Abstract
Background: We studied female graduates of the Robert Wood Johnson Clinical Scholars Program (CSP, Class of 1984 to 1989) to explore and describe the complexity of creating balance in the life of mid-career academic woman physicians.
Methods: We conducted and qualitatively analyzed (κ 0.35 to 1.0 for theme identification among rater pairs) data from a semi-structured survey of 21 women and obtained their curricula vitae to quantify publications and grant support, measures of academic productivity.
Results: Sixteen of 21 (76%) women completed the survey. Mean age was 48 (range: 45 to 56). Three were full professors, 10 were associate professors, and 3 had left academic medicine. Eleven women had had children (mean 2.4; range: 1 to 3) and 3 worked part-time. From these data, the conceptual model expands on 3 key themes: (1) defining, navigating, and negotiating success, (2) making life work, and (3) making work work. The women who described themselves as satisfied with their careers (10/16) had clarity of values and goals and a sense of control over their time. Those less satisfied with their careers (6/16) emphasized the personal and professional costs of the struggle to balance their lives and described explicit institutional barriers to fulfillment of their potential.
Conclusion: For this group of fellowship-prepared academic women physicians satisfactionis achieving professional and personal balance.
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References
Latham EC, ed. The Poetry of Robert Frost. New York: Henry Holt and Co; 1969:266–7.
Bickel J. Gender equity in undergraduate medical education: a status report. J Womens Health Gender Based Med. 2001;10:261–70.
Stobo JD, Fried LP, Stokes EJ. Understanding and eradicating bias against women in medicine. Acad Med. 1993;68:349.
Levinson W, Kaufman K, Bickel J. Part-time faculty in academic medicine: present status and future challenges. Ann Intern Med. 1993;119:220–5.
Showstack J, Rothman AA, Leviton LC, Sandy LG. The Robert Wood Johnson Clinical Scholars program. In: Isaacs SL, ed. To Improve Health and Health Care. Vol. VII. The Robert Wood Johnson Foundation Anthology. 2nd ed. Hoboken, NJ: Wiley; 2003:103–68.
NVivo, QSR, DataSense, LLC, 2004.
Glaser BG, Strauss AL. Discovery of Grounded Theory: Strategies for qualitative research. Chicago, IL: Aldine; 1967.
Morahan P, Bickel J. Capitalizing on women’s intellectual capital in the professions. Acad Med. 2002;77:110–2.
Tesch BJ, Wood HM, Helwig AL, Nattinger AB. Promotion of women physicians in academic medicine: glass ceiling or sticky floor? JAMA. 1995;273:1022–5.
Ash AS, Carr PL, Goldstein R, Friedman RH. Compensation and advancement of women in academic medicine: is there equity? Ann Intern Med. 2004;141:205–12.
Carr PL, Bickel J, Inui TS. Taking root in a forest clearing: a resource guide for medical faculty. Available at: http://www.bumc.bu.edu/Dept/Content.aspx?PageID=8849&departmentid=42. Accessed September 12, 2004.
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;129:532–8.
Yedidia MJ, Bickel J. Why aren’t there more women leaders in academic medicine? The views of clinical department chairs. Acad Med. 2001;76:453–65.
Eagly A. Transformational, transactional, and laissez-faire leadership: a meta-analysis comparing women and men. Psychol Bull. 2003;129.
Erickson E. Identity and the Life Cycle. New York: W.W. Norton & Company; 1980.
Levinson DJ withLevinson DJ, Levinson JD. The Seasons of a Woman’s Life. New York: Alfred A. Knopf; 1996.
Bateson MC. Composing a Life. New York: Atlantic Monthly Press; 1989.
Ruddick S, Daniels P, eds. Working it Out; 23 Women Writers, Artists, Scientists and Scholars Talk about their Lives and Work. New York: Pantheon; 1977.
McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K. The work lives of women physicians results from the physician work life study. The SGIM career satisfaction study group. J Gen Intern Med. 2000;15:372–80.
Warde C. Work-family balance. Ann Intern Med. 2001;134:343.
Fried LP, Francomano CA, MacDonald SM, et al. Career development for women in academic medicine: multiple interventions in a department of medicine. JAMA. 1996;276:898–905.
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“The Armful” from THE POETRY OF ROBERT FROST edited by Edward Connery Lathem. Copyright 1928, 1969 by Henry Holt and Company. Copyright 1956 by Robert Frost. Reprinted by permission of Henry Holt and Company, LLC.
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Kalet, A.L., Fletcher, K.E., Ferdman, D.J. et al. Defining, navigating, and negotiating success. J GEN INTERN MED 21, 920–925 (2006). https://doi.org/10.1007/BF02743138
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DOI: https://doi.org/10.1007/BF02743138