Skip to main content
Log in

The Attitude and Perceptions of Work–life Balance: A Comparison Among Women Surgeons in Japan, USA, and Hong Kong China

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

The objective of the present study was to explore how women surgeons manage their work–life balance in three environmental and cultural settings.

Method

Members of the Japan Association of Women Surgeons (JAWS), the United States of America (US) based Association of Women Surgeons (AWS), and the Women’s Chapter of the College of Surgeons of Hong Kong (WCHK) were surveyed.

Results

Among 822 women surgeons contacted, 252 responded (response rate 31.8 %; 55.5 % JAWS, 28.2 % AWS, and 25.3 % WCHK). Japanese women surgeons think that work is the number one priority, whereas US and Hong Kong China (HK) respondents think the number one priority is home life. Work satisfaction level was generally high among women surgeons in all countries; however, 19 % of US surgeons are somewhat dissatisfied with their work and 76.1 % think that men are treated more favorably than women at work. Whereas 51.6 % of Japanese women surgeons think that men are treated more favorably than women at home, at the same time they placed more importance on the role of women in the family. More than half of Japanese women surgeons are “uncertain” about their career path in the future, whereas 55.2/87.1 % of US/HK respondents are optimistic. All surgeons recommended expanding support for child rearing or nursing care during work hours, promoting a flexible work schedule and changing some of the older conventional ideas about gender role.

Conclusions

It is essential to address women surgeons’ concerns to enable them to have a clearer vision and a challenging career, and to be more certain about their personal and professional goals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Cyranoski D (2001) One woman is enough. Nature 410:404–406

    Article  PubMed  CAS  Google Scholar 

  2. Editorial (2008) One woman is still not enough. Nature 451:865

  3. Introduction to the revised Child Care and Family Care Leave Law. http://www.mhlw.go.jp/english/policy/affairs/dl/05.pdf. Accessed 3 Sept 2012

  4. The gender gap report 2011. http://www3.weforum.org/docs/WEF_GenderGap_Report_2011.pdf. Accessed 3 Sept 2012

  5. Survey of Physicians, Dentists and Pharmacists 2010 http://www.mhlw.go.jp/toukei/saikin/hw/ishi/10/dl/kekka_1.pdf. Accessed 3 Sept 2012 (in Japanese)

  6. Kawase K, Yorozuya K, Hashimoto H et al (2009) Current status of Japanese surgeons. A gender comparison: results from a survey of Japan Surgical Society. Part 2 Councilors. Nihon Geka Gakkai Zasshi 110:101–105 (in Japanese)

    PubMed  Google Scholar 

  7. Tomizawa Y, Kono E, Nomura S et al (2011) Japanese women surgeons’ present and future: report of a survey on support environment and activities at facilities staffed with Japanese Surgical Society Counselors. Nihon Geka Gakkai Zasshi 112:349–353 (in Japanese)

    PubMed  Google Scholar 

  8. McMurray JE, Cohen M, Angus G (2002) Women in medicine: a four-nation comparison. J Am Med Womens Assoc 57:185–190

    PubMed  Google Scholar 

  9. Valentine RJ, Jones A, Biester TW et al (2011) General surgery workloads and practice patterns in the United States, 2007 to 2009. A 10-year update from the American Board of Surgery. Ann Surg 254:520–526

    Article  PubMed  Google Scholar 

  10. Gjerberg E (2002) Gender similarities in doctors’ preferences and gender differences in final specialization. Soc Sci Med 54:591–605

    Article  PubMed  Google Scholar 

  11. Sanfey H, Saalwachter-Schulman AR, Nyhof-Young JM et al (2006) Influences on medical student career choice. Arch Surg 141:1086–1094

    Article  PubMed  Google Scholar 

  12. McCord JH, McDonald R, Leverson G et al (2007) Motivation to pursue surgical subspecialty training: is there a gender difference? J Am Coll Surg 205:698–703

    Article  PubMed  Google Scholar 

  13. Riska E (2011) Gender and medical careers. Maturitas 68:264–268

    Article  PubMed  Google Scholar 

  14. Kawase K, Yorozuya K, Hashimoto H et al (2009) Current status of Japanese surgeons. A gender comparison: results from a survey of Japan Surgical Society. Part 1. Regular Members. Nihon Geka Gakkai Zasshi 110:37–44. http://www.jssoc.or.jp/other/info/info20090115-1.pdf. Accessed 3 Sept 2012 (in Japanese)

  15. Tesch B, Wood HM, Helwig AL et al (1995) Promotion of women physicians in academic medicine: glass ceiling or sticky floor? JAMA 273:1022–1025

    Article  PubMed  CAS  Google Scholar 

  16. Kavathas P, Soong L (2001) Gender inequity: challenging business as usual. Nat Immunol 2:985–987

    Article  PubMed  CAS  Google Scholar 

  17. Reed V, Buddeberg-Fischer B (2001) Career obstacles for women in medicine: an overview. Med Educ 35:139–147

    Article  PubMed  CAS  Google Scholar 

  18. Barres BA (2006) Does gender matter? Nature 442:133–136

    Article  PubMed  CAS  Google Scholar 

  19. Zhuge Y, Kaufman J, Simeone DM et al (2011) Is there still a glass ceiling for women in academic surgery? Ann Surg 253:637–643

    Article  PubMed  Google Scholar 

  20. Ip NY (2011) Career development for women scientists in Asia. Neuron 70:1029–1032

    Article  PubMed  CAS  Google Scholar 

  21. Reed DA, Enders F, Lindor R et al (2011) Gender differences in academic productivity and leadership appointments of physicians throughout academic careers. Acad Med 86:921–922

    Google Scholar 

  22. Lind DS, Rekkas S, Bui V et al (2002) Competency-based student self-assessment on a surgery rotation. J Surg Res 105:31–34

    Article  PubMed  Google Scholar 

  23. Jacobs JE (2005) Twenty-five years of research on gender and ethnic differences in math and science career choices: What have we learned? New Dir Child Adolesc Dev 110:85–94

    Article  PubMed  Google Scholar 

  24. Minter RM, Gruppen LD, Napolitano KS et al (2005) Gender differences in the self-assessment of surgical residents. Am J Surg 189:647–660

    Article  PubMed  Google Scholar 

  25. Nomura K, Yano E, Fukui T (2010) Gender differences in clinical confidence: a nationwide survey of resident physicians in Japan. Acad Med 85:647–663

    Article  PubMed  Google Scholar 

  26. McCord JH, McDonald R, Leverson G et al (2007) Motivation to pursue surgical subspecialty training: is there a gender difference? J Am Coll Surg 205:698–703

    Article  PubMed  Google Scholar 

  27. Beaman L, Duflo E, Pande R et al (2012) Female leadership raises aspirations and educational attainment for girls: a policy experiment in India. Science 335:582–586

    Article  PubMed  CAS  Google Scholar 

  28. Kuerer HM, Breslin T, Shanafelt TD (2008) Road map for maintaining career satisfaction and balance in surgical oncology. J Am Coll Surg 207:435–442

    Article  PubMed  Google Scholar 

  29. Shanafelt T (2009) A career in surgical oncology: finding meaning, balance, and personal satisfaction. Ann Surg Oncol 15:400–406

    Article  Google Scholar 

  30. Ochsmann EB (2012) Thinking about giving up clinical practice? A gender-stratified approach to understanding junior doctors’ choices. Acad Med 87:91–97

    Article  PubMed  Google Scholar 

  31. Kellerman SE, Herold J (2001) Physician response to surveys. A review of the literature. Am J Prev Med 20:61–67

    Article  PubMed  CAS  Google Scholar 

  32. Beebe TJ, Locke GR III, Barnes SA (2007) Mixing web and mail methods in a survey of physicians. Health Serv Res 42:1219–1234

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported in part by The Ministry of Education, Culture, Sports, Science and Technology-Japan (MEXT) KAKENHI (Grants-in-Aid for Scientific Research) Grant Number 22510295.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kazumi Kawase.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kawase, K., Kwong, A., Yorozuya, K. et al. The Attitude and Perceptions of Work–life Balance: A Comparison Among Women Surgeons in Japan, USA, and Hong Kong China. World J Surg 37, 2–11 (2013). https://doi.org/10.1007/s00268-012-1784-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-012-1784-9

Keywords

Navigation