Skip to main content

Not Just Surviving, But Thriving: Overcoming Barriers to Career Advancement for Women Junior Faculty Clinician-Researchers

Abstract

Objective

Although women attend medical school and residency at similar rates to men, they experience lower levels of academic career advancement than men. To inform national gender equity efforts, the authors conducted a qualitative study to explore potential gender differences in the career experiences of junior research faculty at a premier research institution.

Methods

Focus group discussions were conducted among women and men junior research faculty at the School of Medicine at an urban public research university. Participants were early mentored career development award recipients (K-awardees). Two same-gender focus groups of nine women and six men were conducted. Discussions focused on two domains: barriers to maintaining a research career and facilitators for research career development. Data were analyzed using ATLAS.ti and content analysis methods.

Results

Both women and men identified a challenging funding environment, difficulty bridging the salary gap, and lack of institutional support as barriers to maintaining their research careers. Women perceived two primary barriers to their career advancement that were different from their male counterparts: They were more likely to feel undervalued at the institution and to experience significant strains related to both childbearing and childcare. Women also reported receiving inadequate mentorship, having poor negotiation skills, and experiencing a lack of negotiation opportunities.

Conclusions

Academic research institutions should consider interventions that provide financial, emotional, and practical support to women research faculty, particularly during their childbearing and childrearing years.

This is a preview of subscription content, access via your institution.

References

  1. Jena AB, Khullar D, Ho O, Olenski AR, Blumenthal DM. Sex differences in academic rank in US medical schools in 2014. JAMA. 2015;314(11):1149–58.

    CAS  Article  Google Scholar 

  2. Wehner MR, Nead KT, Linos K, Linos E. Plenty of moustaches but not enough women: cross sectional study of medical leaders. BMJ. 2015;351:h6311.

    Article  Google Scholar 

  3. Mensah M, Beeler W, Rotenstein L, Jagsi R, Spetz J, Linos E, et al. Sex differences in salaries of department chairs at public medical schools. JAMA Intern Med. 2020;180(5):789–92.

    Article  Google Scholar 

  4. Roskovensky L, Grbic D, Matthew D. The changing gender composition of US medical school applicants and matriculants. AAMC Analysis Brief. 2012;12(1):1–2.

    Google Scholar 

  5. Nonnemaker L. Women physicians in academic medicine—new insights from cohort studies. N Engl J Med. 2000;342(6):399–405.

    CAS  Article  Google Scholar 

  6. Bunton SA; Corrice A. Trends in tenure for clinical MD faculty in US medical schools: a 25-year review. AAMC Analysis in Brief. 2010;9(9):1–2.

  7. Plank-Bazinet JL, Bunker WK, Cassidy S, Filart R, Cornelison TL, Begg L, et al. Programmatic efforts at the National Institutes of Health to promote and support the careers of women in biomedical science. Acad Med. 2016;91:1057–64.

    Article  Google Scholar 

  8. Levine RB, Lin F, Kern DE, Wright SM, Carrese J. Stories from early-career women physicians who have left academic medicine: a qualitative study at a single institution. Acad Med. 2011;86(6):752–8.

    Article  Google Scholar 

  9. Sambuco MD, Dabrowska MA, DeCastro MR, Stewart A, Ubel PA, Jagsi R. Negotiation in academic medicine: narratives of faculty researchers and their mentors. Acad Med. 2013;88(4):505–11.

    Article  Google Scholar 

  10. Fassiotto M, Hamel EO, Ku M, Correll S, Grewal D, Lavori P, et al. Women in academic medicine: measuring stereotype threat among junior faculty. J Women's Health. 2016;25(3):292–8.

    Article  Google Scholar 

  11. Westring AF, Speck RM, Sammel MD, Scott MP, Conant EF, Tuton LW, et al. Culture matters: the pivotal role of culture for women’s careers in academic medicine. Acad Med. 2014;89(4):658–63.

    Article  Google Scholar 

  12. Jolly S, Griffith KA, DeCastro R, Stewart A, Ubel P, Jagsi R. Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers. Ann Intern Med. 2014;160(5):344–53.

    Article  Google Scholar 

  13. Strong EA, De Castro R, Sambuco D, Stewart A, Ubel PA, Griffith KA, et al. Work–life balance in academic medicine: narratives of physician-researchers and their mentors. J Gen Intern Med. 2013;28(12):1596–603.

    Article  Google Scholar 

  14. Jagsi R, DeCastro R, Griffith KA, Rangarajan S, Churchill C, Stewart A, et al. Similarities and differences in the career trajectories of male and female career development award recipients. Acad Med. 2011;86(11):1415–21.

    Article  Google Scholar 

  15. Miles MB, Huberman AM, Saldana J. Qualitative data analysis: a methods sourcebook. Los Angeles: SAGE Publications, Incorporated; 2013.

    Google Scholar 

  16. Adesoye T, Mangurian C, Choo EK, Girgis C, Sabry-Elnaggar H, Linos E, et al. Perceived discrimination experienced by physician mothers and desired workplace changes: a cross-sectional survey. JAMA Intern Med. 2017;177:1033–6.

    Article  Google Scholar 

  17. Moen P, Yu Y. Effective work/life strategies: working couples, work conditions, gender, and life quality. Soc Probl. 2000;47(3):291–326.

    Article  Google Scholar 

  18. Carr PL, Ash AS, Friedman RH, Scaramucci A, Barnett RC, Szalacha LE, et al. Relation of family responsibilities and gender to the productivity and career satisfaction of medical faculty. Ann Intern Med. 1998;129(7):532–8.

    CAS  Article  Google Scholar 

  19. Reis HT, Gable SL. Responsiveness. Curr Opin Psychol. 2015;1:67–71.

    Article  Google Scholar 

  20. Van Niel MS, Bhatia R, Riano NS, de Faria L, Catapano-Friedman L, Ravven S, et al. The impact of paid maternity leave on the mental and physical health of mothers and children: a review of the literature and policy implications. Harv Rev Psychiatry. 2020;28(2):113–26.

    Article  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Drs. Deborah Grady and Renee Navarro for their support in conducting this research. The authorship would also like to thank the leadership of the UCSF KL2 program for their support, specifically Doug Berman, Chris Ireland, and Kit Chelsea. The authors would also like to thank the women and men who generously gave their time to participate in this study and Jenica Cimino, James Harrison, Chuan-Mei Lee, and Marilyn Thomas for their conducting of and/or taking notes for these focus groups. Finally, the authors would like to thank UCSF Assistant Clinical Research Coordinator Nicholas Riano for his help preparing the manuscript.

Funding

The study was funded by the UCSF Clinical & Translational Science Institute (UCSF-CTSI) Career Development Program [UL1 TR000004 from the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health (NIH)]. At the time this work was done, Dr. Mangurian was supported by an NIH Career Development Award K23MH093689, and the UCSF Hellman Fellows Award for Early-Career Faculty, and Dr. Bibbins-Domingo was supported by NIH K24DK103992.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Christina V. Mangurian.

Ethics declarations

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Zakaras, J.M., Sarkar, U., Bibbins-Domingo, K. et al. Not Just Surviving, But Thriving: Overcoming Barriers to Career Advancement for Women Junior Faculty Clinician-Researchers. Acad Psychiatry 45, 180–184 (2021). https://doi.org/10.1007/s40596-020-01361-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-020-01361-3

Keywords

  • Gender
  • Career advancement
  • Academic medicine
  • Focus group