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What’shappeningnowinPediatrics?
Prof.KlaraPosfayBarbeChildren’sHospitalofGeneva
UniversityHospitals&MedicalSchoolofGeneva
2016Symposium SchweizerSpitzenmedizin
Asastudent
§ Mostlymaleprofessors§ Don’treallyrememberaprofessional femalerolemodel§ MarieCurie?
§ Pediatrics:DrZsolt Koppányi§ Totallyunawareofhowcareersarebuilt§ Manycommentsfromothersonunrealisticprojecttohaveacareer(aspediatrician,notevenacademic)&afamily
InPediatrics
§ Feltnaturaltohaveafemaledepartmenthead§ Shewastheboss
§ Wecouldgoandtalktoher&wantedtopleaseher§ Perceivedas:intuitive,stable,“woman/familyfriendly”,didn’twant“war”,pragmatic,motherly-figure
§ Mostlymaleseniordoctors§ Mostlyfemaleresidents
§ My3femalerole-models
SusanneSuter
Claire-AnneSiegrist
EllenWald
Femalerolemodels
§ Family-compatible§ Extremelyorganized§ Stillwomen§ Highlyrespectedasprofessionals&leaders§ Couldbetoughandstandstrong§ Couldbekindandunderstanding§ Opentodiscuss/listen§ Theskyisthelimit
§ Hope
Superwomen!
AfterProf.SuterinGeneva
§ Newdepartmentheads§ Prof.Siegrist♀ (medfaculty):pushedwomenforward§ Prof.Belli♂ (clinics):maybeless…aware?
§ Stillmostlyfemaledoctorsbecomingpediatricians:163/220=74.1% femaledoctors
§ 2016:250candidates§ 40interviewed=87%women§ 14doctorshired =86%women(12/14)
§ Stillmanypregnancies/year:organizationalissues
2016,Doctors,DeptofPediatrics,Geneva
WomenMen
86%inchild-bearingage
What’shappeningnowinPediatricsinGeneva?
§ Youngergenerationtakingoverleadingpositions,severalwomen§ Currentlyprofessors:
§ 7men,8women
§ Decreaseinoffered/acceptedpart-timejobs§ But….morerequests
§ Careerplanningstillworking§ Maleboss:
§ Lesseasytoannouncepregnancies§ Lesseasytotalkaboutpersonalissues
§ UsuallydonefirstwithfemaleAttending
Female&maledoctors,Gen.Ped.,GVA
0
5
10
15
20
25
30
35
2009-2010 2015-2016
ResidentmaleResidentfemale*CDCmaleCDCfemale°StaffmaleStafffemale.Prof.maleProf.female
N
Full-time/part-timeworkDept.ofPediatrics,Geneva2016
Less than 50%50-89%Full-time(≥90%)
PromotionofacademiainPediatrics
§ CDCscientifique position§ Newtrainingtrackswithclinicalresearchfollowedbyclinicaltraining
§ Clinicalresearchrotationduringtrainingpossible§ SeveralresidentsdoaCASinclinicalresearch§ OneresidentdoinganMD-PhDinclinicalresearch
§ Pre-assignedmentorshipforallresidents(Success?)
MedicalschoolofGenevaScreeningforthe«sleepingbeauty»,etc..
§ Departmentheadsidentifiedfemaleresearcherswhocouldpotentiallybepromotedtoprofessorrank
§ “Cafécarrière”
§ “Role-modelmeetings”
§ Individualconsultations“woman-to-woman”
http://www.medecine.unige.ch/lafaculte/commissions/commission-cpaf.php
Results:MedicalSchoolofGeneva
§ 2012:Totalof14.8%womenwithaprofessorrank
§ Summer2014,ithad25% offemaleprofessors
§ Aim ofthisprojectistohave33%offemaleprofessors,ideallyuntil2016
0
5
10
15
20
25
30
35
2008 2009 2010 2011 2012 2013 2014 2015
19
912 11
20
27
15 14
7
4
11 10
8
8
1217
Femmes
Hommes
31
27
35
28
2123
13
26
Proportion men / women - privat-docent lectures
N
Women
Men
Fullprofessor
Assistantprofessor
UniversityofGeneva:proportionofgenderaccordingtorank,2015
Women
Men
Women = 62% of students but… 22% of professors
SPECIFICTOPICS
Dualcareers
§ Fewexamplesinthehospital:somegood,somelesssoDifficulties
§ If~sameage:sametimingincareer« boost »,difficultrotations,longhours,trips,etc.
§ Otherparentoftennotavailableforchildren§ Oftennotavailableforeachother(e.g.on-callonalternateweek-ends)
§ Sametrainingcenteroratleastinsamecity§ Sametimingoftrainingabroad§ Fundingforboth§ Workmobility§ Ifonecareerworksandtheotherless,strainonthecouple§ Peoplehavefantasiesabout« pillowtalk »
OfficeCantonaldelaStatistiqueGE2016
44%believedthatthewomanwithpart-timejobisideal29%:bothpart-time19%:housewife
http://www.tdg.ch/geneve/actu-genevoise/Les-hommes-rechignent-au-menage-et-a-l-education/story/20026046
Who takes careofthehousehold?
54%Women34%
both
Men
Other
OfficeCantonaldelaStatistiqueGE2016
Taking careofchildren,2013
Mother Both parents Father Other
Dualcareers
Advantages§ Understandingofourjobandourjob’spitfalls§ Understandingoftheprocessofacademiccareers§ Helpsalottothinkaboutjob(strategies,priorities,information,experiences,sometimesdoublementorship?,etc)
Perceiveddifferencesfromemployer,patients,colleagues
Mostagreethat§ Maledoctor‘sskills=femaledoctor’sskills§ SalariesidenticalBut…§ InUniversityHosp.GVA:1/13depthead=woman
§ FundingformyhusbandandI(2001)§ InPediatrics:2/7Divisionheads=women§ E.g.patients:Malestudent§ E.g.colleagues:withallmalecommittee
Fundingbodies§ MarieHeim-Vögtlin (MHV)grantoftheSwissNationalScienceFoundation
§ SNF:Family:supportforpostdocs
§ L’Oréal-UNESCOFellowshipsandAwardsforWomeninScience
§ GraduateWomenInternational(FellowshipsandGrants)
§ WellcomeTrust:CareerRe-entryFellowships§ FASEBExcellenceinScienceAward§ AmericanAssociationofUniversityWomenInternationalFellowship
§ NestléScholarshipforWomen
Wishes&requestsinthefuture
Notpossibletobeasuperwoman:can’tbeasupergood:
§ Clinician§ Researcher§ Teacher§ Administrator§ Humanresourcesexpert§ Budgetexpert,etc.§ …andmotherandwife
Needs:womeninacademics
1. Mentor♀ or♂Advice§ Stepstofollowforacademiccareer§ Explainprogressionprocess/fundingsystemsearlier§ Careerplanning§ Organizationoftraininginsiteandoutofsite§ Goalsoftrainingandtimeabroad§ Organizationofreturnfromabroad§ Contactwithother(research)groups§ Knowledgeofgrants
Whatdowealsoneedfrommentors
§ Feedback thatisn'talwaysalignedwiththeirownexperienceorinterest
§ Altruisticempathy§ Sometimes,justa“bravo!,goodjob!”
Forclinicians
2. Timeoffclinicalwork(protectedtime)
§ SubsideTremplin (UNIGE)
§ AMBIZIONE(SNF)§ Marie-HeimVögtlin (SNF)
Otherneeds§ Morepart-timejobs(Clinicalspecialty?)§ Morefundingforwomenworkingpart-time§ Morefundingfor« older »women§ Morefundingforcouplesinacademia§ Morecontactswithotherresearchgroups§ “Reinsertion”shouldbepossibleafterlongerstop
§ Inthecommunity:§ Accessiblechildcarewithextendedtimes§ Shopsopenlater,enrollmenttoafter-schoolprogramsthroughinternet,etc
§ Understandinglife-partner
WhatdoItellmy(female)mentees?
§ Itis possibletocombineacademia&family,butitisnoteasy&youwillhavetoworkhard
§ Chooseyourlifepartnerwell§ Chooseyourmentorwellandusehim/her
§ Makeadealforregularmeetings§ Tellclearlywhatyouneedordon’tunderstand§ Askwhatyouneedtodoandwhen
§ Chooseyourspecialtywellifyouplantoworkpart-time
§ Reassessyourcareerplanregularly:itisOKtochangeyourmind
LaurePittet2yearsclinicalresearchCASinclinicalresearch3yearsclinicalpediatricsObtainedfundingforproject
10 PublishedpapersSeveralinpipe-line
DoctorinmedicineMD-PhDinprogress
WillgotoLausanne&AustraliaforPeds IDtraining
CharlotteVerolet2yearsclinicalresearchCASinclinicalresearch1styearclinicalpediatricsObtainedfundingforproject
5publishedpapersSeveralinpipe-line
Doctorateinprogress
WantstohaveanacademiccareerJustgotmarried
ArnaudL’Huillier2yearsclinicalresearchCASinclinicalresearch3yearsclinicalpediatricsObtainedfundingforprojectsSubmittedSNFgrant
21publishedpapersSeveralinpipe-line
DoctorinmedicineInTorontoforfellowship+research
3 5 7
WhatdidIlearnuntilnow
§ Stilllovemyjobintensely§ Thereisnotonewaytodoacareerinacademia.
Individualsolutionsmustbefound§ Havingawomanbosscanbeaplus§ Benefitedtremendouslyfromwomenbeforeme
andwillcarryonthetorch§ HadtorealizethatIcan’tdoeverythingperfectly
§ Experienceoflast3weeks
