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Eur J Pediatr Surg 2017; 27(03): 228-233
DOI: 10.1055/s-0037-1602251
Review Article
Georg Thieme Verlag KG Stuttgart · New York

The Female Pediatric Surgeon

Carmen Dingemann
1   Department of Pediatric Surgery, Hannover Medical School, Lower Saxony, Germany
› Author Affiliations
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Publication History

03 March 2017

11 March 2017

Publication Date:
28 April 2017 (online)

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Abstract

In medical schools throughout Europe, women make up an increasing proportion of graduates entering the medical profession. Even though this phenomenon is also found in the surgical profession, women are still clearly underrepresented. However, it has been demonstrated that women are equally qualified as men, and are as eager as men to aim for a surgical career.

In general, a career in surgery has significant lifestyle implications for both men and women. In particular, women meet challenges such as pregnancy, maternity, and responsibility for childcare that compete with pressures of time and expectations of productivity. Further complicating the situation, there is a huge complexity of national legislation dealing with maternity and parental leave within Europe. Owing to this legal inconsistency, a strong demand on targeted policies and guidelines has increased particularly among the surgical staff.

The scarcity of female role models and mentors has also been discussed as a possible explanation for the underrepresentation of women in academic surgery. Even in the 21st century, the advancement of women into leading positions of academic surgery and major surgical societies is still limited. An updated view of leadership development, the promotion of female surgeons in academic surgery, and identifying barriers to women entering this field are crucial to correcting the existing gender inequities.

This contribution aims to highlight the current situation of women in academic surgery, outline findings on gender disparities, and define persistent obstacles to the advancement of women in surgery. In addition, this review presents new possibilities and provides approaches to overcome the underrepresentation of female surgeons. In current literature, there is only little information concerning the situation of female pediatric surgeons. Therefore, this article mainly relies on available data on the female surgeon in general.

Keywords

women - pediatric surgery - career - role models - pregnancy
 

  • References

  • 1 Burgos CM, Josephson A. Gender differences in the learning and teaching of surgery: a literature review. Int J Med Educ 2014; 5: 110-124
    CrossrefPubMedGoogle Scholar
  • 2 Quinlan RM. Gender and the surgical workforce. Arch Surg 2007; 142 (04) 321-328
    CrossrefPubMedGoogle Scholar
  • 3 Troppmann KM, Palis BE, Goodnight Jr JE, Ho HS, Troppmann C. Women surgeons in the new millennium. Arch Surg 2009; 144 (07) 635-642
    CrossrefPubMedGoogle Scholar
  • 4 Turner PL, Lumpkins K, Gabre J, Lin MJ, Liu X, Terrin M. Pregnancy among women surgeons: trends over time. Arch Surg 2012; 147 (05) 474-479
    CrossrefPubMedGoogle Scholar
  • 5 Mayer KL, Ho HS, Goodnight Jr JE. Childbearing and child care in surgery. Arch Surg 2001; 136 (06) 649-655
    CrossrefPubMedGoogle Scholar
  • 6 Zhuge Y, Kaufman J, Simeone DM, Chen H, Velazquez OC. Is there still a glass ceiling for women in academic surgery?. Ann Surg 2011; 253 (04) 637-643
    CrossrefPubMedGoogle Scholar
  • 7 Carnes M, Morrissey C, Geller SE. Women's health and women's leadership in academic medicine: hitting the same glass ceiling?. J Womens Health (Larchmt) 2008; 17 (09) 1453-1462
    CrossrefPubMedGoogle Scholar
  • 8 Richardson HC, Redfern N. Why do women reject surgical careers?. Ann R Coll Surg Engl 2000; 82 (9, Suppl): 290-293
    PubMedGoogle Scholar
  • 9 Wirtzfeld DA. The history of women in surgery. Can J Surg 2009; 52 (04) 317-320
    PubMedGoogle Scholar
  • 10 Longo P, Straehley CJ. Whack! I've hit the glass ceiling! Women's efforts to gain status in surgery. Gend Med 2008; 5 (01) 88-100
    CrossrefPubMedGoogle Scholar
  • 11 Wendel TM, Godellas CV, Prinz RA. Are there gender differences in choosing a surgical career?. Surgery 2003; 134 (04) 591-596 , discussion 596–598
    CrossrefPubMedGoogle Scholar
  • 12 Park J, Minor S, Taylor RA, Vikis E, Poenaru D. Why are women deterred from general surgery training?. Am J Surg 2005; 190 (01) 141-146
    CrossrefPubMedGoogle Scholar
  • 13 Pastena JA. Women in surgery. An ancient tradition. Arch Surg 1993; 128 (06) 622-626
    CrossrefPubMedGoogle Scholar
  • 14 Burdette HC. Hospitals and Asylums of the World. London, England: Churchill; 1893
    Google Scholar
  • 15 Pain S. The ‘male’ military surgeon who wasn't. 2008 . NewScientist.com.
    PubMedGoogle Scholar
  • 16 Lynge DC, Larson EH, Thompson MJ, Rosenblatt RA, Hart LG. A longitudinal analysis of the general surgery workforce in the United States, 1981–2005. Arch Surg 2008; 143 (04) 345-350 , discussion 351
    CrossrefPubMedGoogle Scholar
  • 17 McLemore EC, Ramamoorthy S, Peterson CY, Bass BL. Women in surgery: bright, sharp, brave, and temperate. Perm J 2012; 16 (03) 54-59
    PubMedGoogle Scholar
  • 18 Carr PL, Ash AS, Friedman RH. , et al. Relation of family responsibilities and gender to the productivity and career satisfaction of medical faculty. Ann Intern Med 1998; 129 (07) 532-538
    CrossrefPubMedGoogle Scholar
  • 19 Cujec B, Oancia T, Bohm C, Johnson D. Career and parenting satisfaction among medical students, residents and physician teachers at a Canadian medical school. CMAJ 2000; 162 (05) 637-640
    PubMedGoogle Scholar
  • 20 Schroen AT, Brownstein MR, Sheldon GF. Women in academic general surgery. Acad Med 2004; 79 (04) 310-318
    CrossrefPubMedGoogle Scholar
  • 21 Kao LS, Wilson EB, Anderson KD. Gender differences among spouses of surgeons. Am J Surg 2005; 189 (04) 435-440
    CrossrefPubMedGoogle Scholar
  • 22 Katz A, Mallory B, Gilbert JC. , et al. State of the practice for pediatric surgery—career satisfaction and concerns. A report from the American Pediatric Surgical Association Task Force on Family Issues. J Pediatr Surg 2010; 45 (10) 1975-1982
    CrossrefPubMedGoogle Scholar
  • 23 Cydulka RK, D'Onofrio G, Schneider S, Emerman CL, Sullivan LM. Women in academic emergency medicine. Acad Emerg Med 2000; 7 (09) 999-1007
    PubMedGoogle Scholar
  • 24 Sandler BJ, Tackett JJ, Longo WE, Yoo PS. Pregnancy and Parenthood among Surgery Residents: results of the first nationwide survey of general Surgery Residency Program directors. J Am Coll Surg 2016; 222 (06) 1090-1096
    CrossrefPubMedGoogle Scholar
  • 25 Snyder RA, Bills JL, Phillips SE, Tarpley MJ, Tarpley JL. Specific interventions to increase women's interest in surgery. J Am Coll Surg 2008; 207 (06) 942-947 , 947.e1–947.e8
    CrossrefPubMedGoogle Scholar
  • 26 Walsh DS. Pocket Mentor: A Manual for Surgical Interns and Residents. 3rd ed. Westmont, IL: Association of Women Surgeons; 2001. www.womensurgeons.org . Accessed February 21, 2017
    Google Scholar
  • 27 Engelmann C, Grote G, Miemietz B, Vaske B, Geyer S. [Career perspectives of hospital health workers after maternity and paternity leave: survey and observational study in Germany] [in German]. Dtsch Med Wochenschr 2015; 140 (04) e28-e35
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Carty SE, Colson YL, Garvey LS. , et al. Maternity policy and practice during surgery residency: how we do it. Surgery 2002; 132 (04) 682-687 , discussion 687–688
    CrossrefPubMedGoogle Scholar
  • 29 Council Directive 92/85/EEC of 19 October 1992 on the introduction of measures to encourage improvements in the safety and health at work of pregnant workers and workers who have recently given birth or are breastfeeding. Available at: http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A31992L0085 . Accessed February 21, 2017
    PubMed
  • 30 Jurviste U, Prpic M, Sabbati G. Maternity and paternity leave in the EU. European Parliamentary Research Service (EPRS). Available at: https://epthinktank.eu/2014/12/19/maternity-and-paternity-leave-in-the-eu/ . Accessed February 21, 2017
    PubMedGoogle Scholar
  • 31 Knieper C, Ramsauer B, Hancke K. , et al. “Pregnant and Operating”: Evaluation of a Germany-wide survey among female gynaecologists and surgeons. Geburtshilfe Frauenheilkd 2014; 74 (09) 875-880
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Council Directive. 2010/18/EU of 8 March 2010 implementing the revised framework agreement on parental leave concluded by BUSINESSEUROPE, UEAPME, CEEP and ETUC and repealing Directive 96/34/EC. Available at: http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32010L0018 . Accessed February 21, 2017
    PubMed
  • 33 Weller C. These 10 countries have the best parental leave policies in the world. World Economic Forum. 2016 . Available at: https://www.weforum.org/agenda/2016/08/these-10-countries-have-the-best-parental-leave-policies-in-the-world . Accessed February 21, 2017
    PubMedGoogle Scholar
  • 34 Jagsi R, Guancial EA, Worobey CC. , et al. The “gender gap” in authorship of academic medical literature—a 35-year perspective. N Engl J Med 2006; 355 (03) 281-287
    CrossrefPubMedGoogle Scholar
  • 35 Wright AL, Schwindt LA, Bassford TL. , et al. Gender differences in academic advancement: patterns, causes, and potential solutions in one US College of Medicine. Acad Med 2003; 78 (05) 500-508
    CrossrefPubMedGoogle Scholar
  • 36 Housri N, Cheung MC, Koniaris LG, Zimmers TA. Scientific impact of women in academic surgery. J Surg Res 2008; 148 (01) 13-16
    CrossrefPubMedGoogle Scholar
  • 37 Jagsi R, Tarbell NJ, Henault LE, Chang Y, Hylek EM. The representation of women on the editorial boards of major medical journals: a 35-year perspective. Arch Intern Med 2008; 168 (05) 544-548
    CrossrefPubMedGoogle Scholar
  • 38 Sexton KW, Hocking KM, Wise E. , et al. Women in academic surgery: the pipeline is busted. J Surg Educ 2012; 69 (01) 84-90
    CrossrefPubMedGoogle Scholar
  • 39 Nickerson KG, Bennett NM, Estes D, Shea S. The status of women at one academic medical center. Breaking through the glass ceiling. JAMA 1990; 264 (14) 1813-1817
    CrossrefPubMedGoogle Scholar
  • 40 Andrews NC. The other physician-scientist problem: where have all the young girls gone?. Nat Med 2002; 8 (05) 439-441
    CrossrefPubMedGoogle Scholar
  • 41 Yedidia MJ, Bickel J. Why aren't there more women leaders in academic medicine? The views of clinical department chairs. Acad Med 2001; 76 (05) 453-465
    CrossrefPubMedGoogle Scholar
  • 42 Saunders CM, Nichevich A, Ellis C. Frontiers in academic surgery: the five M'S. ANZ J Surg 2008; 78 (05) 350-355
    CrossrefPubMedGoogle Scholar
  • 43 De Angelis CD. Women in academic medicine: new insights, same sad news. N Engl J Med 2000; 342 (06) 426-427
    PubMedGoogle Scholar
  • 44 Kass RB, Souba WW, Thorndyke LE. Challenges confronting female surgical leaders: overcoming the barriers. J Surg Res 2006; 132 (02) 179-187
    CrossrefPubMedGoogle Scholar
  • 45 Andrews NC. Climbing through medicine's glass ceiling. N Engl J Med 2007; 357 (19) 1887-1889
    CrossrefPubMedGoogle Scholar