Welcome to My Weekend

Empowering today's leaders to guide tomorrow's healthcare enterprise

I spent another weekend (OK, a long, Thursday through Sunday weekend) on the road in Philadelphia. This time I attended the first meeting of a group now called Women Executives in Science & Healthcare (WESH).  This group consists of men and women who have middle- and upper-level management positions in academic medicine and dentistry and public health. As part of our recent rebranding, we developed the following definition:

Integrated network of executive leaders in healthcare & science across the academic health enterprise

We want to bridge the walls between disciplines both within and outside of academia. We hope to attract C-suite women in healthcare: Chief Legal Officers, Chief Medical Officers, and others in healthcare management who do not necessarily have a healthcare or science degree. Managers in biotech and pharma will also be interested in the networking opportunities provided by this group.

The educational portion of the Spring Summit, dedicated to Renewal and Redirection, can be found here. While not the largest gathering of twitterati on the planet, a handful of folks provided enough thoughts to produce this Storify:

Want to know more about WESH or think you might want to join? Click the links and learn more at our brand-spanking-new web site!

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That Time of Year Again: "Equal" Pay Day

Apr 17 2012 Published by under [Education&Careers]

April 17, 2012, is the date when women will earn what men took home in 2011. Yes, it will take the average women almost four extra months to earn what men get in twelve.

When I grew up in the 1970's I spent no time worrying about this problem. After all, I was a woman going to medical school, then a male-dominated profession. If more women chose the MD instead of the RN we would catch up with those pesky d00ds. The answer lay in education, getting me and my "sisters" to pursue higher-paying fields.

Now women make up nearly half of new doctors, yet even we suffer a pay gap. Even in academia we make less, even in pediatrics, a specialty with lots of women physicians. I wrote in detail about a study that came out in January in Academic Medicine in which the Department of Pediatrics at University of Colorado performed a gender equity study. They found many gaps in the treatment of their female faculty, but the salary differences were impressive (figure below right).

Click to enlarge; data from Acad Med 87:98, 2012

All salaries were standardized to 1.0 FTE and compared to national means for rank, years in rank, and subspecialty. The average male faculty member received 105% of the median, while the average female received only 98%. Looked at another way, 51% of men had salaries at or above the median (black line in red bar in right column of figure), about what one would expect with a "normal" salary distribution. Only 28% of women earned in this range (black line in left column of figure). Remember, these data have been adjusted for part-time work, rank, years in rank, and subspecialty. The authors concluded that the department did not treat women and men equally, and salary corrections were implemented immediately.

These women got a break. First, this salary gap averaged $12,000, a gap they would "make up" with only 1-2 more months of work. They also worked in a department that did the study and made corrections. Women in lower-paying fields may take much longer to catch up to their male counterparts, and many of them have no idea how underpaid they are. If they cannot document the gap, then they cannot use the law to address it.

Pay equity is unfair. Pay equity is wrong. Find out where the candidates stand on fair pay laws. Then use your vote. Together, we can change the country.

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Inspiration From #TEDMED

Apr 12 2012 Published by under [Medicine&Pharma]

Yesterday I got to hear a TEDMED talk by Thomas Frieden, Director of the Centers for Disease Control and Prevention. One theme that hit home with me:

If you do not track and measure something over time, you will never know if you succeed, no matter how hard you work.

This is exactly why I started the Academic Women for Equality NOW website. Click over there and read my thoughts about this wonderful talk.

I promise I will link to the video when it goes up online.

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Waltzing Matilda Needs to Run!

Apr 03 2012 Published by under Women in Science

I posted over at another of my sites about an interesting paper I read on the Matilda Effect in STEM awards.

Not this Matilda

Who is Matilda? She's related to Matthew of biblical fame. Lines from this gospel essentially state that the rich get richer and the poor get poorer. In STEM disciplines, this means that more successful senior people get more grants, awards, and accolades, even if younger, less-known investigators propose similar ideas. Matilda refers to the tendency of people to recognize the work of men (like Watson and Crick) but marginalize the contributions of women (like Rosalind Franklin).

So click on over and read about this study of awards to men and women in a variety of STEM fields from 1991-2010. People still blame the lack of women in the pipeline, but this work suggests that hypothesis is wrong!

 

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Speaking of Mentors: You Also Need Sponsors

I did make an LOL cat for today's retread

The past 24 hours featured a great deal of stress and little sleep. The book review on tap for today is not going to happen.

Since we were on the topic of mentors, and the potential for over-mentoring, a previous post from one of my other sites came to mind. Enjoy!

And hope I get some sleep tonight.

This post originally appeared August 25, 2010, on PascaleLane's Stream of Thought:

The September [2010] issue of Harvard Business Review includes a fascinating article by Ibarra, Carter, and Silva examining the reasons women still do not achieve as much as men. “Why Men Still Get More Promotions Than Women” identifies differences in the types of “grooming” that the genders receive, and the gaps that keep women from breaking through all of those glass ceilings.

One of the quotes in the first paragraph really hit home with me:

Now I am being mentored to death.

My former chair identified me as someone with leadership potential over a decade ago. He connected me with a variety of development opportunities; ultimately, I felt “developed.” Now I lead one of the faculty leadership courses for my institution. We encourage participants to learn about themselves and to identify mentors both within and outside of our academic home. We are beginning to examine achievement several years later, and a question persists: Why do men seem to do so much better than women, even after the same opportunities?

According to  a 2008 Catalyst survey, 83% of women and 76% of men reported having at least one mentor during their career, yet only 65% of the women (compared with 72% of men) were promoted by the 2010 follow-up date. If mentoring is the key to success, why aren’t these women succeeding?

Turns out, the mentors differ. Men were more likely to be mentored by a senior executive (78% vs 69%), one with the organizational power to advocate their advisee as someone ready and worthy of taking the next step. The authors’ go on to differentiate between mentors and sponsors. Mentors provide emotional support, feedback , and other advice. They serve as role models, and assist their charges with institutional politics. Their focus is generally on personal and professional development with increased sense of competence and self-worth. Mentoring provides satisfaction; sponsorship is a necessity, though.

Sponsors must be senior leaders in good standing who can provide connections within the institution to facilitate promotion. A sponsor will assist their advisee in attaining opportunities and assignments, as well as protecting them from negative situations. Most important, a sponsor will fight for promotion of their people.

The senior management with the power and connections to make good sponsors are, unfortunately, overwhelmingly male. Such high-achievers often lack the sensibilities of a mentor, and throwing in the potential pitfalls in relationships (or perceptions thereof) between senior males and junior women, well, you can see why this relationship can be difficult.

So how can women get sponsors? Institutions interested in promoting high-potential women must establish sponsorship for them. The involved parties must be clear on the relationship; promotion is the goal! Such efforts cannot circumvent the woman’s current boss and job responsibilities, nor should mentorship be completely ignored. The leaders may also need to consider their own views on gender issues; women still have trouble navigating “the fine line between being ‘not aggressive enough’ or ‘lacking in presence’ and being ‘too aggressive’ or ‘too controlling’.”

What happens if a high-potential woman does not get appropriate sponsorship within her institution? In this study, at least, she leaves:

At Deutsche Bank, for example, internal research revealed that female managing directors who left the firm to work for competitors were not doing so to improve their work/life balance. Rather, they’d been offered bigger jobs externally, ones they weren’t considered for internally.

One of the development opportunities provided for me, the Executive Leadership in Academic Medicine program for women, included a bunch of structured interviews. Participants had to meet the dean and all sorts of C-suite officials for their institution. At the time, I found this activity useful because once I have met a person I feel pretty comfortable contacting them again. In light of this article, the activity provided another benefit- it put me on the radar of the people at my place of employment as someone with the potential to move up in the organization. I did not achieve true “sponsorship,” but if I were to do this again, that would be on the list.

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You Know You Want It...

Mar 01 2012 Published by under Women in Medicine, Women in Science

I have finally recovered officially from my stomach bug, tested at a local Mexican eating establishment last night with salsa and margaritas.  I have done actual science in the last 24 hours, and I have caught up on some other stuff.

The big news today is over at Academic Women for Equality Now, my Vision2020 project. I finally have the Female Faculty Friendliness Grade Cards for every US College of Medicine compiled into a single document, along with a bunch of the supporting data and analyses. This material originally appeared as a series of posts over 4 months. Now, you can more easily compare medical colleges by region, by type of position, you name it.

Unfortunately, the size of the document exceeds that of the upload capacity of my site (for now). I have a work-around, as you will see on the site.

Go ahead, click on over and get the PDF...you know you want it...

I am still looking for collaborators on the site: guest posts, people with other data sets to analyze, etc. If it deals even remotely with gender in the Ivory Tower, I will welcome your participation. Drop me a line!

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Check Her Out

Dec 19 2011 Published by under Women in Medicine, Women in Science

I have blogged about Academic Women for Equality Now, my project for Vision 2020. As part of this project, I will be interviewing women of note in academia or who have things to say that affect us in some way. I am proud to start this series with Page Morahan, PhD, a successful microbiologist and former department chair who gave all that up to be founding director for the ELAM program for women leaders in medicine, dentistry, and public health. Click on over and enjoy her perspectives on what she has accomplished and what she plans to do (hint: she's not done improving the world for women).

In the meantime, if you know someone AWEnow should interview, make a suggestion in the comments or drop me an email to mail (at) awenow dot org.

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Problem Defined, but Cause Unknown

Oct 19 2011 Published by under Women in Medicine, Women in Science

So last week I gathered in Chicago with a group of accomplished women who make me feel positively small. Such awesomeness rarely gathers in this large of a group; some of these women even wore snazzier shoes than I did.

We slogged through the work of Vision2020's Second Congress. We all agreed on major strategies for the five national goals, especially the need to communicate problems of inequality. We also agreed that, in many cases, we still need to understand the root causes of inequality. Why do women earn a mere 77 cents for every dollar a man gets, a pay gap that increases with educational level? Why do women leave the workplace before they achieve senior leadership positions?

Over at Academic Women for Equality Now,  I examined the "leaky" pipeline question today. There can no longer be a question that women leave corporate and academic worlds before retirement; the question now becomes the why. Three things have been suggested:

  1. Work-life balance makes mid-career women "choose" to step onto the mommy track, which may also be the elderly parent track
  2. As women evaluate themselves in middle life, they leave to follow their passions
  3. After years of subtle, perhaps unconscious, bias and a few bumps on the glass ceiling, women may take their toys to a sandbox they control

I am sure all of these influence women's choices. I am curious what you believe is the most important reason women leave their career path in mid life. Are there any other reasons they might choose to become a consultant or open a cupcake shop? What have we missed?

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Yes, It Is Friday

Oct 14 2011 Published by under Travel, Wackaloonacy

So my live tweeting from Vision2020 was suppressed by our basement location. The events this week focused on working. Last year we conversed and defined the problems women still face in the US. This year we moved toward solutions.

Since no trip goes unpunished, I returned to the office this morning with a bit of trepidation. My assistant greeted me and then asked to copy my driver's license. As I handed it to her, she explained that the hospital wanted a copy of a government-issued ID. We had sent one of my US passport, but the office clerk in the credentials center did not realize that was "government-issued." It was easier to send a copy of my license than argue.

Sigh.

Next week I will discuss my times in Chicago here and at AWEnow (the project I am doing for Vision2020). In the meantime, try to have a great weekend. And consider giving to DonorsChoose.

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Tying Up Loose Ends

Oct 10 2011 Published by under Feminist Musings

Click to enlarge

Tomorrow I hit the road (more accurately the sky) for the second Vision2020 Congress in Chicago. Last year's event featured a lot of talk about the lack of women leaders in many areas of US life. This year promises more work. We delegates all started action projects in the past 12 months, and we will gather in groups to contemplate our own work and the national goals of the Congress:

  1. Achieve pay equity, so that equal pay for equal work will be the norm in America
  2. Increase the number of women in senior leadership positions in American life to reflect the workforce talent pool and demographics
  3. Educate employers about the value of policies and practices that enable men and women to share fairly their family responsibilities
  4. Educate new generations of girls and boys to respect their differences and to act on the belief that America is at its best when leadership is shared and opportunities are open to all
  5. Mobilize women in America to vote, with particular emphasis on a record-setting turnout in 2020, the centennial of the 19th Amendment

I will live-tweet the events of the Congress; follow @EqualityInSight, the official twitter account for the program for more accounts of the action.

Today I am tying up loose ends. I will get in a work-out before I pack. Most important, I will overnight all the signed and notarized forms for the sale of the old homestead. Yes, we will finally be down to a single house!

Enjoy your week, and please consider giving to my DonorsChoose page. It's heartbreaking that teachers must ask for our support for pencils, chairs, whiteboards, and other basics.

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