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Doctor or The Doctor may refer to:
Arts and media
- Doctor of the Church, a title given to those with great contribution to Christian theology or doctrine
- DOCTOR, a script for Joe Weizenbaum's program ELIZA, simulating a Rogerian psychotherapist
- Fremantle Doctor or the Doctor, a Western Australian afternoon sea breeze
- The Doctor, a painting by Luke Fildes
People with the nickname
Historically and presently, in many parts of the world, women's participation in the profession of medicine (as physicians or surgeons for instance) has been significantly restricted. However, women's informal practice of medicine in roles such as caregivers or as allied health professionals has been widespread. Most countries of the world now provide women with equal access to medical education. However, not all countries ensure equal employment opportunities, and gender equality has yet to be achieved within medical specialties and around the world, despite studies suggesting that female doctors may be providing higher-quality care than male doctors.
In 1540, Henry VIII of England granted the charter for the Company of Barber-Surgeons; while this led to the specialization of healthcare professions (i.e. surgeons and barbers), women were barred from professional practice. Women did, however, continue to practice during this time. They continued to practice without formal training or recognition in England and eventually North America for the next several centuries. Women's participation in the medical professions was generally limited by legal and social practices during the decades while medicine was professionalizing. However, women openly practiced medicine in the allied health professions (nursing, midwifery, etc.), and throughout the nineteenth and twentieth centuries, women made significant gains in access to medical education and medical work through much of the world. These gains were sometimes tempered by setbacks; for instance, Mary Roth Walsh documented a decline in women physicians in the US in the first half of the twentieth century, such that there were fewer women physicians in 1950 than there were in 1900. However, through the latter half of the twentieth century, women made gains generally across the board. In the United States, for instance, women were 9% of total US medical school enrollment in 1969; this had increased to 20% in 1976. By 1985, women constituted 16% of practicing US physicians.
At the beginning of the twenty-first century in industrialized nations, women have made significant gains, but have yet to achieve parity throughout the medical profession. Women have achieved parity in medical school in some industrialized countries, since 2003 forming the majority of the United States medical student body. In 2007-2008, women accounted for 49% of medical school applicants and 48.3% of those accepted. According to the American Association of Medical Colleges (AAMC) 48.3% (16,838) of medical degrees awarded in the US in 2009-10 were earned by women, an increase from 26.8% in 1982-3. While more women are taking part in the medical field, a 2013-2014 study reported that there are significantly fewer women in leadership positions within the academic realm of medicine. This study found that women accounted for 16% of deans, 21% of the professors, and 38% of faculty, as compared to their male counterparts.
However, the practice of medicine remains disproportionately male overall. In industrialized nations, the recent parity in gender of medical students has not yet trickled into parity in practice. In many developing nations, neither medical school nor practice approach gender parity.
Moreover, there are skews within the medical profession: some medical specialties, such as surgery, are significantly male-dominated, while other specialties are significantly female-dominated, or are becoming so. In the United States, female physicians outnumber male physicians in pediatrics and female residents outnumber male residents in family medicine, obstetrics and gynecology, pathology, and psychiatry.
Women continue to dominate in nursing. In 2000, 94.6% of registered nurses in the United States were women. In health care professions as a whole in the US, women numbered approximately 14.8 million, as of 2011.
Biomedical research and academic medical professions—i.e., faculty at medical schools—are also disproportionately male. Research on this issue, called the "leaky pipeline" by the National Institutes of Health and other researchers, shows that while women have achieved parity with men in entering graduate school, a variety of discrimination causes them to drop out at each stage in the academic pipeline: graduate school, postdoc, faculty positions, achieving tenure; and, ultimately, in receiving recognition for groundbreaking work. (See women in science for a broader discussion.)
The glass ceiling is used as a metaphor to convey the undefined obstacles that women and minorities face in the workplace.
One study surveyed physician mothers and their physician daughters in order to analyze the effect that discrimination and harassment have on the individual and their career. This study included 84% of physician mothers that graduated medical school prior to 1970, with the majority of these physicians graduating in the 1950s and 1960s. The authors of this study stated that discrimination in the medical field persisted after the title VII discrimination legislation was passed in 1965.
According to this study, one third of physician daughters reported experiencing a form of gender discrimination in medical school, field training, and the work environment. This study also stated that both generations equally experienced gender discrimination within their work environments.
This article provided an overview on the history of gender discrimination, claiming that gender initiated the systematic exclusion of women from medical schools. This was the case until 1970, when the National Organization for Women (NOW) filed a class action lawsuit against all medical schools in the United States. More specifically, this lawsuit was successful in forcing medical schools to comply to the civil rights legislation. This success was seen by 1975 when the number of women in medicine had nearly tripled, and continued to grow as the years progressed. By 2005, over 25% of physicians and around 50% of medical school students were women. The increase of women in medicine also came with an increase of women identifying as a racial/ethnic minority, yet this population is still largely underrepresented in comparison to the general population of the medical field. Within this specific study, 22% of physician mothers and 24% of physician daughters identified themselves as being an ethnic minority. These women reported experiencing instances of exclusion from career opportunities as a result of their race and gender.
In an article titled "I'm too used to it”: A longitudinal qualitative study of third year female medical students' experiences of gendered encounters in medical education," the author described how confidence in ability varies based upon gender. According to this article, females tend to have lessened confidence in their abilities as a doctor, yet their performance is equivalent to that of their male counterparts. This study also commented on the impact of power dynamics within medical school, which is established as a hierarchy that ultimately shapes the educational experience.
Specifically, this article described how power dynamics led to the formation of a “hidden curriculum” in medical school, which revolves around understanding the contribution of gender roles in regards to being a female doctor. According to this article, this position holds females more accountable for their actions as a result of unrealistic expectations set forth by these gender roles, which expects female doctors to take on a nurturing and matronly persona when dealing with patients. The hidden curriculum, according to this article, is an integral aspect of a female’s medical education that must be learned in order to tolerate instances of gender discrimination.
On the topic of power dynamics, another study commented on the nature of sexual harassment, stating that it was most commonly perpetrated within career training stages, by people in positions of power. According to this article, instances of sexual harassment attribute to the high attrition rates of females in the STEM fields.
Another study describes sexual harassment as a growing problem due to the fact that it goes widely underreported, which is said to be caused by the transient nature of career training, alongside weak policies and the perpetrators holding positions of power over the victim.
Women's Contributions to Medicine in the United States
Women have successfully provided the world with information not previously known. A few women who provided knowledge were:
Helen Brooke Taussig:The First Female President of the American Heart Association
Helen Brooke Taussig was born on May 24, 1898, in Cambridge, Massachusetts. She is most commonly known as the first female president of the American Heart Association Taussig was diagnosed with Dyslexia when she was young. Around the same time, her mother, Edith Guild Taussig (1861-1909) died. Her father, Frank William Taussig (1859-1940), was an economist and educator in the United States. He was also known for creating the "Foundation of Modern Trade Theory". Taussig earned a A.B from University of California, Berkeley in 1921. In 1922 she applied at Harvard University's Medical School, and was denied. The University was not accepting women at the time. Instead she graduated from Johns Hopkins University School of Medicine in 1927. In her 30's, Taussig grew deaf. In 1930, Taussig was appointed the Head of he Children's Hear Clinic at the Harriet Lane home, which was part of Johns Hopkins University. Due to her inability to hear, Taussig found an alternative method to studying the heartbeat in children by feeling the beat with her hands. This method lead her to discover "Blue Baby Syndrome", which was termed so due to the cyanotic hue resembling babies who were thought to be ill. In 1947, a surgeon named Alfred Blalock teamed up with Taussig and wrote an article called, which explored their creation and alternative approach for a stunt-"Blalock-Taussig Shunt"- that would help circulate blood from the lungs to the heart. In the article it states, "The operation here reported and the studies leading thereto were undertaken with the conviction that even though the structure of the heart was grossly abnormal, in many instances it might be possible to alter the course of the circulation in such a manner as to lessen the 'cyanosis' and the resultant disability." (Read before the Johns Hopkins Medical Society, March 12, 1945.) Taussig received multiple awards after 1950. In 1954, Taussig received the Albert Lasker award, which is awarded for outstanding contributions to medicine. In 1959, Taussig was acknowledged for being one of the first women who received full professorship to Johns Hopkins University. In 1964, Taussig was awarded the medal of freedom from President Lyndon B. Johnson. Finally, in 1965, Taussig was known as the first women of the American Heart Association, for which she is so prominently known for. To further her interest in pediatrics, nearly a decade and a half later in the 1960s, Taussig remained to advocate for children's health. She was "responsible for investigating the epidemic of serious congenital limb malformations". This investigation focused on European children and Taussig had a theory that the malformations were caused by the use of Thalidomide. She resolved this ongoing issue by persuading the Food and Drug Administration to discontinue the use and sale of Thalidomide in the U.S
Helen Flanders Dunbar:The "Mother" of Holistic Medicine
Helen Flanders Dunbar was born in Chicago on May 14, 1902, and Dunbar was the oldest child. Dunbar's mother, Edith Vaughn Flanders (1871-1963), was an Episcopalian clergyman's daughter as well as a professional Genealogist. Dunbar's father, Francis William Dunbar (1868-1939), was very much established as well due to his standing as an electrical engineer, as well as a patent attorney. In her early life, Dunbar's education was strictly limited to tutors and attending private schools. She graduated from Brearley School, which was located in New York City, in 1919, which lead to her enrollment in Bryn Mawr College. At this particular point in her life her interest in theology, philosophy, and medicine. Dunbar met James Henry Leuba at Bryn Mawr College, which sparked her interest due to his standing as a psychologist of religion at the college. In the summer of 1929, after successfully receiving a bachelor's degree in mathematics and psychology from Bryn Mawr, Dunbar continued her education by spending five weeks in Worcester, Massachusetts receiving clinical training. In 1927, Dunbar received a bachelor's degree as "Magna Cum Laude" from Union Theological Seminar. This achievement was awarded primarily due to her thesis, "Methods Training in the Devotional Life Emphasized in the American Churches". Dunbar also won a travelling Fellowship due to this particular piece of writing. From 1931 until 1936, Dunbar held the position as director of Joint Committee of the New York City Religion and Health of the Federal Council and Churches of the Academy of Medicine. From 1943 until the year before she died, Dunbar wrote an assortment of books including: "Psychosomatic Diagnosis" in 1943, "Mind, Body: Psychosomatic Medicine" in 1947, "Your Child's Mind and Body; A practical guide for parents" in 1949, and "Illness: the realization of an infant's fantasy with special reference to testing methods" in 1951. During the year of her death, Dunbar wrote "Accidents of Life Experience", "Basic aspects and applications of the psychology of safety", and "Psychiatry in medicine specialties". Helen Flanders Dunbar died in 1959. She was found face down in her swimming pool.
Midwifery in 18th Century America
As per the documentary “A Midwife’s Tale”, historian of 18th century America, Laurel Thatcher Ulrich, follows the diary of Martha Ballard, which proves to be a telling source of women’s roles as medical practitioners. Out of the different occupations women took on around this time, midwifery was the best paid of them all. In the 18th century, households tended to have an abundance of children largely in part to have a helping hand in responsibilities and to combat high mortality rates. Despite the high chance of complications in labor, Martha Ballard, specifically, had high success rates in delivering healthy babies to healthy mothers.
Competition Between Midwifery and Obstetrics
A shift from women midwifery to male obstetrics occurs in the growth of medical practices such as the founding of the American Medical Association. Instead of assisting labor in the basis of an emergency, there were doctors such as Dr. Benjamin Page who wanted to take over the delivery of babies completely; putting midwifery second. This is an example of the growing sense of competition between male physicians and female midwives as a rise in obstetrics took hold. The education of women on the basis of midwifery was stunted by both physicians and public-health reformers, driving midwifery to be seen as out of practice. Societal roles also played a fact in the downfall of the practice in midwifery because women were unable to obtain the education needed for licensing and once married, women were to embrace a domestic lifestyle.
The involvement of women in the field of medicine has been recorded in several early civilizations. An Egyptian of the Early Dynastic Period or Old Kingdom of Egypt, Merit-Ptah, described in an inscription as "chief physician", is the earliest woman named in the history of science. Agamede was cited by Homer as a healer in ancient Greece before the Trojan War. Agnodice was the first female physician to practice legally in 4th century BC Athens. Metrodora was a physician and generally regarded as the first medical writer. Her book, On the Diseases and Cures of Women, was the oldest medical book written by a female and was often referenced by many other female physicians. She credited much of her writings to the ideologies of Hippocrates.
- Pioneering women in ancient medicine
- Merit Ptah (2700 BC), earliest cited female physician
- Agamede, pre-Trojan War healer
- Agnodike was the first female physician to practice legally in 4th century BC Athens.
During the Middle Ages, convents were an important place of education for women, and some of these communities provided opportunities for women to contribute to scholarly research. An example is the GermanabbessHildegard of Bingen, whose prolific writings include treatments of various scientific subjects, including medicine, botany and natural history (c.1151-58). She is considered Germany's first female physician.
Women in the Middle Ages participated in many healing techniques and capacities. According to historical documents, small numbers of women occupied almost all ranks of medical personnel during the period. They worked as herbalists, midwives, surgeons, barber-surgeons, nurses, and traditional empirics. Women treated everyone, not only women as historians once thought. The names of 24 women described as surgeons in Naples between 1273 and 1410 are known, and references have been found to 15 women practitioners, most of them Jewish and none described as midwives, in Frankfurt between 1387 and 1497. Women also engaged in midwifery and healing arts without leaving any trace of their activities in written records, and practiced in rural areas or where there was little access to medical care. Society in the Middle Ages limited women’s role as physician. Once universities established faculties of medicine during the thirteenth century, women were excluded from advanced medical education. Licensure began to require clerical vows for which women were ineligible, and healing as a profession became male dominated. In many occasions, women had to fight against accusation of illegal practice done by males, putting into question their real motives. If they were not accused of malpractice, then women were considered "witches" by both clerical and civil authorities. Because surgeons and barber-surgeons were often organized into guilds, they could hold out longer against the pressures of licensure. Like other guilds, a number of the barber-surgeon guilds allowed the daughters and wives of their members to take up membership in the guild, generally after the man’s death. According to documents, Katherine la surgiene of London, daughter of Thomas the surgeon and sister of William the Surgeon belonged to a guild in 1286. Documentation of female members in the guilds of Lincoln, Norwich, Dublin and York continue until late in the period. Midwives, those who assisted pregnant women through childbirth and some aftercare, included only women. Midwives constituted roughly one third of female medical practitioners. Men did not involve themselves in women's medical care, likewise, women did not involve themselves in men's health care. The southern Italian coastal town of Salerno was an important center of medical learning and practice in the 12th century. There, the physician Trota of Salerno gathered a number of her medical practices in several written collections. One work on women's medicine that was associated with her, the De curis mulierum ("On Treatments for Women") formed the core of what came to be known as the Trotula ensemble, a compendium of three texts that circulated throughout medieval Europe. Trota herself gained a reputation that spread as far as France and England. There are also references in the writings of other Salernitan physicians to the mulieres Salernitane ("Salernitan women"), which give some idea of local empirical practices.
Dorotea Bucca was another distinguished Italian physician. She held a chair of philosophy and medicine at the University of Bologna for over forty years from 1390. Other Italian women whose contributions in medicine have been recorded include Abella, Jacqueline Felice de Almania, Alessandra Giliani, Rebecca de Guarna, Margarita, Mercuriade (14th century), Constance Calenda, Clarice di Durisio (15th century), Constanza, Maria Incarnata and Thomasia de Mattio.
- Pioneering Women in Medieval Europe
- Trota of Salerno 12th century physician who collected many of her empirical practices in writing. Part of her work was incorporated into the so-called Trotula compendium of writings on women's medicine and cosmetics.
- Hildegard of Bingen (1098–1179) is considered Germany's first female physician. She conducted and published comprehensive studies of medicine and natural science.
Medieval Islamic world
For the medieval Islamic world, little specific information is known about female medical practitioners although it is likely that women were regularly involved in medical practice in some capacity. Male medical writers refer to the presence of female practitioners (singular, ṭabība) in describing certain procedures or situations. For example, the late 10th/early 11th century Andalusi physician and surgeon al-Zahrawi, in explaining how to excise bladder stones, notes that the procedure is difficult for male doctors practicing on female patients: because of the need to touch the genitalia, the male practitioner must either find a female doctor who can perform the procedure, or a eunuch physician, or a midwife who takes instruction from the male surgeon. In other words, even though direct evidence for female practitioners is rare, their existence can be inferred. As al-Zahrawi's example also suggests, midwives played an important role in the delivery of women's healthcare. For these practitioners, there is more detailed information, both in terms of the prestige of their craft (ibn Khaldun calls it a noble craft, "something necessary in civilization") and in terms of biographical information on historic women. To date, no known medical treatise written by a woman in the medieval Islamic world has been identified.
- Pioneering women in medieval Islamic world
- Rufaida Al-Aslamia (7th century AD) Islamic medical and social worker recognized as the first female Muslim nurse
Western medicine in China
Traditional Chinese medicine based on the use of herbal medicine, acupuncture, massage and other forms of therapy has been practiced in China for thousands of years. However, Western Medicine was introduced to China in the 19th Century, mainly by medical missionaries sent from various Christian mission organizations, such as the London Missionary Society (Britain), the Methodist Church (Britain) and the Presbyterian Church (US). Benjamin Hobson (1816-1873), a medical missionary sent by the London Missionary Society in 1839, set up a highly successful Wai Ai Clinic (惠愛醫館)  in Guangzhou, China. The Hong Kong College of Medicine for Chinese (香港華人西醫書院) was founded in 1887 by the London Missionary Society, with its first graduate (in 1892) being Sun Yat-sen (孫中山). Sun later led the 1911 Xinhai Revolution, which changed China from an empire to a republic. The Hong Kong College of Medicine for Chinese was the forerunner of the School of Medicine of the University of Hong Kong, which started in 1911.
Due to the social custom that men and women should not be near to one another, women of China were reluctant to be treated by Western male doctors. This resulted in a tremendous need for female doctors. One of these was Sigourney Trask of the Methodist Episcopal Church, who set-up a hospital in Fuzhou during the mid-19th century. Trask also arranged for a local girl, Hü King Eng, to study medicine at Ohio Wesleyan Female College, with the intention that Hü would return to practise western medicine in Fuzhou. After graduation, Hü became the resident physician at Fuzhou's Woolston Memorial Hospital in 1899 and trained several female physicians. Another female medical missionary Dr. Mary H. Fulton (1854-1927)  was sent by the Foreign Missions Board of the Presbyterian Church (USA) to found the first medical college for women in China. Known as the Hackett Medical College for Women (夏葛女子醫學院), this College was located in Guangzhou, China, and was enabled by a large donation from Mr. Edward A. K. Hackett (1851-1916) of Indiana, US. The College was dedicated in 1902 and offered a four-year curriculum. By 1915, there were more than 60 students, mostly in residence. Most students became Christians, due to the influence of Dr. Fulton. The College was officially recognized, with its diplomas marked with the official stamp of the Guangdong provincial government. The College was aimed at the spreading of Christianity and modern medicine and the elevation of Chinese women's social status. The David Gregg Hospital for Women and Children (also known as Yuji Hospital 柔濟醫院)  was affiliated with this College. The graduates of this College included CHAU Lee-sun (周理信, 1890-1979) and WONG Yuen-hing (黃婉卿), both of whom graduated in the late 1910s and then practiced medicine in the hospitals in Guangdong province.
Early modern era
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In the early modern era, following the Middle Ages, accuracy in documentation of women present in the health field increased. This increase in documentation gave a clear representation of women engaged in the healthcare of London residents.
Historic women's medical schools
When women were routinely forbidden from medical school, they sought to form their own medical schools.
Historic hospitals with significant female involvement
Pioneering women in early modern medicine
- Dorothea Erxleben (1715–1762), the first female doctor granted a M.D. in Germany.
- James Miranda Barry (179?-1865), a renowned female doctor who passed as a man to gain a medical education and practice medicine.
- Dolors Aleu i Riera (1857–1913), first female medical doctor from Spain, 1879.
- Annie Lowrie Alexander (1864–1929), first licensed female physician in the Southern United States
- Elizabeth Garrett Anderson (1836–1917), pioneering female doctor and feminist in Britain; co-founder of London School of Medicine for Women.
- Lovisa Årberg (1801–1881), first female doctor and surgeon in Sweden.
- Amalia Assur (1803–1889), first female dentist in Sweden and possibly Europe.
- Elizabeth Blackwell (1821–1910), first woman to graduate from medical school in the US; MD 1849, Geneva College, New York.
- Madeleine Brès (1839–1925), the first French female MD 
- Milica Šviglin Čavov (b. unknown, circa 1870s), the first Croatian female doctor. She graduated from the Medical School in Zürich in 1893, but was not allowed to work in Croatia.
- Margaret Cleaves (1848–1917), pioneering doctor in the brachytherapy; M.D. 1873.
- Rebecca Lee Crumpler, (8 February 1831 – 9 March 1895), first African American female physician in the United States, awarded her M.D. in 1864 by New England Female Medical College in Boston.
- Maria Cuțarida-Crătunescu (1857–1919) the first female doctor in Romania
- Bertha De Vriese (1877–1958), the first Belgian woman to obtain a medical degree from Ghent University.
- Eloísa Díaz (1866-1950), the first Chilean woman to graduate from Medicine in the Universidad de Chile. She graduated on December 27, 1886 and obtained her degree on January 3, 1887.
- Marie Durocher (1809–1893), Brazilian obstetrician, midwife and physician. First female doctor in Americas.
- Marie Equi (1872–1952), American doctor and activist for women's access to birth control and abortion.
- Anne Walter Fearn (1865-1938) Doctor in Shanghai, China, for almost 40 years.
- Selma Feldbach (May 5, 1878 - April 2, 1924) was the first Estonian woman to become a medical doctor.
- Kadambini Ganguly (1861–1923), the first Indian woman to obtain a medical degree in India having graduated from the Calcutta Medical College in 1886.
- Vera Gedroitz (1870–1932), the first professorix of surgery in the world
- Ogino Ginko (1851-1913), first licensed and practicing female physician of western medicine in Japan.
- Anastasia Golovina, also known as Anastassya Nikolau Berladsky-Golovina, and Atanasya Golovina (1850-1933), the first Bulgarian female doctor.
- Alice Hamilton (February 27, 1869 – September 22, 1970) was an American physician, research scientist, and author who is best known as a leading expert in the field of occupational health and a pioneer in the field of industrial toxicology. She was also the first woman appointed to the faculty of Harvard University.
- Rosina Heikel (1842 - 1929), the first female physician in Finland (1878), as well as the first in the Nordic countries, MD and feminist.
- Matilde Hidalgo (1889–1974), the first Ecuadorian woman to have obtained a medical degree.
- Frances Hoggan (1843–1927), first British woman to receive a doctorate in medicine (1870).
- Marie Spångberg Holth (1865-1942), the first woman to graduate in medicine in Norway, which occurred in 1893, when she graduated from the Royal Frederiks University of Christiania.
- Ana Galvis Hotz (1855-1934), first Colombian woman, and from Latin America, to obtain a medical degree.
- Elsie Inglis (1864–1917) Pioneering Scottish doctor and suffragist, born in India. MD Edinburgh School of Medicine for Women, worked at Rotunda Hospital, Dublin
- Aletta Jacobs (1854-1929), first woman to complete a university course in the Netherlands, and the first Dutch female MD.
- Ana Janer (b. unknown), one of the first four women from Puerto Rico to earn a medical degree; the other three were María Elisa Rivera Díaz in 1909, Palmira Gatell in 1910, and Dolores Piñero in 1913.Ana Janer and María Elisa Rivera Díaz graduated in the same medical school class in 1909 and thus could both be considered the first female Puerto Rican physician.
- Sophia Jex-Blake (1840-1912), English physician, feminist and teacher.
- Anandi Gopal Joshi (1865-1887), the first Indian woman to obtain a medical degree having graduated from the Woman's Medical College of Pennsylvania in 1886.
- Bohuslava Kecková (1854-1911), first Bohemian (Czech) woman to obtain a medical degree in 1880 from University of Zurich.
- Sun Chau Lee (周理信, 1890-1979), one of the first female Chinese doctors of Western Medicine in China.
- Hope Bridges Adams Lehmann (1855-1916), first female general practitioner and gynecologist in Munich, Germany.