-now/professional-issues/20070322disenfranchised.html
7. Babbott D.,Baldwin D. C.,Jolly P.,Williams D. J. The stability of early specialty preferences among U.S. medical school graduates in 1983. Journal of the American Medical Association. 1988;259: 1970-1975.
8. Barshes N. R.,Vavra A. K.,Miller A.,Brunicardi F. C.,Goss J. A.,Sweeney J. F. General surgery as a career: A contemporary review of factors central to medical student specialty choice. Journal of the American College of Surgeons. 2004;199: 792-799.
9. Bartley S. J.,Blanton P. W.,Gilliard J. L. Husbands and wives in dual-earner marriages: decision-making, gender role attitudes, division of household labor, and equity. Marriage & Family Review. 2005;37: 69-94.
10. Baxter N.,Cohen R.,McLeod R. The impact of gender on the choice of surgery as a career. American Journal of Surgery. 1996;172: 373-376.
11. Beagan B. Micro inequities and everyday inequalities: "Race," gender, sexuality and class in medical school. Canadian Journal of Sociology. 2001;26: 583-607.
12. Becker H. S.,Geer B.,Hughes E. C. Boys in white: Student culture in medical school. New Brunswick, NJ: Transaction Books; 1977:.
13. Bergquist S. R.,Duchac B. W.,Schalin V. A.,Zastrow J. F.,Barr V. L.,Borowiecki T. Perceptions of freshman medical students of gender differences in medical specialty choices. Journal of Medical Education. 1985;60: 379-383.
14. Betz M.,O'Connell L. Work orientation of males and females: Exploring the Gender Socialization Approach. Sociological Inquiry. 1989;59: 318-330.
15. Beutel A. M.,Marini M. M. Gender and values. American Sociological Review. 1995;60: 436-448.
16. Bickel J. Women in medicine: Getting in, growing, and advancing. Thousand Oaks, CA: Sage; 2000:.
17. Bickel J. Gender equity in undergraduate medical education: A status report. Journal of Women's Health & Gender-Based Medicine. 2001;10: 261-270.
18. Bickel J.,Ruffin A. Gender-associated differences in matriculating and graduating medical students. Academic Medicine. 1995;70: 552-559.
19. Bland, C. J., Meurer, L. N., & Maldonado, G. (1995). Determinants of primary care specialty choice: A non-statistical meta-analysis of the literature. Academic Medicine, 70, 620-641.
20. Block, S. D. (1997). National survey of attitudes and choices in medical education and training (ACMET) II. [Computer file]. ICPSR version. Boston, MA: University of Massachusetts-Boston Center for Survey Research [producer], 1997. Ann Arbor, MI: Interuniversity Consortium for Political and Social Research [distributor], 2002.
21. Boulis A. K.,Jacobs J. A.,Veloski J. J. Gender segregation by specialty during medical school. Academic Medicine. 2001;76: S65-S67.
22. Boulis A. K.,Jacobs J. A. The changing face of medicine: Women doctors and the evolution of health care in America. New York, NY: Cornell University Press; 2008:.
23. Brooks F. Women in general practice: Responding to the sexual division of labor?. Social Science and Medicine. 1998;47: 181-193.
24. Brotherton S. E. The relationship of indebtedness, race and gender to the choice of general or subspecialty pediatrics. Academic Medicine. 1995;70: 149-151.
25. Brundage S. L.,Lucci A.,Miller C. C.,Azizzadeh A.,Spain D. A.,Kozar R. A. Potential targets to encourage a surgical career. Journal of the American College of Surgeons. 2005;200: 946-953.
26. Carr P.,Noble J.,Friedman R. H.,Starfield B.,Black C. Choices of training programs and career paths by women in internal medicine. Academic Medicine. 1993;68: 219-223.
27. Cassel J. Doing gender, doing surgery: Women surgeons in a man's profession. Human Organization. 1997;56: 47.
28. Childers, L. (2006, December). Aren't you a nurse? Female medical students continue to grapple with gender stereotypes. New Physician, 55(9). Retrieved from http://www.amsa.org/AMSA/Homepage/Publications/TheNewPhysician/2006/ tnp332.aspx
29. Crossley M. L.,Mubarik A. A comparative investigation of dental and medical students' motivation toward career choice. British Dental Journal. 2001;193: 471-473.
30. Correll S. J.,Benard S.,Paik I. Getting a job: Is there a motherhood penalty?. American Journal of Sociology. 2007;112: 1297-1338.
31. DeBray R. Transmitting culture. New York, NY: Columbia University Press; 1997:.
32. DeWitt D. E.,Curtis J. R.,Burke W. What influences career choices among graduates of a primary care training program?. Journal of General Internal Medicine. 1998;13: 257-261.
33. Dinovitzer R.,Garth B. G.,Sander R.,Sterling J.,Wilder G. Z. After the J.D.: First results of a national study of legal careers. Chicago, IL: NALP; 2004:.
34. Dorsey E. R.,Jarjoura D.,Rutecki G. W. Influence of controllable lifestyle on recent trends in specialty choice. Journal of American Medical Association. 2005;290: 1173-1178.
35. Duncan O. D.,Duncan B. A methodological analysis of segregation indices. American Sociological Review. 1955;20: 210-17.
36. England P. Wage appreciation and depreciation: A test of neoclassical economic explanations of occupational sex segregation. Social Forces. 1984;62: 726-749.
37. England P.,Farkas G.,Kilbourne B. S.,Dou T. Explaining occupational sex segregation and wages: Findings from a model with fixed effects. American Sociological Review. 1988;53: 544-558.
38. Garguilo D. A.,Hyman N. H.,Herber J. C. Women in surgery: Do we really understand the deterrents?. Archives of Surgery. 2006;141: 405-408.
39. Glick, P., & Fiske, S. T. (1999). Revisioning Gender. In M. M. Ferree, J. Lorber, & B. B. Hess (Eds.), Revisioning gender (pp. 365-398). London, UK: Sage.
40. Graduation Questionnaire. (1995). [Computer file]. Conducted by the Association of American Medical Colleges [producer and distributor].
41. Haidet P.,Dains J. E.,Paterniti D. A.,Hechtel L.,Chang T.,Tseng E.,Rogers J. C. Medical student attitudes toward the doctor-patient relationship. Medical Education. 2002;36: 568-574.
42. Halpern J. From detached concern to empathy: Humanizing medical practice. Oxford, UK: Oxford University Press; 2001:.
43. Hinze S. W. Gender and the body of medicine or at least some body parts: (Re)-Constructing the prestige hierarchy of medical specialties. Sociological Quarterly. 1999;40: 217-239.
44. Hinze S. W. Am I being over-sensitive? Women's experiences of sexual harassment during medical training. Health. 2004;8: 101-127.
45. Hojat M.,Gonnella J. S.,Xu G. Gender comparisons of young physicians' perceptions of their medical education, professional life, and practice: A follow-up study of Jefferson medical college graduates. Academic Medicine. 1995;70: 305-312.
46. Hojat M.,Gonnella J. S.,Nasca T. J.,Mangione S.,Veloski J. J.,Magee M. The Jefferson scale of physician empathy: Further psychometric data and differences by gender and specialty at item level. Academic Medicine. 2002;77: S58-S60.
47. Hojat M.,Zuckerman M.,Magee M.,Mangione S.,Nasca T.,Vergare M.,Gonnella J. S. Empathy in medical students as related to specialty interest, personality, and perceptions of mother and father. Personality and Individual Differences. 2005;39: 1205-1215.
48. Hull K. E.,Nelson R. L. Assimilation, choice, or constraint? Testing theories of gender differences in the careers of lawyers. Social Forces. 2000;79: 229-264.
49. Irvine L.,Vermilya J. R. Gender work in a feminized profession: The case of veterinary medicine. Gender & Society. 2010;24: 56-82.
50. Jacobs J. A.,Boulis A.,Messikomer C. The movement of physicians between specialties. Research in social stratification and mobility. 2001;18: 63-95.
51. Johnson A. M.,Schnatz P. F.,Kelsey A. M.,Ohannessian C. M. Do women prefer care from female or male obstetricians-gynecologists? A study of physician gender preference. Journal of the American Osteopathic Association. 2005;105: 369-379.
52. Johnson M. K. Job values in the young adult transition: Change and stability with age. Social Psychology Quarterly. 2001;64: 297-317.
53. Johnson M. K.,Monserud M. A. Judgments about work and the features of young adult's jobs. Work & Occupations. 2010;37: 194-224.
54. Kassebaum D. G.,Szenas P. L. Specialty Intentions of 1995 U.S. Medical School Graduates and Patterns of Generalist Career Choice and Decision Making. Academic Medicine. 1995;70: 1151-1157.
55. Kutner N. G.,Brogan D. R. The decision to enter medicine: Motivations, social support, and discouragements for women. Psychology of Women Quarterly. 1980;5: 341-357.
56. Lambert E. M.,Holmboe E. S. The relationship between specialty choice and gender of U.S. medical students, 1990-2003. Academic Medicine. 2005;80: 797-802.
57. Marini M. M.,Brinton M. C. Sex segregation in the workplace: Trends, explanations, remedies. Reskin B., ed. Washington, DC: National Academic Press; 1984:192-232.
58. Marini M. M.,Fan P.,Finley E.,Beutel A. M. Gender and job values. Sociology of Education. 1996;69: 49-65.
59. Martin S. C.,Arnold R. M.,Parker R. M. Gender and medical socialization. Journal of Health and Social Behavior. 1988;29: 333-343.
60. Matriculating Student Questionnaire. (1991). [Computer file]. Conducted by the Association of American Medical Colleges [producer and distributor].
61. McFarland, K. F., & Rhoades, D. R. (1998). Gender-related values and medical specialty choice. Academic Psychiatry, 22, 236-239.
62. Medical Education Futures Study. (2008). Underrepresented minorities in medicine: The need for a diverse physician workforce. Retrieved from http://www.medicaleducationfutures.org/uploads/URMsinMedicineTheNeedforaMoreDiversePhysicianWorkforce.pdf
63. Morris P. J. Why we need more women in surgery. The Royal College of Surgeons of England Bulletin. 2005;87: 123-125.
64. Mutha S.,Takayama J. I.,O'Neill E. H. Insights into medical students' career choices based on third- and fourth-year students' focus group discussions. Academic Medicine. 1997;72: 635-640.
65. Newton D. A.,Grayson M. S.,Thompson L. F. The variable influence of lifestyle and income on medical students' career specialty choices: Data from two U.S. medical schools, 1998-2004. Academic Medicine. 2005;80: 809-814.
66. Noonan M. C.,Corcoran M. E. The mommy track and partnership: Temporary delay or dead end?. Annals of the American Academy of Political and Social Science. 2004;596: 130-150.
67. Novielli K.,Hojat M.,Park P. K.,Gonnella J. S.,Veloski J. J. Change of interest in surgery during medical school: A comparison of men and women. Academic Medicine. 2001;76: S58-S61.
68. Pamies R. J.,Woodard L. J.,Blair C. R.,Roetzheim R. G.,Herold A. H. The influence of students' specialty selections of faculty evaluations and mini-board scores during third-year clerkships. Academic Medicine. 1992;67: 127-129.
69. Park J.,Minor S.,Taylor R. A.,Vikis E.,Poenaru D.Why are women deterred from general surgery training? American Journal of Surgery. 2005;190: 141-146.
70. Pixley J. E. Life course patterns of career-prioritizing decisions and occupational attainment in dual-earner couples. Work and Occupations. 2008;35: 127-163.
71. Polachek S. W. Women in the labor market. Lloyd C. B. Andrews E. S. Gilroy C. L., ed. New York, NY: Columbia University Press; 1979:137-157.
72. Polachek S. W. Occupational self-selection: A human capital approach to sex differences in occupational structure. Review of Economics and Statistics. 1981;63: 60-69.
73. Resneck J. S. The influence of controllable lifestyle on medical student specialty choice. Virtual Mentor. 2006;8: 529-532.
74. Ridgeway C. L.,Correll S. J. Unpacking the gender system. Gender & Society. 2004;18: 510-531.
75. Rose S. H.,Burkle C. M.,Elliott B. A. Trends in gender distribution among anesthesiology residents: Do they matter?. Anesthesia & Analgesia. 2006;103: 1209-1212.
76. Roter D. L.,Hall J. A. Physician gender and patient-centered communication: A critical review of empirical research. Annual Review of Public Health. 2004;25: 497-519.
77. Rudman, L. A., & Glick, P. (2001). Prescriptive gender stereotypes and backlash against agentic women. Journal of Social Issues, 57, 743-762.
78. Rutecki, G. W. (2005, Feburary). Women physicians and lifestyle: What are all those doctors doing? Commentary at the center for bioethics and human dignity. Retrieved from http://www.cbhd.org/resources/healthcare/rutecki_2005-02-04_print.htm
79. Sanfey H.,Saalwachter-Schulman A. R.,Nyhof-Young J. M.,Eidelson B.,Mann B. D. Influences on medical student career choice. Archives of Surgery. 2006;141: 1086-1094.
80. Sectish T. C.,Rosenberg A. R.,Pageler N. M.,Chamberlain L. J.,Burgos A.,Stuart E. Making pediatrics residency programs family friendly: Views along the professional educational continuum. Journal of Pediatrics. 2006;149: 1-2.
81. Sherman R. Time is our commodity: Gender and the struggle for occupational legitimacy among personal concierges. Work and Occupations. 2010;37: 81-114.
82. Stratton T. D.,McLaughlin M. A.,Witte F. M.,Fosson S. E.,Nora L. M. Does students' exposure to gender discrimination and sexual harassment in medical school affect specialty choice and residency program selection?. Academic Medicine. 2005;80: 400-409.
83. Tolbert P. S.,Moen P. Men's and women's definitions of "good" jobs. Work and Occupations. 1998;25: 168-194.
84. Troppmann K. M.,Palis B. E.,Goodnight J. E.,Hung S. H.,Troppmann C. Women surgeons in the new millennium. Archives of Surgery. 2009;144: 635-642.
85. Witte F. M.,Stratton T. D.,Nora L. M. Stories from the fields: Students' descriptions of gender discrimination and sexual harassment during medical school. Academic Medicine. 2006;81: 648-654.