Blog Archives

Pregnancy During Residency: An Impossible Feat?

The AAMC recently published a piece by Beth Howard on residency programs looking to support female residents during and immediately after pregnancy. The article highlights research that demonstrates that trainees who become pregnant during residency or fellowship have an elevated risk of miscarriage, preterm birth, and other pregnancy-related complications compared to the general population.

Starting in 2022, the ACGME mandated at least six weeks of paid parental leave for residents (without causing adverse effects on board eligibility), and last year an ACGME task force published recommendations, including the elimination of overnight calls and 24+- hour shifts in the third trimester, among other supportive policies.

Interestingly, according to a Massachusetts General Hospital randomized trial, instituting a specific pregnancy supportive intervention for trainees kept the burnout curve flat versus a significant burnout increase in the control group. The study points out that the cost of the intervention ($2300) was less than the estimated price of burnout per employee ($7600).

Here’s the AAMC news article for more details. 

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The Middle School Drama Class you Took Could Help your Medical Career

Taking Spanish and typing classes were two of the best decisions I made in middle school. But after reading Dr. Christina Brown’s Doximity article “How We Can Help Women in Medicine Become Better Presenters,” I realize that going to performing arts camp was also a boon. Brown points out that women are less likely to be speakers at medical conferences, which limits their career trajectories. She contends that public speaking, writing, and networking skills should be taught during medical school and residency to propel professional success. Her piece is worth a read.

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Suicide Rates are Significantly Higher for Female Physicians

The British Medical Journal published a meta-analysis last month by lead author Claudia Zimmermann looking at studies published between 1960 and March 2024 that found physicians were more likely to die by suicide than the general population and that female doctors suffered from a rate that was higher than their male counterparts. While male doctors had a suicide rate ratio of 1.05 across all studies, female physicians faced a rate ratio of 1.76. The findings suggest that female physicians have unique challenges and need targeted interventions.

A few months back I read about a nonprofit organization that offers free and confidential counseling for physicians and medical students, using volunteer psychiatrists. The organization is called Physician Support Line and their number is 1-888-409-0141.

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Which Specialties Have the Biggest Gender Gaps During Residency? You Will and Won’t be Surprised.

The AMA recently published a short piece based on 2022-23 data culled from their National Graduate Medical Education Census: They evaluated which medical specialties were most popular among male and female candidates who were entering residency. They then extrapolated as to which specialties are going to be increasingly female- versus male-dominated.

Female-dominated specialties included obstetrics and gynecology, pediatrics/psychiatry/child and adolescent psychiatry (combined), pediatrics, allergy and immunology, public health and general preventive medicine, and dermatology.

I wasn’t surprised that pediatrics or obstetrics and gynecology were female-dominated, but I found it interesting that dermatology – which is so well remunerated – has more women residents than male residents. Historically, women were relegated to lower paying fields.

Male-dominated specialties included orthopedic surgery, interventional radiology, neurological surgery, diagnostic radiology, and urology.

The AMA reports that specialties that offered a near equal balance of men and women in residency included neurology, general surgery, and psychiatry. Again, as someone who trained in the late 1990s, it’s a joy to hear that general surgery is now a well-balanced field in terms of gender. On the whole, when the AMA included specialties, subspecialties, and combined specialties, they report that women account for 48.2% of trainees.

For more details, you can check out the AMA piece here.

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Diversity in Medical School?

The AAMC recently published a piece about racial, socioeconomic, and gender diversity in 2023-4 medical school classes. The good news is that there’s some more representation of those from Latino and Native American backgrounds. 

African-American student enrollment remained mostly stable.

Women matriculants rose slightly to 56.6%. Economic diversity was still a problem. See the article here for details.

Interestingly, those who entered medical school in 2023-4 had a median undergraduate GPA of 3.84, which was even higher than in previous years.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital. She was appointed to the Assistant Residency Director position for the Harvard Affiliated Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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