Gender Equity
The Medical Society of DC has launched a Gender Equity Task Force to explore areas around equity in medicine in the District. The Task Force's work will include:
- A compensation survey to determine pay disparities among male and female physicians in DC
- Webinars and in-person programs on negotiating employment contracts and equitable compensation
- Published resources to help build gender equity in DC healthcare facilities
- And more.
See below for some of the Task Force's initial work. Want to get involved or partner with the task force in its work? Contact Pia Duryea.
AMWA Resources
Gender Equity Task Force
AAMC Resources
AWS Resources
Academic Articles
Westring, A., et al., An Integrated Framework for Gender Equity in Academic Medicine. Acad Med, 2016. 91(8): p. 1041-4. Online Open Access
Bickel, J., Is Gender Equity Possible in Academic Medicine or Are There More Useful Goals on Which to Focus? J Womens Health (Larchmt), 2020. 29(8): p. 1025-1027. Online Open Access
Burden, M., et al., Gender disparities in leadership and scholarly productivity of academic hospitalists. J Hosp Med, 2015. 10(8): p. 481-5. PDF
Caffrey, L., et al., Gender equity programmes in academic medicine: a realist evaluation approach to Athena SWAN processes. BMJ Open, 2016. 6(9): p. e012090. PDF
Isaac, C., B. Lee, and M. Carnes, Interventions that affect gender bias in hiring: a systematic review. Acad Med, 2009. 84(10): p. 1440-6. Free, Full PDF
Chen, S., G.L. Beck Dallaghan, and A. Shaheen, Implicit Gender Bias in Third-Year Surgery Clerkship MSPE Narratives. J Surg Educ, 2020. Online Open Access
Sidhu, A., S. Jalal, and F. Khosa, Prevalence of Gender Disparity in Professional Societies of Family Medicine: A Global Perspective. Cureus, 2020. 12(5): p. e7917. Online Open Access
Acosta, D.A., et al., Achieving Gender Equity Is Our Responsibility: Leadership Matters. Acad Med, 2020. 95(10): p. 1468-1471. Online Open Access
Nationwide Data on Compensation Inequality
Despite the increased number of women physicians, there is a significant gender pay gap in medicine in nationwide surveys. Studies show that women physicians nationwide earn less than men despite controlling for variables such as race, ethnicity,
and specialty.
According to a brief coauthored by DC Board of Medicine Chair Dr. Andrea Anderson, across every racial/ethnic group, male physicians earned more than female physicians. The annual average income was $224,645 and
average hourly compensation was $88.06. Regardless of racial/ethnic group, all male respondents earned above the average annual income, and all women respondents earned below average. Women physicians earn less than men whether they are in primary
or specialty care, with women in primary care making the least of all physicians.
These disparities amplify and compound over time. A widely publicized study calculated that women physicians make $2 million less than men over their
lifetime.
Physician mothers face further unique structural challenges. These include barriers to lactation in the workplace and the disproportionate childcare burden that they face. A JAMA study found that women physicians “have
the added difficulty of trying to find care outside typical hours such as nights and weekends, with only 8 percent of the center-based care providing nonstandard coverage.
Causes of Inequality
Pay transparency is seen as a way to highlight pay disparities and to close the gender gap. A LinkedIn study found that women are more open than men to sharing pay information. The Task Force discussed anecdotal reports of gender inequity for solo
providers in reimbursement from payers.
Although pay transparency may facilitate equity, it is certainly not the only factor. Opportunities for advancement and promotion as well as work schedule flexibility, work-life balance, structural
workplace policies, and skill development (such as contract negotiation) play an important role in overall compensation and career satisfaction.
The COVID-19 pandemic impacted women disproportionately compared to men, largely by shifting
caretaking and homecare roles to women. Consequently, existing disparities were amplified with an increase in burnout. This led to an increase in women leaving the physician workforce during the pandemic. It is unclear whether that trend will
continue beyond the pandemic and what will be the long-term impact of the pandemic on GE.
Learn About Our New Strategic Vision
At our June Board of Directors meeting, the MSDC Board approved a new strategic vision for the Society. I am writing to share why this matters to you and your practice, and show some highlights of this plan.
First, let's talk about the process. This plan came through serious thought and consideration of the direction of the Society. To help focus the conversation, MSDC hired Global Navigators to facilitate conversations and provide an outside perspective. Global Navigators interviewed the Board and Executive Vice President, and held a half-day retreat one weekend to have some honest discussion. Two Board meetings included long conversations about the strategic plan and various drafts.
Second, let's discuss what is in our strategic plan. The plan includes (a) a mission statement, (b) a vision statement, (c) our core values, (d) a new diversity, equity, inclusion, and belonging statement, and (e) our objectives and goals to implement them.
Mission Statement
To ensure physician and patient well-being in the District of Columbia through the promotion of high-quality accessible care in a changing healthcare environment.
Our mission is clear: your Society will work every day for you and your patients. We want the District to be a model of high-quality and accessible care even while recognizing that we face a rapidly changing world.
Vision Statement
To make the District of Columbia the nation’s model for patient care and physician practice.
The vision statement is the brief summary of our strategic vision, and we include it on every letter and written testimony we create. As you can see, we want to make DC a model across the country for how we care for patients and protect physicians practice, regardless of the type.
Core Values
Quality
Equity
Compassion
Our values go beyond scientific knowledge. The Society values and promotes sound medicine (like we have since 1817), but also medicine that treats people with equity and compassion. As we will see in the DEIB statement, we recognize that past medical
and Society practices may have downplayed these elements, but we now recognize that quality, equity, and compassion are essential to the practice of medicine and the mission of the Society.
Our Commitment to Diversity, Equity, Inclusion, and Belonging
MSDC respects, welcomes, and celebrates all people and their diverse identities. We recognize the negative impact of health inequity across all facets of society. We are committed to working toward elimination of bias and healthcare disparities wherever they exist with the goal of ensuring that everyone belongs.
Our communities will flourish when we mutually celebrate and champion our unique strengths and diverse backgrounds.
This is MSDC's first equity statement, and we wanted to incorporate "belonging" to our DEI statement. We recognize that inequality has negatively impacted society and patient care, and your Society will work to eliminate bias and disparities. Not recognize or highlight, but eliminate. Our statement acknowledges that differences and diversity are a strength and we celebrate them in your Society's work.
Objectives and Goals
Objective 1: Become the Best Resource for Physicians Practicing in DC
- Build greater awareness of MSDC among individual physicians and physician groups
- Introduce MSDC to physicians new to the District of Columbia
- Engage medical students, residents, fellows, and early-career physicians with mentorship and support
- Engage licensed allied health professionals
Objective 2: Strengthen advocacy and outreach
- Ensure MSDC provides a home where physicians in DC belong
- Advance Diversity, Equity, Inclusion, and Belonging within medicine in DC
- Build on existing relationships that further expand MSDC’s voice for physicians and patients
- Extend outreach efforts by building new partnerships with key stakeholders
Objective 3: Ensure MSDC’s long-term Growth
- Build member and partner value to ensure long-term commitment to MSDC
- Increase the number of engaged members
- Introduce a sound business plan that reflects MSDC’s long-term strategy
- Optimize existing and explore new revenue streams
These are the three pillars on which our work and implementation of our plan will rest. The Society will execute our vision in three areas. First, your Society will provide resources to support physicians practicing in DC, no matter what type of practice, including engaging with all parts of your practice. Second, MSDC will grow what has consistently been our highest-rated member benefit, advocacy on behalf of the profession. Finally, we will continue to position the Society for sustained growth in the future despite uncertainty in the world around us.
That's our plan. How can you help or get involved? Sign-up to join one of our member groups or reach out to me via hay@msdc.org. We plan on this being a living document, guiding our work for the years to come.
Task Force Members
Dr. Monika Masanam (Co-Chair, WIM Co-Chair)
Dr. Klint Peebles (Co-Chair, Advocacy Chair)
Dr. Susanne Bathgate
Dr. Jehan El-Bayoumi
Dr. Nada Mallick
Dr. Ashesh Patel
Dr. Dana Shively
Allison Willett