A thread about things male doctors have said to me about the #GenderPayGap and sexism in medicine.

"I do not think the FFS system discriminates against female physicians. I believe it discriminates against all physicians who are taking the time to practice medicine properly" ImageImage
"If women are only working 4.7% less hours per day, then the only possible explanation for the majority of the 30% difference in FP pay and the 40% difference in specialist pay can be due to seeing less pts per day... There is no other way to explain this." ImageImage
"I am a male FP. Many of the points in this article are false... My other female colleague, a surgeon, receives all the female breast surgery referrals. Her male colleagues are deprived of this part of their practice." ImageImage
"The gap which exist is purely on account of the type and quantity of work women CHOOSE to do. It is completely untrue/false to claim otherwise!" Image
"I remain unconvinced that there is unequal pay for the same work based on the limited Cdn data at this time. Granted that there are more males in management, but I do not believe the comparison between management and non-management physicians is fair as the work is different." Image
"Maybe female physicians are encouraged to seek specialties that pay less per pt...This seems irrelevant when you consider that up until recently, the majority of physicians performing these procedures were men & men are still performing a large proportion of these procedures." Image
"There is NO gender pay gap. There is no hidden bias and there is no hidden training agenda. " Image
"My wife... enjoys taking her time with pts. She has the freedom to do lower paying jobs that she enjoys more because I earn a lot more... there are many MD couples that are similar... I don't think any of our wives consider themselves to be underpaid nor oppressed." ImageImage
"Payment in a FFS practice is based on the number of pts seen and billing practices rather than the number of hrs work. So, a comparison of payment by gender with respect to the hrs work do not convincingly demonstrate to me that there is unequal pay for the same work." ImageImage
"1980’s. No strident complaints... My study mate who was brilliant and capable became a trauma surgeon... A capable female MD who got on with the job & not obsessed with concerns surrounding the politics of medicine, which it appears is a very different agenda in the sad 2020’s." Image
"The implication in a FFS comparison like obstetrics vs urology/orthopedics is that somehow the procedural fees for urology/ortho went up,but obstetrics did not,as obstetrics became ‘feminized’ ….. that is untrue,and ridiculous (The OMA has that data)." Image
"Are you saying that males tend to go into specialties that pay more, and females tend to go into specialties that pay less? Two questions: 1) isn’t that a choice? 2) Isn’t this argument applicable to all areas of medicine regardless of gender?" Image
I'll end with one final, awesome quote:

"You are certainly someone who needs the last word. Sadly you said enough in your article."

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More from @DocMCohen

30 Jul
What happens when certain types of medical work become synonymous with women’s work?

This excellent paper by @ElainePelley & @Molly_Carnes explores the trend of ⬆️gender segregation in medical specialties and downstream impacts.

#WomenInMedicine THREAD
journals.lww.com/academicmedici…
Women have moved into medicine in huge numbers over the past 4 decades. This is usually viewed as a good news story of social progress in a profession that had either banned or severely restricted female entry well into the 1960’s.
The authors begin with a discussion on gender segregation in the broader workforce (in the US). It generally decreased thought the 20th C with the entry of women into the workplace, but then stalled in the mid-90’s and ticked back upwards slightly.
Read 22 tweets
4 Jul
How is it possible that a surgeon can hang a NOOSE to target a Black colleague and escape penalty?

I'll tell you how: medicine has a deeply bigoted history and an inability to deal with the misconduct of powerful men.

THREAD
cbc.ca/news/canada/ed…
Medicine grew out of an explicitly white supremacist culture, one that quite literally believed racialized people were biologically inferior and treated them as subhuman.

That history is NOT in the distant past. BIPOC people continue to face discrimination in health care daily.
Entry of women and racialized groups into medicine was restricted through much of the 20th C. And while equity & inclusion are popular new mottos in the profession, we still see severe underrepresentation of Black and Indigenous people and a lack of women in medical leadership.
Read 9 tweets
15 Jun
Thinking a lot today about how Queen's med school instituted a Black student ban in 1918 that remained on the books for 100 yrs (even after Black students were allowed entry in 1965).

What I'm thinking about how the school responded to criticism over that century.
THREAD
Queen's was asked multiple times over many decades why the ban was instituted, what happened to the 15 students expelled, and if the school kept its promise to help those students finish their education elsewhere.

As late as 1988, the school gave false and misleading answers.
That's right. Even AFTER the ban was over (unofficially anyway), and all of the people associated with it were long gone, the school still felt the need to lie about its past so as to protect its reputation.

Always remember that institutions value self-protection over progress.
Read 8 tweets
23 May
Canada may have closed its physical border to the growing American disaster, but in the online world, disinformation is borderless and flowing freely. Allow me to demonstrate:

Politics & Dysinfo THREAD

Here is a recent comment in one of my local FB groups. I live in Ontario.
Doctors and coroners are deliberately misclassifying deaths? Where did this idea come from?

The particular poster didn't have any info on that for me. It pretty much devolved to insults (even after he wished me a nice day) and that's typically when I leave these convos.
I've been following MAGA-influenced disinformation in the US, so I'm actually familiar with this particular conspiracy theory (just not in Canada... yet).

I'll let one of its loudest Twitter proponents lay it out in his own words.
Read 16 tweets
11 May
Let’s talk about some new #COVID19 dysinfo. In the past few wks, the claim that wearing a mask is medically harmful has been making the rounds.

The argument is that masks cause hypercapnia, which is an abnormally high level of CO2.

SciComm THREAD 1/
First, let’s quickly visit some other opposition to masks coming from anti-vax/conspiracy circles:
1) Emasculation – aka: real men don’t wear masks, aka: does PPE make you gay?
2) Slavery – aka: face covering is a sign of submission, aka: didn’t slaves cover their faces? 2/
All that is to demonstrate the strong desire to prove masks are harmful in some way. Either politically/culturally as a sign of being sheeple or in a deeper, vaguer sense connected to ideas about masculinity and vulnerability to illness.
3/
Read 23 tweets
21 Apr
The history of public health is also the history of women in health care. Let’s take a moment to reflect on how the discipline of public health arose out of social justice reforms in the late 19th and early 20th centuries.

HISTORY OF MEDICINE THREAD 1/
The second half of the 19th century saw an increasing appreciation of the health consequences of poverty. Among other factors, the development of germ theory created an understanding of how the crowded, unsanitary conditions of slums propagated infectious disease. 2/
At the same time, women were fighting for a greater voice in all aspects of public life. A popular suffragist argument was that women had unique skills and traits that could balance the harms men caused to the world. 3/
Read 19 tweets

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