S.M. Flaherty is communications director, Center for Celiac Research and Treatment, MassGeneral Hospital for Children, Boston, Massachusetts; ORCID: http://orcid.org/0000-0002-5153-0218. M. Misra is professor of pediatrics, Harvard Medical School, and chief, Division of Pediatric Endocrinology, MassGeneral Hospital for Children, Boston, Massachusetts. S.E. Scott-Vernaglia is assistant professor of pediatrics, Harvard Medical School, and director, Pediatric Residency Program, MassGeneral Hospital for Children, Boston, Massachusetts. E.M. Taveras is professor of pediatrics, Harvard Medical School, and chief, Division of General Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts. E.J. Israel is assistant professor of pediatrics, Harvard Medical School, and associate unit chief, Division of Pediatric Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, Massachusetts.
Acad Med. 2019 Nov;94(11):1665-1669. doi: 10.1097/ACM.0000000000002766.
In the Greek myth of Psyche and Eros, Psyche must fulfill four seemingly impossible tasks to achieve full consciousness before she can be reunited with her bridegroom, Eros. From early childhood, girls and women can encounter gender stereotyping, sexual harassment and assault, and other gender-related challenges. Although both men and women can face mistreatment in medical school, female students experience sexual harassment and sexual assault at higher rates than male students. In medical training and career advancement, women often face additional obstacles unrelated to the formal education of physicians, such as salary and promotional disparities, and lack of mentorship, sponsorship, or role models. The suicide rate for male physicians is nearly 1.5 times higher than the general population; for female physicians, it is more than twice as high. Parenthood can pose additional challenges for mothers and fathers early in their academic careers, and women are vastly underrepresented as they try to move past the "gatekeepers" into leadership roles. Using the framework of the Psyche and Eros myth to examine the trajectory of a female physician's career, this article provides insights into these challenges, as well as strategies to address some of these inequities, such as programs to support female promotion and leadership, expanded mentorship and mentor models, sponsorship opportunities, leadership accountability, implicit bias training, and others. The authors call for the participation of both men and women as essential in ventures to create a more humane environment for the training and practice of medicine.
在希腊神话中，普赛克和厄洛斯的故事里，普赛克必须完成看似不可能的四项任务，才能实现完全意识，并与她的新郎厄洛斯重聚。从童年早期开始，女孩和妇女就可能会遇到性别刻板印象、性骚扰和性侵犯以及其他与性别相关的挑战。尽管男女都可能在医学院受到虐待，但女学生遭受性骚扰和性侵犯的比例高于男学生。在医学培训和职业发展中，女性经常面临与医生正规教育无关的额外障碍，例如薪酬和晋升差距，以及缺乏指导、赞助或榜样。男医生的自杀率比一般人口高近 1.5 倍；对于女医生来说，这一比例更是高出两倍多。为人父母会给处于学术生涯早期的母亲和父亲带来额外的挑战，而女性的代表性严重不足，因为她们试图超越“把关人”进入领导角色。本文利用普赛克和厄洛斯神话的框架来考察女医生职业轨迹，深入探讨这些挑战，并提出了一些应对这些不平等现象的策略，例如支持女性晋升和领导的计划、扩大指导和导师模式、赞助机会、领导力问责制、隐性偏见培训等。作者呼吁男女双方共同参与，为医学培训和实践创造一个更人道的环境。
