Gender Pay Gap: A Way to Fix It?

Women earn less than men.

The latest OMA study adds to studies that suggest the same thing. But the OMA data might also offer clues for how to fix the gender pay gap.

Can we find a solution before it festers and consumes the profession?

Gender Pay Gap

gender pay gap
OMA Gender Pay Gap Study — July 2020

Some use this graph as forensic accounting. This mindset focusses on ways  to assign blame and mete out punishment. It adds another gloomy finding to fuel burnout and depression.

Ample scope exists for debate about causes. This post is not about that. Instead, is there a way to focus on solutions that unify the profession? Does the data suggest a way to improve the gender pay gap?

Successful Women

If we look at the tails of the curves, it looks like both women and men make it to the top, or very close to it.

gender pay gapThis points to two lines of investigation.

First, the graph suggests the absence of a structural barrier. The tails do not seem to end 16% apart.

Of course, maybe those women who land on the tail of the curve have to work 16% harder to get there. Maybe they have found a way to work 16% more hours to earn the same as men who work less? This should not be too hard to find out.

But more important, this tail points to a fascinating area of study.

Some women generate enormous income, over three times higher than average for all doctors.

What makes these uber-successful women so productive? Could these high-earning women teach the rest of us? Continue reading “Gender Pay Gap: A Way to Fix It?”

One Patient at a Time: Individualism in Medicine

Mocking stereotype

Bedside medicine is individualistic on both sides of the bedrail. Doctors treat one patient at a time. Patients receive care in the same way.

Talk about teams applies to coordination and general working together. When you get to the bedside — doctor, nurse, RT, whatever — you are an individual treating another individual. Everything else disappears.

Mocking Stereotype

Sagging skin made her look even more shrunken than her 94 years. Oxygen tubing tangled with IV lines and ECG leads; restraints worthy of Lilliput.

She stared at her toes.

Her family stared at me, then her, then back to me. They cut vacation and carried Grandma home convinced she would die soon. They convinced me also.

We whispered a history and discussed death, dying, and advanced directives.

I turned to examine my tiny patient, scared I might break her porcelain frame.

“Excuse me,” I said, stethoscope in one hand reaching with my other for her shoulder. “I need to listen to your breathing…Could I bother you to move forward…just a little, so I can put my stethoscope…”

A fighter pilot never ejected as fast. Millimetres closer and her shoulder would have beaned me. Continue reading “One Patient at a Time: Individualism in Medicine”

Nonplussed and Afraid for Medicine

Books!

A book offers an excuse for everything. You must start one soon.

Is it your turn to drive the kids? Sorry, I’m working on my book.

Can you fix the washing machine? Sorry, I’m editing.

Did you mow Mom’s lawn yet? Not yet. Book.

Most things pass in pretend deafness: absorbed, lost in thought. Actually, this happens without pretending.

I emerge from the office having sat for six hours. Family life rushes back. What did I miss? (Not much, it seems. Teens and twenty-year-olds rise at noon.)

But I cannot catch up with the world. It has gone mad — upside down — and I am nonplussed.

Nonplussed and Afraid

nonplussed 

adjective

(of a person) surprised and confused so much that they are unsure how to react.

INFORMAL · NORTH AMERICAN (of a person) non disconcerted; unperturbed.

Even nonplussed now means its opposite. Continue reading “Nonplussed and Afraid for Medicine”