Women Faculty: An Analysis of Their Experiences in Academic Medicine and Their Coping Strategies
Women Faculty: An Analysis of Their Experiences in Academic Medicine and Their Coping Strategies
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DOI：
10.1016/j.genm.2010.09.006
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发表时间：
2010-10-01
期刊：
影响因子：
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通讯作者：
Jones, Sandra J.
中科院分区：
文献类型：
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作者：
Pololi, Linda H.;Jones, Sandra J.
背景资料：妇女代表一个持续低比例的教师在高级和领导角色在医学院，尽管有足够的pipeline.Objectives：这篇文章强调了妇女的关注在学术医学文化的背景下，他们的工作，并考虑了如何在他们科普和抵制边缘化的情况。为了探索学术医学教师的经验，一个多学科教师研究团队对代表4个不同职业阶段的广泛学科的教师进行了96次开放式采访（早期职业生涯，领导者，平台，并离开学术医学）在5所医学院。访谈记录中的编码数据表明，妇女处于边缘地位。边缘化的经验进行了检查，通过一个系统的二次分析的一个子集的17个代表性的情况下，使用定性analysis.Results：妇女有一种“不属于”的组织，认为自己是文化的局外人，感觉孤立和无形的感觉。他们描述了晋升的障碍，包括偏见和性别角色期望。来自代表性不足的少数群体和博士的教师认为存在双重劣势。四种策略，帮助妇女科普和抵制专业障碍：自我沉默，创造微环境，平衡生活和工作，同时持有双重身份，成功的组织，同时试图改变culture.Conclusions：虽然样本量很小，这项分析发现，许多女教师认为自己是局外人在学术医学。由于被边缘化，少数群体和非少数群体妇女更能看到学术医疗中心可能存在的偏见和排斥以及文化的其他问题。作为文化局外人，女性可能更有能力推动变革，以改善学术医学文化。下一步是利用妇女的意识，对这种文化能够和应该是什么样的形成更广泛的视野。(Gend 2010;7：438-450）（C）2010 Excerpta Medica Inc.
Background: Women represent a persistently low proportion of faculty in senior and leadership roles in medical schools, despite an adequate pipeline.Objectives: This article highlights women's concerns in the context of the academic medical culture in which they work, and considers the ways in which they cope with and resist marginalizing situations.Methods: To explore the experiences of faculty in academic medicine, a multidisciplinary faculty research team conducted 96 open-ended interviews with faculty representing a broad set of disciplines at 4 different career stages (early career, leaders, plateaued, and left academic medicine) in 5 medical schools. Coded data from interview transcripts indicated situations in which women were marginalized. Experiences of marginality were examined through a systematic secondary analysis of a subset of 17 representative cases using qualitative analysis.Results: Women had a sense of "not belonging" in the organization, perceiving themselves as cultural outsiders and feeling isolated and invisible. They described barriers to advancement, including bias and gender role expectations. Faculty from underrepresented minority groups and PhDs perceived a double disadvantage. Four strategies were identified that helped women cope with and resist professional barriers: self-silencing, creating microenvironments, balancing life and work, and simultaneously holding dual identities-being successful in the organization while trying to change the culture.Conclusions: Although the sample size was small, this analysis found that many women faculty perceive themselves as outsiders within academic medicine. Because of their marginalization, minority and non-minority women are more able to see the bias and exclusion that may operate in academic medical centers as well as other problematic dimensions of the culture. As cultural outsiders, women may be better able to advance change to improve academic medical culture. A next step is to leverage women's awareness to develop a broader vision of what that culture can and should be like. (Gend Med. 2010;7:438-450) (C) 2010 Excerpta Medica Inc.