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David C. Dale, MD,FACPPresident, American College of

PhysiciansProfessor of Medicine

University of Washington, Seattle, USA

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University of WashingtonCherry Trees-April 2008

Safeco FieldWhere Ichiro Suzuki Plays

The State of Working Conditions of Women Doctors and Leadership

Programs for Women in the U.S.A.Annual MeetingJapan Chapter

American College of PhysiciansTokyo, April 12, 2008

Women in Medicine-U.S.A.

• Medical Students-Women 50%

• Physicians- Women 256,000

Total 921,000 28%

Academic Medicine Women 32 %

History

• 1847 Harriet Hunt’s application to Harvard Medical School rejected

• 1849 Elizabeth Blackwell admitted to Geneva Medical College in New york

Elizabeth Blackwell

• 1849-First woman to receive MD degree from a U.S. medical school-Geneva Medical College

• 1857-Founder-New York Infirmary for Women

• 1895-Author “Pioneering Work in Opening the Medical Profession to Women”

History

• 1850 Women’s Medical College-Philadelphia• 1864 First African-American MD-Rebecca

Crumpler• 1870 U. of Michigan School of Medicine admits

women• 1903 First woman faculty at Johns Hopkins-

Florence Sabin• 1915 Medical Women’s National Association

founded

U S Women Medical School Applicants

Year Entering

Women(%)

Graduating

Women(%)

1980 4800 (29%) 3900 (25%)

1900 6200 (38%) 5600 (36%)

2000 7500 (46%) 6800 (43%)

2004 8200 (50%) 7400 (47%)

Women in Medicine-U.SA Statistics

• Year Total Men Women

• 1970 334,000 309,000 25,000

• 1980 468,000 413,000 54,000

• 1990 615,000 511,000 104,000

• 2000 814,000 618,000 196,000

• 2006 921,000 666,000 256,000

Issues for Women in Practice

• Specialty choice-General versus specialty• Hospital and clinic privileges• Work/duty hours• Job sharing• Pregnancy• Family and personal time• How long to stay in practice• Two MD families

Women in Academic Medicine Summary Statistics

• Faculty-32 % women

• Highest percentage-Pediatrics

• Women-32 % Associate Professors;

• Men-52% Associate Professors

• Deans and Chairs-10 % Women

• Assistant Deans 43 %

Issues for Women in Academia

• Specialty choice-general versus specialty• Hospital and clinic privileges• Work/duty hours• Job sharing• Pregnancy and child care• Family and personal time• How long to stay in practice• Two MD families• Promotion and tenure

Dr. Helen Ranney

• Former Chair-Department of Medicine-UCSD

• First Woman President-Association of American Physicians

• Hematology-Genetics• Sickle cell disease

Dr. Sara Walker

• Professor of Medicine

University of Missouri• Specialty-

Rheumatology• President-American

College of Physicians

2003-2004

Dr. Christine Cassel

• President-American Board of Internal Medicine

• Former Dean- University of Oregon

• Specialty-Geriatric

Dr. Risa J Lavisso-Moury

• President and CEO-Robert Wood Johnson Foundation

• Former-Deputy Director Federal Agency for Health Care Policy and Research

• Specialty-Internal Medicine and Geriatrics

Distinguish Women in American Medicine

Helen Ranney, Sara Walker, Christine Cassel,

Risa Lavizzo-Mourey

Department of Medicine, University of Washington

Virginia Broudy, Joann ElmoreJill Watanabe, Emily Wong

Women at the University of Washington

• Dr. Broudy-Professor, Chief of Medicine, Harborview Medical Center, Seattle and role model-teacher, clinician, researcher

• Dr. Elmore-Professor, General Internal medicine, authority breast cancer detection, mentor

• Dr. Watanabe-Associate Professor, mentor, teaching in ambulatory medicine

• Dr. Wong-Assistant Chair, Department of Medicine, UW Women in Medicine program

Information Sources

• American College of Physicians-Women in Medicine 2008 www.acponline.org

• American Medical Association-Women Physician Congress 2008 www.ama-assn.org

• American Association of Medical Colleges-Women in U.S. Academic Medicine www.aamc.org

• Nation Institutes of Health-Changing Face of Medicine www.nlm.nih.gov

AAMC Professional Development Seminars and Resources

• Early Career Women Faculty Seminar July 12-15-2008 Washington DC

1. Creating and academic plans,skills and goals

2. Insights for a successful academic career

3. Networking and finding role models

• Mid Career Women Facutly Seminar December 2007 Scottsdale AZ

• Publications

http://www.aamc.org/members/wim.htm

Resources-University of Washington

• President’s Advisory Committee on Women-Marica Killian, Chair 2006-07

• Enrollment 52 % women, staff 68 % women, faculty 42 %, administration 50 %, student athletes 49 %, police 20 %

• Faculty development workshops• Leave, pregnancy, childcare policies• Quarterly women in leadership forums• Women in graduate school focus group• Women of color subcommittee

ACP Women in Medicine Panel Discussion-2008

• Dr. Ruth Parker-General Internist and Professor of Medicine, Emory University, Atlanta GA

• Dr. Susan Hingle-General Internist, Internal Medicine Clerkship director, Southern Illinois University School of Medicine, Springfield IL

• Dr. Christie Reimer, Hospitalist and Associate Residency Program Director, Internal Medicine, University of Iowa,

• Iowa City IA • Dr. Karen Hsu Blatman, Resident, University of Virginia,

Charlottesville VA• http://acponline.org/about_acp/special_programs/wim/

wim_panel.htm

Summary

• Have a supportive environment

-at work and at home

• Find a mentor to guide and support

• Learn time management skills

• Develop your own plans and goals

• Recognize that work and patience rewards

• Love of your work, family and life