Courage and equality – Women doctors’ thriving at work

Orientation: The article explores doctors’ thriving in the profession of medicine in order to heed the call to explore thriving in various work contexts. This study does so from the viewpoint of women medical doctors.Research purpose: To present the theoretical development and empirically expanded framework for women doctors’ thriving at work.Motivation for the study: Although women doctors remain underrepresented, there are signs of the feminisation of medicine. Women’s ability to thrive at work may be detrimentally affected by their societal expectations that are distinct from those of men. Frameworks about thriving at work do not currently distinguish between women and men.Research method: Development of a gender-specific framework from the literature followed by qualitative data collection with two semi-structured appreciative inquiry focus groups to confirm and expand on the framework. The nominal group technique employed to encourage open sharing. Participants were seven women and six men from various medical and surgical speciality fields. Collaborative analysis of data by participants using thematic analysis.Main findings: Gender quality and non-discrimination, support, non-traditional gender roles, career trajectories and self-empowerment were factors that women attributed to their thriving at workManagerial/practical implications: Managers can improve the structuring and planning of women doctor’s work conditions and improve on gender-specific management practices towards a thriving community of medical doctors.Contribution: A framework of women doctors’ thriving at work was empirically confirmed and includes gender-specific elements to facilitate women doctors’ thriving in healthcare.

Colonial Legacies and Maternal Health in South Asia

This chapter provides important insights into why culturalist, technocratic, and neoliberal approaches to maternal and neonatal health have persisted in South Asia despite critiques by bringing together a historical analysis of the ‘problem of childbirth’ under colonialism with the interdisciplinary literature on the medicalization of childbirth. This chapter establishes the central role of British women doctors who fashioned themselves as colonial experts on maternal health in shaping developmental discourses regionally and internationally. British women doctors’ professional project drove their participation in a wider international epistemic community and the creation of infrastructure to improve maternal health in South Asia which emulated British maternalist discourses. Their interventions influenced anti-colonial nationalist attempts to reform reproduction and initiatives by middle-class South Asian women. These reformist discourses, which braided eugenicist concerns with communal polarization and marginalized subaltern medical auxiliaries, continue to pervade post-colonial interventions. The chapter also explores the emergence of international health organizations in the interwar period which produced a discourse linking health and governance to which critiques of conditions of maternity in South Asia responded.

Outsiders in the Village

A shortage of women doctors in Rajasthan’s rural government sector has left sizeable gaps in the provision of women’s healthcare. This chapter explores how, in their narratives, women doctors position themselves as outsiders in the village, unable to create successful careers and lives in rural spaces. Medical graduates considering a rural career must contend with the hierarchy of medical prestige that places cities above villages and the timescale that frames villages as ‘backwards’ spaces. In doctors’ narratives of the village, doctors used the village as code for low educational and class status—and by separating themselves from the geographical space of the village, they also put metaphorical distance between themselves and their subaltern Other. Women doctors’ reluctance to occupy rural space illuminates the ways that class, space, and gender overlap to shape the practice of healthcare, with impacts felt far beyond the careers of doctors.

“On the High Seas with no Place to Land”: The Smyrnaean Inferno and Humanitarian Aid to Armenian and Greek Refugees from Turkey (1922-1923)

In September 1922, the great fire of Smyrna drove more than 200,000 Armenian and Greek refugees to the wharves of that port city. They had fled to Smyrna to escape the massacres perpetrated by Turkish nationalist troops and now urgently needed humanitarian aid to relocate them to safety in Greece. In this article we examine the actions and the roles of humanitarian workers of the Near East Relief (NER) and the American Women’s Hospitals (AMH) working in Greece among these refugees deported from Smyrna. We highlight the central role of women doctors and nurses in their humanitarian efforts to save this population. Their actions, and the gratitude of their peers and government authorities, solidified their professional status in the context of profound changes to transnational humanitarianism after 1919.

Gender Aspects of Reproduction of Professional Dynasties in Medicine

The number of female health workers is predominant in the current health care system. However, in terms of the distribution of power and authority, career trajectories, and the culture of relationships, medicine still remains gender-related to men. Reproduction processes of the professional structure of medicine, in which professional dynasties occupy a special place, is also marked by gender differences. Thus, the article addresses the gender specificities of the institutional reproduction of medical dynasties in modern Russia. Based on in-depth interviews with twenty representatives of multigenerational families of doctors from ten cities, gender scenarios for the transmission of professional positions and the gender specificity of using the social and symbolic capital of the dynasty in the context of their reproduction are analyzed. According to the empirical research findings, the dynastic model of marital status transfer maintains and reproduces gender inequality in the medical profession. There is low gender sensitivity in doctors’ dynasties, where women are more likely to be passive or under family pressure to pursue educational and work tracks. The choice of professional specialization is conditioned by gender stereotypes. Career and professional opportunities of women doctors are limited by an imbalance between work and home responsibilities. Dynasty social and symbolic capital investment strategies are less resourceful for women in clinical practice and more effective in academic medicine. The deconstruction of the traditional gender display in the profession is proceeding at a slow pace, while medical dynasties continue to rather reproduce the inequality and male ethics of the medical profession.

Coping with COVID-19 pandemic lockdown – The lady doctors perspective

Objectives: This study is about the challenges faced by the women doctors in India during the first wave of the COVID-19 pandemic. Material and Methods: We conducted an online survey in 2020 for women doctors who were professionally engaged in active patient management in India before the onset of the current pandemic. Results: A total of 260 valid responses were received. Only 28% (73/260) were able to provide at least 50% of professional services as compared to the pre COVID-19 lockdown period. Statistically significant differences related to emotional health (feelings), physical activity, changes in how family sees the lady professional, personal free time availability, and family bonding. Conclusion: COVID-19 has led to the following important concerns for professional women - academic productivity; work-life balance; missed opportunities for collaborating; mental health, the need for equity-minded academic leadership, and decision-making. Our study showed that majority were stressed during the COVID-19 lockdown – with the impact being highest among those giving more than 50% of their time to professional medical services outside their homes.

PRECISION ASSESSMENT OF THE STATE OF BONE TRABECULAE AND MINERAL SATURATION OF BONE SPONGY STRUCTURES IN WORKERS EXPOSED TO CONTACT ULTRASOUND

A comparative retrospective analysis of the results of a clinical - X-ray examination of 93 women doctors of ultrasound examinations of working age and 60 people was performed. control groups of age and experience comparable work with persons of major groups (nurses not associated with exposure to occupational ultrasound). Degenerative-dystrophic changes were revealed in the form of: osteorthrosis of the shoulder, elbow, wrist and interphalangeal joints, periarthrosis of the shoulder and elbow joints, small cyst-like clearances and enostoses in the bones of the wrists of the most loaded upper limb. The level of decrease in the mineral saturation and thickness of bone trabeculae in the areas of interest of the radius bones and distal phalanges of the hands was dependent on the severity of the clinical picture of vegetative-sensory polyneuropathy. Indicators of bone density and the state of bone trabeculae in the spongy structures of the distal radial bones and distal phalanges can be a kind of marker of the severity of OP. The use of modern methods for assessing the density and structure of bone tissue allows us to reduce the negative role of the so-called "human factor" and thus