Sex Roles

, Volume 68, Issue 7–8, pp 464–473 | Cite as

In Pursuit of the MD: The Impact of Role Models, Identity Compatibility, and Belonging Among Undergraduate Women

  • Lisa RosenthalEmail author
  • Sheri R. Levy
  • Bonita London
  • Marci Lobel
  • Cartney Bazile
Original Article


Women continue to face gender-related challenges in the medical field in places around the world where it has traditionally been male-dominated, including in the U.S. In an online experimental study with women attending a mid-sized public university in the Northeastern U.S. (N = 55) who were interested in pursuing a pre-medical track (being pre-med) as undergraduates, we explored the mechanisms involved in undergraduate women’s pursuit of a career as a physician, focusing on three factors: exposure to successful female physician role models, perceived identity compatibility between being a woman and being pre-med, and sense of belonging in pre-med. Participants were randomly assigned to an experimental condition in which they were exposed to information about successful female physicians, or to a control condition in which no information about female physicians was provided. First, as hypothesized, participants exposed to successful female physicians reported higher perceived identity compatibility, sense of belonging, and interest in a medical career compared to those in the control condition. Second, also as hypothesized, perceived identity compatibility mediated the effect of role models on sense of belonging, and sense of belonging mediated the relationship between perceived identity compatibility and interest in a medical career. This study highlights three key factors in women’s pursuit of a career as a physician and the process through which these factors may operate. Findings support the use of role models to set a positive psychosocial process in motion that can support women’s persistence in medicine.


Belonging Identity compatibility Physicians Role models Women 


  1. Aron, A., Aron, E. N., & Smollan, D. (1992). Inclusion of other in the self scale and the structure of interpersonal closeness. Journal of Personality and Social Psychology, 63, 596–612. doi: 10.1037/0022-3514.63.4.596.CrossRefGoogle Scholar
  2. Asgari, S., Dasgupta, N., & Stout, J. G. (2012). When do counterstereotypic ingroup members inspire versus deflate? The effect of successful professional women on young women’s leadership self-concept. Personality and Social Psychology Bulletin, 38, 370–383. doi: 10.1177/0146167211431968.PubMedCrossRefGoogle Scholar
  3. Babaria, P., Bernheim, S., & Nunez-Smith, M. (2011). Gender and the pre-clinical experiences of female medical students: A taxonomy. Medical Education, 45, 249–260. doi: 10.1111/j.1365-2923.2010.03856.x.PubMedCrossRefGoogle Scholar
  4. Barr, D. A., Gonzalez, M. E., & Wanat, S. F. (2008). The leaky pipeline: Factors associated with early decline in interest in premedical studies among underrepresented minority undergraduate students. Academic Medicine, 83, 503–511. doi: 10.1097/ACM.0b013e31816bda16.PubMedCrossRefGoogle Scholar
  5. Barzansky, B., & Etzel, S. I. (2008). Medical schools in the United States, 2007–2008. Journal of the American Medical Association, 300, 1221–1227. doi: 10.1001/jama.300.10.1221.PubMedCrossRefGoogle Scholar
  6. Blake-Beard, S., Bayne, M., Crosby, F., & Muller, C. (2011). Matching by race and gender in mentoring relationships: Keeping our eyes on the prize. Journal of Social Issues, 67, 622–643. doi: 10.1111/j.1540-4560.2011.01717.x.CrossRefGoogle Scholar
  7. Cheryan, S., Plaut, V. C., Davies, P. G., & Steele, C. M. (2009). Ambient belonging: How stereotypical cues impact gender participation in computer science. Journal of Personality and Social Psychology, 97, 1045–1060. doi: 10.1037/a0016239.PubMedCrossRefGoogle Scholar
  8. Dasgupta, N., & Asgari, S. (2004). Seeing is believing: Exposure to counterstereotypic women leaders and its effect on the malleability of automatic gender stereotyping. Journal of Experimental Social Psychology, 40, 642–658. doi: 10.1016/j.jesp.2004.02.003.CrossRefGoogle Scholar
  9. Eccles, J. S. (2005). Subjective task value and the Eccles et al. model of achievement-related choices. In A. J. Elliot & C. S. Dweck (Eds.), Handbook of competence and motivation (pp. 105–121). New York: The Guilford Press.Google Scholar
  10. Eccles, J. S., Wigfield, A., Harold, R. D., & Blumenfeld, P. (1993). Age and gender differences in children’s self- and task perceptions during elementary school. Child Development, 64, 830–847. doi: 10.2307/1131221.PubMedCrossRefGoogle Scholar
  11. Else-Quest, N. M., Hyde, J. S., & Linn, M. C. (2010). Cross-national patterns of gender differences in mathematics: A meta-analysis. Psychological Bulletin, 136, 103–127. doi: 10.1037/a0018053.PubMedCrossRefGoogle Scholar
  12. Finn, J. D. (1989). Withdrawing from school. Review of Educational Research, 59, 117–142. doi: 10.3102/00346543059002117.Google Scholar
  13. Fiorentine, R., & Cole, S. (1992). Why fewer women become physicians: Explaining the premed persistence gap. Sociological Forum, 7, 469–496. doi: 10.1007/BF01117557.CrossRefGoogle Scholar
  14. Gilbert, L. A., Gallessich, J. M., & Evans, S. L. (1983). Sex of faculty role model and students’ self-perceptions of competency. Sex Roles, 9, 597–607. doi: 10.1007/BF00290067.CrossRefGoogle Scholar
  15. Good, C., Aronson, J., & Harder, J. A. (2008). Problems in the pipeline: Stereotype threat and women’s achievement in high-level math courses. Journal of Applied Developmental Psychology, 29, 17–28. doi: 10.1016/j.appdev.2007.10.004.CrossRefGoogle Scholar
  16. Good, C., Rattan, A., & Dweck, C. S. (2012). Why do women opt out? Sense of belonging and women’s representation in mathematics. Journal of Personality and Social Psychology, 102, 700–717. doi: 10.1037/a0026659.Google Scholar
  17. Hogg, M. A., & Abrams, D. (1988). Social identifications: A social psychology of intergroup relations and group processes. Florence: Taylor & Francis/Routledge.Google Scholar
  18. Hoyt, C. L., & Simon, S. (2011). Female leaders: injurious or inspiring role models for women? Psychology of Women Quarterly, 35, 143–157. doi: 10.1177/0361684310385216.CrossRefGoogle Scholar
  19. Langballe, E. M., Innstrand, S. T., Aasland, O. G., & Falkum, E. (2011). The predictive value of individual factors, work-related factors, and work–home interaction on burnout in female and male physicians: A longitudinal study. Stress and Health, 27, 73–87. doi: 10.1002/smi.1321.CrossRefGoogle Scholar
  20. Lo Sasso, A. T., Richards, M. R., Chou, C., & Gerber, S. E. (2011). The $16,819 pay gap for newly trained physicians: The unexplained trend of men earning more than women. Health Affairs, 30, 193–201. doi: 10.1377/hlthaff.2010.0597.PubMedCrossRefGoogle Scholar
  21. Lockwood, P. (2006). “Someone like me is successful”: Do college students need same-gender role models? Psychology of Women Quarterly, 30, 36–46. doi: 10.1111/j.1471-6402.2006.00260.x.CrossRefGoogle Scholar
  22. Lockwood, P., & Kunda, Z. (1997). Superstars and me: Predicting the impact of role models on the self. Journal of Personality and Social Psychology, 73, 91–103. doi: 10.1037/0022-3514.73.1.91.CrossRefGoogle Scholar
  23. London, B., Downey, G., Romero-Canyas, R., Rattan, A., & Tyson, D. (2012). Gender based rejection sensitivity and academic self-silencing in women. Journal of Personality and Social Psychology, 102, 961–979. doi: 10.1037/a0026615.PubMedCrossRefGoogle Scholar
  24. London, B., Rosenthal, L., Levy, S. R., & Lobel, M. (2011). The influences of perceived identity compatibility and social support on women in non-traditional fields during the college transition. Basic and Applied Social Psychology, 33, 304–321. doi: 10.1080/01973533.2011.614166.CrossRefGoogle Scholar
  25. Marx, D. M., & Roman, J. S. (2002). Female role models: Protecting women’s math test performance. Personality and Social Psychology Bulletin, 28, 1183–1193. doi: 10.1177/01461672022812004.CrossRefGoogle Scholar
  26. Mendoza-Denton, R., Downey, G., Purdie, V., Davis, A., & Pietrzak, J. (2002). Sensitivity to status-based rejection: Implications for African-American students’ college experiences. Journal of Personality and Social Psychology, 83, 896–918. doi: 10.1037/0022-3514.83.4.896.PubMedCrossRefGoogle Scholar
  27. O’Connell, A. N., & Russo, N. F. (1980). Eminent women in psychology: Models of achievement. Psychology of Women Quarterly, 5, 6–10. doi: 10.1111/j.1471-6402.1980.tb01031.x.CrossRefGoogle Scholar
  28. Ostrove, J., & Long, S. (2007). Social class and belonging: Implications for college adjustment. The Review of Higher Education, 30, 363–387.CrossRefGoogle Scholar
  29. Pas, B. R., Peters, P., Doorewaard, J. A. C. M., Eisinga, R. N., & Lagro-Janssen, A. L. M. (2011). Explaining career motivation among female doctors in the Netherlands: The effects of children, views on motherhood and work-home cultures. Work, Employment & Society, 25, 487–505. doi: 10.1177/0950017011407973.CrossRefGoogle Scholar
  30. Paul, H. (2006). Educational and career barriers to the medical profession: Perceptions of underrepresented minority students. College Student Journal, 40, 429–441.Google Scholar
  31. Phinney, J. S., Torres Campos, C. M., Padilla Kallemeyn, D. M., & Kim, C. (2011). Processes and outcomes of a mentoring program for Latino college freshmen. Journal of Social Issues, 67, 599–621. doi: 10.1111/j.1540-4560.2011.01716.x.CrossRefGoogle Scholar
  32. Pratto, F., & Walker, A. (2004). The bases of gendered power. In A. H. Eagly, A. E. Beall, & R. J. Sternberg (Eds.), The psychology of gender (2nd ed., pp. 242–268). New York: The Guilford Press.Google Scholar
  33. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi: 10.3758/BRM.40.3.879.PubMedCrossRefGoogle Scholar
  34. Riska, E. (2011). Gender and medical careers. Maturitas, 68, 264–267. doi: 10.1016/j.maturitas.2010.09.010.PubMedCrossRefGoogle Scholar
  35. Rosenthal, L., London, B., Levy, S. R., & Lobel, M. (2011a). The roles of perceived identity compatibility and social support for women in a single-sex STEM program at a co-educational university. Sex Roles, 65, 725–736. doi: 10.1007/s11199-011-9945-0.CrossRefGoogle Scholar
  36. Rosenthal, L., London, B., Levy, S. R., Lobel, M., & Herrera-Alcazar, A. (2011b). The relation between the Protestant work ethic and undergraduate women’s perceived identity compatibility in STEM majors. Analyses of Social Issues and Public Policy, 11, 241–262. doi: 10.1111/j.1530-2415.2011.01264.x.CrossRefGoogle Scholar
  37. Ryan, M., Haslam, S. A., Hersby, M. D., Kulich, C., & Wilson-Kovacs, M. D. (2009). The stress of working on the edge: Implications of glass cliffs for both women and organizations. In M. Barreto, M. K. Ryan, & M. T. Schmitt (Eds.), The glass ceiling in the 21st century: Understanding barriers to gender equality (pp. 153–169). Washington, D.C.: American Psychological Association. doi: 10.1037/11863-007.CrossRefGoogle Scholar
  38. Settles, I. H. (2004). When multiple identities interfere: The role of identity centrality. Personality and Social Psychology Bulletin, 30, 487–500. doi: 10.1177/0146167203261885.PubMedCrossRefGoogle Scholar
  39. Settles, I. H. (2006). Use of an intersectional framework to understand Black women’s racial and gender identities. Sex Roles, 54, 589–601. doi: 10.1007/s11199-006-9029-8.CrossRefGoogle Scholar
  40. Settles, I. H., Jellison, W. A., & Pratt-Hyatt, J. S. (2009). Identification with multiple social groups: The moderating role of identity change over time among women scientists. Journal of Research in Personality, 43, 856–867. doi: 10.1016/j.jrp.2009.04.005.CrossRefGoogle Scholar
  41. Shapiro, J. R., & Williams, A. M. (2012). The role of stereotype threats in undermining girls’ and women’s performance and interest in STEM fields. Sex Roles, 66, 175–183. doi: 10.1007/s11199-011-0051-0.CrossRefGoogle Scholar
  42. Stamm, M., & Buddeberg-Fischer, B. (2011). The impact of mentoring during postgraduate training on doctors’ career success. Medical Education, 45, 488–496. doi: 10.1111/j.1365-2923.2010.03857.x.PubMedCrossRefGoogle Scholar
  43. Stout, J. G., Dasgupta, N., Hunsinger, M., & McManus, M. A. (2011). STEMing the tide: Using ingroup experts to inoculate women’s self-concept in science, technology, engineering, and mathematics (STEM). Journal of Personality and Social Psychology, 100, 255–270. doi: 10.1037/a0021385.PubMedCrossRefGoogle Scholar
  44. Tajfel, H., & Turner, J. C. (1979). An integrative theory of intergroup conflict. In W. G. Austin & S. Worchel (Eds.), The social psychology of intergroup relations (pp. 33–47). Monterey: Brooks/Cole. doi: 10.1016/S0065-2601(05)37005-5.Google Scholar
  45. Tropp, L. R., & Wright, S. C. (2001). In-group identification as the inclusion of in-group in the self. Personality and Social Psychology Bulletin, 27, 585–600. doi: 10.1177/0146167201275007.CrossRefGoogle Scholar
  46. Valian, V. (2007). Women at the top in science—and elsewhere. In S. J. Ceci & W. M. Williams (Eds.), Why aren’t more women in science?: Top researchers debate the evidence. Washington, D.C.: American Psychological Association. doi: 10.1037/11546-002.Google Scholar
  47. Walker, C., & Greene, B. (2009). The relations between student motivational beliefs and cognitive engagement in high school. The Journal of Educational Research, 102, 463–471. doi: 10.3200/JOER.102.6.463-472.CrossRefGoogle Scholar
  48. Walton, G. M., & Cohen, G. L. (2007). A question of belonging: Race, social fit, and achievement. Journal of Personality and Social Psychology, 92, 82–96. doi: 10.1037/0022-3514.92.1.82.PubMedCrossRefGoogle Scholar
  49. Wohlford, K. E., Lochman, J. E., & Barry, T. D. (2004). The relation between chosen role models and the self-esteem of men and women. Sex Roles, 50, 575–582. doi: 10.1023/ Scholar
  50. Young, C., Fang, D., Golshan, S., Moutier, C., & Zisook, S. (2012). Burnout in premedical undergraduate students. Academic Psychiatry, 36, 11–16. doi: 10.1176/appi.ap.10080125.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Lisa Rosenthal
    • 1
    Email author
  • Sheri R. Levy
    • 2
  • Bonita London
    • 2
  • Marci Lobel
    • 2
  • Cartney Bazile
    • 2
  1. 1.Yale UniversityNew HavenUSA
  2. 2.Stony Brook UniversityStony BrookUSA

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