Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The antiquated conversations on the gender pay gap

Esther Choo, MD, Jane van Dis, MD, and Dara Kass, MD
Physician
September 1, 2018
Share
Tweet
Share

The pay gap between men and women has been a subject of interest recently, particularly in 2018 reports by Doximity and Medscape.

Notably, the gap favors men, is not explained by obvious factors such as hours worked or choice of specialty, and does not seem to be improving. In-depth studies published in the medical literature have examined the relationship between gender and compensation taking into account a wide range of potential confounders, including clinical and academic productivity, leadership roles, age and experience of individual physicians, and place of practice, and found that these factors also do not completely explain the reduced compensation for women in medicine. Further, there is evidence that women may deliver improved care in some contexts, such as caring for women with cardiac disease or decreasing 30 day mortality in certain hospitalized patients.

Yet antiquated perceptions of the value of women in medicine persist. In this month’s Dallas Medical Journal, readers were asked to respond to the question, “Do you believe that a pay gap exists?  And if so, what is the cause”? One physician replied, “Yes, there is a pay gap. Female physicians do not work as hard and do not see as many patients as male physicians … Nothing needs to be ‘done’ about this unless female physicians actually want to work harder and put in the hours.”  Another said, “I feel the pay gap between female versus male is because of hours worked, specialty and location.” [Note: the issue has been retracted due to the protest against these comments.]

The author of the first comment has been soundly criticized on social media. However, his views about women and their capability and role in medicine are not unique: They have been echoed by many others in this and earlier conversations. It is likely that many people are ignorant of the role of bias and discrimination in the gender pay gap, but it seems fundamentally unhelpful to highlight them. Giving a platform to these voices moves our field backwards, and suggests to the public that medicine is a field stuck in a bygone era.

Nevertheless, the Dallas Medical Journal’s blunder gave us an opportunity to get to some fundamental questions. Why do health care organizations and journal editors still not know that the question to pose is not whether a gender pay gap exists, but what to do about the established pay gap?  How can we help health care leaders understand the pay gap as well as other types of gender and maternal discrimination in medicine and the associated negative sequelae on the medical workforce? When will a critical mass of leaders in health care be inspired to allow our field to engage meaningfully in the long term, dedicated work it will take to devise and employ effective, system-based interventions to reduce current compensation gaps and prevent future gaps?

Women physicians  — like everyone — will thrive in settings where they are equitably hired, supported, advanced, and compensated. If we wish to optimize the care we give our patients, we will seek to eliminate the clear inequities persisting among physicians.

Esther Choo, Jane van Dis, and Dara Kass are emergency physicians.  This article originally appeared in FeminEm.

Image credit: Shutterstock.com

Prev

4 reasons why physicians will become extinct

September 1, 2018 Kevin 7
…
Next

A day in the beautiful life of this doctor

September 1, 2018 Kevin 0
…

Tagged as: Emergency Medicine, Practice Management, Public Health & Policy

Post navigation

< Previous Post
4 reasons why physicians will become extinct
Next Post >
A day in the beautiful life of this doctor

ADVERTISEMENT

Related Posts

  • Close the gender pay gap in medicine

    Linda Girgis, MD
  • Why a gap year will make this medical student a better physician

    Yoo Jung Kim, MD
  • If we don’t pay now to vaccinate our children, they will pay later

    Peter Ubel, MD
  • When physician pay packages become hospital kickbacks

    Jordan Rau
  • It is time to make the unvaccinated pay their fair share

    Hayward Zwerling, MD
  • How to pay for long-term care

    Kevin Tolliver, MD, MBA

More in Physician

  • Complicity vs. protest: a doctor’s choice

    Patrick Hudson, MD
  • When cancer costs too much: Why financial toxicity deserves a place in clinical conversations

    Yousuf Zafar, MD
  • The hidden rewards of a primary care career

    Jerina Gani, MD, MPH
  • Why doctors regret specialty choices in their 30s

    Jeremiah J. Whittington, MD
  • 10 hard truths about practicing medicine they don’t teach in school

    Steven Goldsmith, MD
  • How I learned to love my unique name as a doctor

    Zoran Naumovski, MD
  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • Affordable postpartum hemorrhage solutions every OB/GYN can use worldwide [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 10 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • Affordable postpartum hemorrhage solutions every OB/GYN can use worldwide [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The antiquated conversations on the gender pay gap
10 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...