| Hierarchy as a barrier to advancement for women in academic medicine. | |
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MedLine Citation:
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PMID: 20141385 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Research on barriers to professional advancement for women in academic medicine has not adequately considered the role of environmental factors and how the structure of organizations affects professional advancement and work experiences. This article examines the impact of the hierarchy, including both the organization's hierarchical structure and professionals' perceptions of this structure, in medical school organization on faculty members' experience and advancement in academic medicine. METHODS: As part of an inductive qualitative study of faculty in five disparate U.S. medical schools, we interviewed 96 medical faculty at different career stages and in diverse specialties, using in-depth semistructured interviews, about their perceptions about and experiences in academic medicine. Data were coded and analysis was conducted in the grounded theory tradition. RESULTS: Our respondents saw the hierarchy of chairs, based on the indeterminate tenure of department chairs, as a central characteristic of the structure of academic medicine. Many faculty saw this hierarchy as affecting inclusion, reducing transparency in decision making, and impeding advancement. Indeterminate chair terms lessen turnover and may create a bottleneck for advancement. Both men and women faculty perceived this hierarchy, but women saw it as more consequential. CONCLUSIONS: The hierarchical structure of academic medicine has a significant impact on faculty work experiences, including advancement, especially for women. We suggest that medical schools consider alternative models of leadership and managerial styles, including fixed terms for chairs with a greater emphasis on inclusion. This is a structural reform that could increase opportunities for advancement especially for women in academic medicine. |
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Authors:
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Peter Conrad; Phyllis Carr; Sharon Knight; Megan R Renfrew; Mary B Dunn; Linda Pololi |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of women's health (2002) Volume: 19 ISSN: 1931-843X ISO Abbreviation: J Womens Health (Larchmt) Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101159262 Medline TA: J Womens Health (Larchmt) Country: United States |
Other Details:
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Languages: eng Pagination: 799-805 Citation Subset: IM |
Affiliation:
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Department of Sociology, Brandeis University, Waltham, Massachusetts 02454, USA. conrad@brandeis.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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