Medicine as a Family-Friendly Profession?

  • Ann Boulis
  • Jerry A. Jacobs
Part of the Handbooks of Sociology and Social Research book series (HSSR)


Over the past 3 decades, women have poured into the US labor force. Between 1970 and 2005, the percent of adult women working for pay increased from 43.3 to 59.3%. Women not only increased their participation in the labor force, they also increased their commitment to it. While 40% of employed women worked full-time year round in 1970, approximately 60% did so in 2004 (U.S. Bureau of Labor Statistics 2006).


Maternity Leave Female Physician Male Physician Resident Work Family Balance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. American Association of Medical Colleges (2006) Women in U.S. Academic Medicine Statistics and Medical School Benchmarking 2005–2006. Association of American Medical Colleges. Washington DC: AAMC.
  2. Adams D (2004) Generation gripe: Young doctors less dedicated, hardworking? In:, American Medical Association News. February 2
  3. American Academy of Pediatrics (2005) Pediatrician workforce statement. Pediatrics 116(1):263–269CrossRefGoogle Scholar
  4. AMSA (2008) Medical students react to IOM Report: resident work hours reexamined. December, 2, 2008. Retrieved July 7, 2009 from
  5. Anderson R, Barbara A, Feldman S (2007) What patients want: a content analysis of key qualities that influence patient satisfaction. J Med Pract Manage 22:255–61Google Scholar
  6. Belkin L (1985) A group for dual-doctor families. New York Times. June 16Google Scholar
  7. Bickel J, Brown AJ (2005) Generation X: implications for faculty recruitment and development in academic health centers. Acad Med 80(3):205–210CrossRefGoogle Scholar
  8. Bosk C (2003) Forgive and remember: managing medical failure. University of Chicago Press, Chicago, ILGoogle Scholar
  9. Boulis A, Jacobs J (2008) The changing face of medicine: women doctors and the evolution of health care in America. Cornell Press, Ithaca, NYGoogle Scholar
  10. Butterfield, S. 2007. Resident’s Union Celebrates Golden Anniversary. ACP Internist. July–AugustGoogle Scholar
  11. Cabana M, Jee S (2004) Does continuity of care improve patient outcomes? J Fam Pract 53(12):974–980Google Scholar
  12. Champlin L (2007) Principles establish basis for health system reform. AAFP News Now; March 6Google Scholar
  13. Chin E (ed) (2002) This side of doctoring: reflections from women in medicine. Sage, Thousand Oaks, CAGoogle Scholar
  14. Chiu T, Old A, Naden G, Child S (2006) Frequency of calls to “on-call” house officer pagers at Auckland City Hospital, New Zealand. NZ Med J 119(1231):U1913Google Scholar
  15. Cook, Bob (2007) Finances driving physicians out of solo practice. In:, September 10
  16. Croasdale M (2002) Practices must cope as more physicians work part-time hours. AMA News, October, 21Google Scholar
  17. Croasdale M (2004a) Women physicians find ways to make “part time” work. The trend toward fewer hours is gaining momentum as men join in. AMA News November 15Google Scholar
  18. Croasdale M (2004b) High medical school debt steers life choices for young doctors., May 17
  19. Croasdale M (2007) More women choosing surgical residencies., September 17
  20. Cull WL, Mulvey HJ, O’Connor KG, Sowell DR, Berkowitz CD, Britton CV (2002) Pediatricians working part-time: past, present, and future. Pediatrics 109:1015–1102CrossRefGoogle Scholar
  21. Cohen-Gadol AA, Piepgras DG, Krishnamurthy S, Fessler RD (2005) Resident duty hours reform: results of a national survey of the program directors and residents in neurosurgery training programs. Neurosurgery 56:398–403CrossRefGoogle Scholar
  22. de Virgilio C, Yaghoubian A, Lewis RJ, Stabile BE, Putnam BA (2006) The 80-hour resident workweek does not adversely affect patient outcomes or resident education. Curr Surg 63:435–9CrossRefGoogle Scholar
  23. Díaz-Montes TP, Zahurak ML et al (2006) Uterine cancer in Maryland: impact of surgeon case volume and other prognostic factors on short-term mortality. Gynecol Oncol 103(3):1043–7CrossRefGoogle Scholar
  24. Dimick JB, Cowan JA Jr, Stanley JC, Henke PK, Pronovost PJ, Upchurch GR (2003) Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the United States. J Vasc Surg 38:739–44CrossRefGoogle Scholar
  25. Dolan PL (2006) MGMA: Doctors on “unsustainable course”., November 6
  26. Duke PS, Wanda MF, Parsons L et al (2007) Physicians as mothers. Can Fam Physician 53(5):887–891Google Scholar
  27. Duncan S, Edwards R, Reynolds T, Alldred P (2003) Motherhood, paid work and parenting. Work, Employment Soc 17(2):309–330CrossRefGoogle Scholar
  28. Epstein C, Senon C et al (1998) The part time paradox: time norms professional life, family and gender. Routledge, New York, NYGoogle Scholar
  29. Fan V, Burman M et al (2005) Continuity of care and other determinants of patient satisfaction with primary care. J Gen Intern Med 20:226–33CrossRefGoogle Scholar
  30. Ferguson C, Kellogg K et al (2005) Effect of work-hour reforms on operative case volume of surgical residents. Curr Surg 62:535–38CrossRefGoogle Scholar
  31. Fletcher K, Davis S et al (2004) Systematic review: effects of resident work hours on patient safety. Ann Intern Med 141(11):851–57Google Scholar
  32. Flocke SA, Stange KC et al (1997) The impact of insurance type and forced discontinuity on the delivery of primary care. J Fam Pract 45(2):129–35Google Scholar
  33. Fritz N, Lantos J (1991) Pediatrician’s practice choices: differences between part-time and full-time practice. Pediatrics 88:764–69Google Scholar
  34. Frank E, Harvey L et al (2000) Family responsibilities and domestic activities of U.S. women physicians. Arch Fam Med 9:134–40CrossRefGoogle Scholar
  35. Gabbe SG, Morgan MA, Power ML, Schulkin J, Williams SB (2003) Duty hours and pregnancy outcome among residents in obstetrics and gynecology. Obstet Gynecol 102(5):948–951CrossRefGoogle Scholar
  36. Gelb-Safran D (2003) Defining the future of primary care: what can we learn from patients? Ann Intern Med 138(3):248–55Google Scholar
  37. Gerber L (1983) Married to their careers: career and family dilemmas in doctor’s lives. Tavistock, New York, NYGoogle Scholar
  38. Gesensway D (1999) Changes in medicine’s mommy track. ACP Internist, DecemberGoogle Scholar
  39. Gilbert P, Miller ME (2004) Out of time. Hopkins Medicine Winter 2004Google Scholar
  40. Gjerdingen DK, Chaloner KM, Vanderscoff JA (1995) Family practice residents’ maternity leave experiences and benefits. Fam Med 27:512–518Google Scholar
  41. Gordon TA, Bowman HM, Bass EB, Lillemoe KD, Heitmiller RF, Choti MA, Burleyson GP, Hsieh G, Cameron JL (1999) Complex gastrointestinal surgery: impact of provider experience on clinical and economic outcomes. J Am Coll Surg 189:46–56CrossRefGoogle Scholar
  42. Grant L, Simpson LA, Rong XL, Peters-Golden H (1990) Gender, parenthood, and work hours of physicians. J Marriage Fam 52(1):39–49CrossRefGoogle Scholar
  43. Guilliford MC, Naithani S, Morgan M (2007) Continuity of care and intermediate outcomes of type 2 diabetes mellitus. Fam Pract 24(3):2Google Scholar
  44. Hammond JW, Queale WS, Kim TK, McFarland EG (2003) Surgeon experience and clinical and economic outcomes for shoulder arthroplasty. J Bone Joint Surg 85:2318–2324Google Scholar
  45. Harris S (2007) Solutions sought on predicted oncologist shortage. AAMC Reporter AprilGoogle Scholar
  46. Hawkins J (2002) Recruiting physicians to states with high malpractice insurance premiums. Recruiting Physicians Today, N Engl J Med 10(5):1Google Scholar
  47. Hewlett SA (2007) Off-ramps and on-ramps: keeping talented women on the road to success. Harvard Press, Boston, MAGoogle Scholar
  48. Hewlett S, Luce C (2005) Off-ramps and on-ramps keeping talented women on the road to success. Harvard Business Review 83(3)Google Scholar
  49. Hinze SW, Chirayath HT, Sobecks N, Landefeld CS (1997) MD2 Couples in the nineties: the his and hers of medical marriages. In: Presentation at the American Sociological Association Meetings. Toronto, ON, CanadaGoogle Scholar
  50. Hobson K (2005) Doctors vanish from view blamed by the bureaucracy of medicine, physicians are pulling back from patient care. USNews.comGoogle Scholar
  51. Holmes A, Cull W et al (2005) Part-time residency in pediatrics. Description of current practice. Pediatrics 116:32–27CrossRefGoogle Scholar
  52. Horwitz LI, Krumholz HM, Huot SJ, Green ML (2006) Internal medicine residents’ clinical and didactic experiences after work hour regulation: a survey of chief residents. J Gen Intern Med 21:961–965CrossRefGoogle Scholar
  53. Jacobs JA, Gerson K (2004) The time divide: work, family, and gender inequality. Harvard University Press, Cambridge, MAGoogle Scholar
  54. Jarman BT, Miller MR et al (2004) The 80-hour work week: Will we have less-experienced graduating surgeons? J Surg Educ 61(6):612–615Google Scholar
  55. Jarnberg P-O, Hicks JS, Quint Gaebel BA (2001) Scheduling of call and operating room staffing: A Nationwide Survey of Academic Anesthesiology Centers. Anesthesiology 95:1110CrossRefGoogle Scholar
  56. Jayson S (2007) Attitude gap widens between working and stay at home moms. USA Today; July 12Google Scholar
  57. Jeffrey S (2008) Neurosurgery associations push back on IOM resident work-hour report. Medscape Medical News. DecemberGoogle Scholar
  58. Jones AM, Jones KB (2007) The 88-hour family: effects of the 80-hour work week on marriage and childbirth in a surgical residency. Iowa Orthop J 27:128–33Google Scholar
  59. Kanter RM (1977) Men and women of the corporation. Basic Books, New YorkGoogle Scholar
  60. Kantor J (2006) On the job, nursing mothers are finding a 2-class system. The New York Times. September 1Google Scholar
  61. Klebanoff MA, Shiono PH, Rhoads GG (1990) Outcomes of pregnancy in a national sample of resident physicians. N Engl J Med 323:1040–1045CrossRefGoogle Scholar
  62. Kletke PR, Emmons DW, Gillis KD (1996) Current trends in physicians’ practice arrangements: from owners to employees. JAMA 276:555–560CrossRefGoogle Scholar
  63. Kotkin S (2007) Opening the on-ramp for women. New York Times. August 5Google Scholar
  64. Kuhn P (2007) The expanding work week understanding trends in long work hours among US Men 1979–2006. University of California Press, Santa Barbara, CAGoogle Scholar
  65. Kunde D (1997) Family friendly work: lawyers plead for flexible time to handle job, home. Daily News, Los Angeles, CAGoogle Scholar
  66. Kwan R, Levy R (2006) A primer on resident work hours. American Medical Student Association, Reston, VAGoogle Scholar
  67. Landrigan CP, Barger LK, Cade BE, Ayas NT, Czeisler CA (2006) Interns’ compliance with accreditation council for graduate medical education work-hour limits. J Am Med Assoc 296:1063–1070CrossRefGoogle Scholar
  68. Lange PH, Lin DW (2004) Does the who and how of surgery in bladder cancer matter? J Clin Oncol 22(14):2762–2764CrossRefGoogle Scholar
  69. Levinson W, Kaufman K et al (1992) Women in academic medicine: strategies for balancing career and personal life. J Am Med Womens Assoc 47:25–28Google Scholar
  70. Levinson W, Lurie N (2004) When most doctors are women. Ann Intern Med 141:471–475Google Scholar
  71. Lugtenberg M, Heiligers PJ et al (2006) Internal medicine specialists’ attitudes towards working part-time: A comparison between 1996 and 2004. BMC Health Serv Res 6:126CrossRefGoogle Scholar
  72. Maguire P (1999) How direct to consumer advertising is putting the squeeze on physicians. American College of Physicians-American Society of Internal Medicine Observer March.Google Scholar
  73. Mechanic D, McAlpine D, Rosenthal M (2001) Are patients’ office visits with physicians getting shorter? N Engl J Med 344(3):198–204CrossRefGoogle Scholar
  74. Mark S, Gupta J (2002) Reentry into clinical practice. J Am Med Assoc 288:1091–1096CrossRefGoogle Scholar
  75. Matthias J (1997) Surgeons decry OR layoffs of nurse managers. OR Manager 13:1Google Scholar
  76. Mayer K, Ho H et al (2001) Childbearing and child care in surgery. Arch Surg 136:649–55CrossRefGoogle Scholar
  77. McMurray J, Heilingers P et al (2005) Part-time medical practice: where is it headed? Am J Med 118(1):87–92CrossRefGoogle Scholar
  78. McNeil D (2004) Culture or chromosomes? New York Times. New York CityGoogle Scholar
  79. Migliore M, Chong CK, Lim E, Goldsmith KA, Ritchie A, Wells FC (2007) A surgeon’s case volume of oesophagectomy for cancer strongly influences the operative mortality rate. Eur J Cardiothorac Surg 32:375–380CrossRefGoogle Scholar
  80. Miller NH, Miller DJ, Chism M (1996) Breastfeeding practices among resident physicians. Pediatrics 98:434–7Google Scholar
  81. Muray A et al (2000) Physician workload and patient-based assessments of primary care performance. Arch Fam Med 9:327–332CrossRefGoogle Scholar
  82. Myers JS et al (2006) Internal medicine and general surgery residents’ attitudes about the ACGME duty hours regulations: a multicenter study. Acad Med 81:1052–8CrossRefGoogle Scholar
  83. National Association for Law Placement Inc (NALP) (2006) “Few lawyers work part-time 2006.” Retrieved May 20, 2009 from
  84. O’Connor, Karen G, Katcher A, Sherman H, Cull WL (2004) Balancing work and personal life: perceptions of part-time and full-time pediatricians. In: Paper presented at the Pediatric Academic Societies Meetings, San Francisco, CAGoogle Scholar
  85. Parkerton PH, Wagner EH, Smith DG, Straley HL (2003) Effect of part-time practice on patient outcomes. J Gen Intern Med 18:717–724CrossRefGoogle Scholar
  86. Philibert I, Bickel J (1995) Maternity and parental leave policies at COTH teaching hospitals. Acad Med 70:1056–1058CrossRefGoogle Scholar
  87. Plante L (2004) Obstetricians wanted: no mothers need apply. Ann Intern Med 140:840–841Google Scholar
  88. Potee R, Gerber A et al (1999) Medicine and motherhood shifting trends among female physicians from 1922 to 1999. Acad Med 74:911–919CrossRefGoogle Scholar
  89. Rhode D (2001) The unfinished agenda. In: Report prepared for the ABA Commission on Women in the Profession.Google Scholar
  90. Robinson J, Godbey G (1997) Time for life: the surprising ways Americans use their time. Pennsylvania State University Press, State College, PAGoogle Scholar
  91. Rodriguez H, Rogers W et al (2007) The effects of primary care physician visit continuity on patients’ experiences with care. J Gen Intern Med 22(6):787–793CrossRefGoogle Scholar
  92. Roter DL, Hall JA (1992) Doctors talking with patients/patients talking with doctors: improving communication in medical visits. Auburn House, Westport, CTGoogle Scholar
  93. Ruiz R (2008) What doctor shortages mean for health care. Forbes December 2Google Scholar
  94. Schafermeyer RW, Asplin BR (2003) Hospital and emergency department crowding in the United States. Emerg Med 15(1):22–27CrossRefGoogle Scholar
  95. Seltzer VL (1999) Changes and challenges for women in academic obstetrics and gynecology. Am J Obstet Gynecol 180(4):837–848CrossRefGoogle Scholar
  96. Stanton B (2007) Family friendly workplaces as a foundation for the future of pediatrics. Arch Pediatr Adolesc Med 161:511–514CrossRefGoogle Scholar
  97. Steinbrook R (2002) The debate over residents’ work hours. N Engl J Med 347:1296–1302CrossRefGoogle Scholar
  98. Stone P, Lovejoy M (2004) Fast track women and the ‘choice’ to stay home. Ann Pol Soc Sci 596:62–86CrossRefGoogle Scholar
  99. Tayloe D (2009) Letter from American Academy of Pediatrics to Institute of Medicine, March 24Google Scholar
  100. Tu HT, Hargraves JL (2003) Seeking health care information: most consumers still on the sidelines. Washington, DC: Center for Studying Health System Change. March 2003. Issue Brief 61.Google Scholar
  101. U.S. Bureau of Census (2006) Facts for features: Father’s day: June 18. Washington, DC, U.S. Census BureauGoogle Scholar
  102. U.S. Bureau of Labor Statistics (2006) Women in the labor force data bookGoogle Scholar
  103. Vickers AJ et al (2007) The surgical learning curve for prostate cancer control after radical prostatectomy. J Natl Cancer Inst 99:1171–1177CrossRefGoogle Scholar
  104. Walpert B (2002) Working part time: can it fit into your practice? American College of Physicians Observer. July/August. Accessed online at:
  105. Warde C (2001) Work-family balance. Ann Intern Med 134:343Google Scholar
  106. Wardrop T (2004) As more women enter medicine, cultures will change. Managed Healthcare Executive, February 1Google Scholar
  107. White C, Haftel H et al (2006) Multidimensional effects of the 80-hour work week at the University of Michigan Medical School. Acad Med 81(1):57–62CrossRefGoogle Scholar
  108. Woodrow SI, Segouin C et al (2006) Duty hours reforms in the United States, France, and Canada: is it time to refocus our attention on education? Acad Med 81:1045–1051CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SociologyUniversity of PennsylvaniaPhiladelphiaUSA

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