Organizational Change to Support Success of Women

A Model and Its Lessons
  • Linda P. Fried
  • Emma Stokes
  • Susan MacDonald
  • Cynthia Rand
  • Joan Bathon
Part of the Innovations in Science Education and Technology book series (ISET, volume 15)


It has been well doeumented that women in academie medicine experience gender-based obstacles to their career success and satisfaction, and that the manifestations of these obstacles are similar to those reported in other disciplines of academia as well as other professions. Nationally, women faeulty in academie medicine experience, to the present, lower salaries than male colleagues at comparable ranks and level of expertise, slower rates of promotion, lesser access to the resources essential to career success such as mentoring, career development information, space and personnel, and lower likelihood of professional recognition for their accomplishments and contributions (Conley 1993; DeAngelis 1995; ACP 1991; Carr 1992 and 1993; Tesch 1995; Etzkowitz 1994; Bickei 1988). Women are imderrepresented in leadership roles and have a profound experience of isolation fi-om colleagues and information. These observations have been reported at every academie medical institution that has evaluated them (Carr 1993, Grosz 1991, Boyer et al. 1988, Dean’s Office 1993, Committee on Work 1989), have been quantified in my own institution (Provost’s Committee 1989), and have been confirmed in national analyses performed by the Association of American Medical Colleges (Bickei 1988, 1994, and 1995).


Organizational Change Academic Medicine Department Director Career Success Woman Faculty 
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  1. American College of Physicians. 1991. Promotion and tenure of women and minorities on medical school faeulties. Ann Intern Med 114:63–68.Google Scholar
  2. Bickei, J. 1988. Women in medical education. N Engl J Med 319: 1579–84.CrossRefGoogle Scholar
  3. -1990. Building a stronger women’s program. Washington, D.C.: Association of American Medical Colleges.Google Scholar
  4. -1995. Scenarios for success: Enhancing women physicians’ professional advancement. West J Med 162(2):165–169.Google Scholar
  5. -A. Galbrarth, and R. Quinnie. 1994. Women in U.S. academie medicine: Statisties. Washington, D.C.: Association of American Medical Colleges.Google Scholar
  6. Boyer, James L., C. Elton Cahow, Anne McB. Curtis, Peter A. T. Grannum, Joy Hirsch, J. Murdoch Ritchie, Abigail L. Smith, and Merle Waxman. 1988. Report of the taskforce on women faeulty. Yale University School of Medicine.Google Scholar
  7. Carr, P. L., R. H. Friedman, M. A. Moskowitz, L. E. Kazis, and H. G. Weed. 1992. Research, academie rank, and compensation of women and men faeulty in academie general internal medicine. J Gen Intern Med, 7 (Jul-Aug):418–23.CrossRefGoogle Scholar
  8. -, R. H. Friedman, M. A. Moskowitz, L. E. Kazis, and H. G. Weed. 1993. Comparing the status of women and men in academie medicine. Ann Intern Med 119:908–913.Google Scholar
  9. Committee on Work and Family. 1989. Recommendations to the department of medicine. Baltimore: University of Maryland School of Medicine.Google Scholar
  10. Conley, F. K. 1993. Toward a more perfect world-eliminating sexual discrimination in academie medicine. N Engl J Med 328:351–52.CrossRefGoogle Scholar
  11. DeAngelis, C. D., and M. E. Johns. 1995. Promotion of women in academie medicine: Shatter the ceilings, polish the floors. JAMA 273: 1056–57.CrossRefGoogle Scholar
  12. Dean’s Office and Dean’s Advisory Committee on Women Faeulty. 1993. Survey of faeulty quality of work life and gender issues. Davis: University of California School of Medicine.Google Scholar
  13. Etzkowitz, Henry, Carol Kemelgor, Michael Neuschatz, Brian Uzzi, and Joseph Alonzo. 1994. The paradox of critical mass for women in science. Science 266:51–54CrossRefGoogle Scholar
  14. Fried, Linda P., and Clair A. Francomano. 1990. Questionnaire on faeulty development and gender-based obstacles. Baltimore: The Johns Hopkins University.Google Scholar
  15. -, Clair A. Francomano, Susan M, MacDonald, Elizabeth M. Wagner, Emma J. Stokes, Kathryn M. Carbone, Wilma B. Bias, Mary M. Newman, John D. Stobo. 1996. Career development for women in academie medicine: Multiple interventions in a department of medicine. JAMA 276:898–905.CrossRefGoogle Scholar
  16. Grosz, B. J., for the FAS Standing Committee on the Status of Women. 1991. Report on women in the seienees at Harvard, part I: Junior faeulty and graduate students. Boston: Harvard University.Google Scholar
  17. Provost’s Committee on the Status of Women. 1989. First annual report. Johns Hopkins University. Baltimore: The Johns Hopkins University.Google Scholar
  18. Relman, A. S. 1989. The changing demography of the medical profession. N Engl J Med: 321:1540–41.CrossRefGoogle Scholar
  19. Task Force on Women’s Academie Careers in Medicine. 1991–1995. Annual report to the department of medicine, Baltimore: The Johns Hopkins University School of Medicine.Google Scholar
  20. Tesch, B. J., H. M. Wood, A. L. Heiwig, and A. B. Nattinger. 1995. Promotion of women physicians in academie medicine. JAMA 273:1022–1025.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Linda P. Fried
  • Emma Stokes
  • Susan MacDonald
  • Cynthia Rand
  • Joan Bathon

There are no affiliations available

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