DOCUMENT RESUME HE 026 248 ED 354 828 Bickel, Janet; Quinnie, Renee AUTHOR Building a Stronger Women's Program. Enhancing the TITLE [Second Educational and Professional Environment. Edition.] Association of American Medical Colleges, Washington, INSTITUTION D. C. Jan 93 PUB DATE 115p. NOTE Membership and Publication Orders, Association of AVAILABLE FROM American Medical Colleges, 2450 N Street, N.W., Washington, DC 20037-1126 ($10 plus $4 shipping and handling; orders under $50 require prepayment). Non-Classroom Use (055) Guides PUB TYPE MF01/PC05 Plus Postage. EDRS PRICE Curriculum; Educational Quality; Graduate Medical DESCRIPTORS *Medical Students; Higher Education; Leadership; Education; Medical Schools; Policy Formation; Postsecondary Education; *Professional Development; *Professional Education; Program Descriptions; *Program Development; *Salary Wage Differentials; *Sexual Harassment; Women Faculty ABSTRACT The first edition of this handbook provided 6 descriptions of the existing offices for women in medicine at 50 medical schools and examples of the programs in place at about editions additional schools. The goals of both the first and second ideas to Women Liaison Officers are the same: to give support and (WLOs). The second edition, however, goes well beyond its of the WLOs, who predecessor. The first chapter provides an overview responsibilities, and who they are, how they're appointed, their focuses on guides program planning for them. The second chapter WLOs and offers recurrent organizational and funding issues faced by of a few multiple examples of current activities. The approaches of innovative schools are given in some depth as illustrations variety of issues that have programs. Other chapters address a work together to emerged and that require special attention as women (1) addressing improve their environment. These issues involve: (3) parenting (2) working toward salary equity, sexism in medicine, leadership issues and creating and flexibility issues, (4) addressing women's health professional development programs, and (5) examining womens' professional curricula. The final sections provide lists of organizations and what they offer. The groups as well as resource institutions named appendices include contact information for the WLO topics discussed in the handbook as well as the workshop agenda and Professional at the Association of American Medical Colleges Contains a partial Development Seminar for Senior Women in Medicine. index and faculty biographical sketches. (GLR) *********************************************************************** made Reproeuctions supplied by EDRS are the best that can be from the original document. *********************************************************************** ... II L A . 4 0 k PO Al ik dl A D \ A .. ....111111111. IIM I 4 "PERMISSION TO REPRODUCE THIS U S DEPARTMENT OF EDUCATION Office of Educations) Research and Improvement MATERIAL HAS BEEN GRANTED BY EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) Association of American 11. % been reproduced as This documen eived from the person or organization itr riginating it Medical Colleges Minor changes have been made to improve reproduction qualify Points of view or opinions stated in this docu- TO THE EDUCATIONAL RESOURCES ment do not necessarily represent official INFORMATION CENTER (ERIC)" OERI position or policy BEST COPY AVAILABLE 2 BUILDING A STRONGER WOMEN'S PROGRAM Enhancing the Educational and Professional Environment Janet Bickel Assistant Vice President for Women's Programs Renee Quinnie Administrative Assistant Division of Institutional Planning and Development Association of American Medical Colleges January 1993 Orders for this book should be addressed to: Association of American Medical Colleges Publications Sales 2450 N Street, N.W. Washington, D.C. 20037 (202) 828-0416 Price $10.00 each (plus shipping and handling) SHIPPING & HANDLING CHART (U.S.) If your order totals: Shipping/handling required: $15.00 $4.00 $1.00 $35.00 $6.00 $15.01 $35.01 - $60.00 $8.00 $60.01 - $80.00 $10.00 $100.00 $15.00 $80.01 $100.01 - $200.00 $17.00 Orders over $200.00, Add 8% of Total Order Orders of $50.00 and/or a three-book minimum, All orders under $50.00 require prepayment. accompanied by an institutional purchase order, may be invoiced. Copyright 1993 by the Association of American Medical Colleges BUILDING A STRONGER WOMEN'S PROGRAM II: ENHANCING THE EDUCATIONAL AND PROFESSIONAL ENVIRONMENT TABLE OF CONTENTS PAGE i Women in Medicine Coordinating Committee Foreword by Joseph A. Keyes, Jr. 2 Introduction Questions and Answers about the Role of a Chapter 1 3 Women Liaison Officer 3 Who are the WLOs and how many are there? 3 How are WLOs appointed? What are the responsibilities 4 and benefits of serving as WLO? 5 Who guides program planning for the WLOs? 6 Organizational Issues and Current Activities Chapter 2 6 Organizational modes Observations about creating an office 11 12 Funding 13 Current activities 17 Addressing Sexism in Medicine Chapter 3 18 Evidence of the problem 20 Defining harassment and micro-inequities 24 Policy development and educational resources 27 Conclusion 28 Bibliography 31 Working Toward Salary Equity Chapter 4 31 Studies in higher education 32 Approaches in medical education 33 Recommendations 34 Bibliography 5 Chapter 5 Parenting and Flexibility Issues 36 Medical students 36 Residents 37 Faculty: Leave policies and lengthening time to tenure 39 Faculty: The part-time option 41 Looking ahead 42 Bibliography 43 Chapter 6 Creating Professional Development Programs: Leadership Issues 45 The leadership gap 45 Approaches to closing the gap 46 Creating professional development programs 48 Crcrit writing skills 50 Using cases 51 Examples of faculty development programs at medical schools 53 Tips for meeting planners 54 Other resources 55 Bibliography 56 Women's Health Curricula Chapter 7 59 Emerging forces 59 Studies of curricula 60 At the schools 60 Bibliography 63 Making Use of Other Resources Chapter 8 65 At AAMC 65 Other national organizations 65 WIM specialty organizations 67 Bibliography 69 Into the Future Chapter 9 70 On the agenda 70 Managing change 71 Bibliography 73 Partial Index 74 WLOs (from institutions named in Handbook) Appendix I 78 AAMC WIM Seminar Program Announcements Appendix II 87 1992-93 WOMEN IN MEDICINE COORDINATING COMMITTEE Noelle Granger, Ph.D. Professor, Department of Cell Biology and Anatomy Assistant Dean for Student Affairs University of North Carolina-Chapel Hill School of Medicine CB7090-302A Taylor Building Chapel Hill, North Carolina 27599-7040 (919) 966-3288 (919) 966-1856 FAX Sharon Hostler, M.D. Professor of Pediatrics Uni iersity of Virginia Health Sciences Center 2270 Ivy Road Kluge Rehabilitation Center Charlottesville, Virginia 22901 (804) 924-2345 (804) 982-1727 Lois Nora, M.D., J.D. Assistant Dean for Clinical Curriculum Assistant Professor of Neurology Rush-Presbyterian-St. Luke's Medical Center 600 South Pauline Chicago, Illinois 60612 (312) 942-6915 (312) 942-2333 FAX Deborah Powell, M.D. Chair, Department of Pathology University of Kentucky College of Medicine CC 452 Markey Cancer Center 800 Rose Street (606) 233-5480 (606; 958-2094 FAX Miriam Rossi, M.D. Assistant Dean, Undergraduate Student Affairs University of Toronto Faculty of Medicine Medical Sciences Building Toronto, Canada M5S 1A8 (416) 978-8788 (416) 978-4194 FAX Joyce Stichman, M.S. Vice President, Academic Administration Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021 (212) 639-6563 (212) 717-3299 FAX Wendy J. Wolf, M.D. Associate Professor of Pediatrics University of Texas - Galveston Medical School C2-44 Child Health Center Galveston, Texas 77550 (409) 772-2507 (409) 772-5045 FAX 7 FOREWORD The publication of the second edition of this Handbook is an appropriate occasion to assigned reflect on the growth of AAMC's Women in Medicine (WIM) program. AAMC first environment for women staff support to assist medical school efforts aimed at improving the faculty and students in 1976. the locus In 1987, Janet Bickel was named the new Director for Women's Programs and Planning and of staff support for WIM came under my purview in the Division of Institutional Under Janet's leadership and with strong AAMC support, the program has Development. flourished. Janet expanded the WIM Coordinating Committee (the present Committee roster Medicine Update newsletter and annual appears on page i), created the quarterly Women in faculty. WIM Statistics, and organized a Professional Development Seminar for junior women In the last five years, with the guidance of the WIM Coordinating Committee, much more each one has been accomplished. Five seminars for junior women faculty have been held with than could garnering higher evaluations than the one before. Each had many more applicants will be held be accommodated. A new Professional Development Seminar for Senior Women of the in March; it is designed for associate and full professors who already have most department qualifications necessary to be considered for a top administrative post such as 250 Attendance at WIM Annual Meeting sessions has increased yearly; this year head. registered for the WIM Luncheon (compared to 78 in 1978). Over 4700 copies of Medicine & Parenting: A Resource for Medical Students, Residents, continues to Faculty and Program Directors have been distributed, and feedback on its utility conceivable be excellent. The number of requests we receive for information on virtually every growing interest is a "sign of the aspect of women in medicine also continues to expand. This seeds" times" but has also been stimulated by Janet Bickel in her travels to speak and "plant in 1992 AAMC promoted her at the medical schools. Recognizing her leadership in this arena, to assistant vice president for women's programs. Since 1978 members of AAMC's Council of Deans and Council of Academic Societies Council of have appointed Women Liaison Officers (WLO). In 1990 for the first time, AAMC's by all Teaching Hospitals members were invited to appoint a WLO. The numbers appointed this Handbook, three Councils keep growing. While these WLOs are the target audience of In fact, any one with an interest in the implications of the many others find it useful as well. large growing numbers of women students and faculty will want to peruse it. Because of the feedback on which sections are the most scope of this document, we will appreciate receiving and least valuable and why. As leaders in academic medicine appreciate the importance of nurturing their women institutionally- students and faculty as effectively as they do their men, they see that an active Building a Stronger Women's Program II: supported WIM program can be a key asset. guidance Enhancing the Educational and Professional Environment aims to provide substantial humane here. A strong WIM program can have the added benefit of helping to create a more educational and patient care environment for all. Joseph A. Keyes, Jr. AAMC Vice President for Institutional Planning and Development 0 INTRODUCTION ORGANIZATION OF THE HANDBOOK The first edition of Building a Stronger Women's Program provided descriptions of the existing offices for women in medicine at six medical schools and examples of programs in place at about 50 additional schools. These program descriptions were organized by target audience, i.e., students, faculty, academic societies, and mixed audiences (this edition is still available; see phone number below). Like the first edition, the primary goal of the second edition is to give support and ideas to Women Liaison Officers (WLOs). However, because of the experience gained in the last few The opening chapter provides an years, this edition goes well beyond its predecessor. overview of the WLO position. The second chapter focuses on recurrent organizational and funding issues faced by WLOs and offers multiple examples of current activities. The approaches of a few schools are giv.n in some depth as illustrations of innovative programs. Since each medical center is unique in terms of its history, community, and particular strengths, some ideas may not be transferable. However, the Handbook will prevent some wheel reinvention and will serve to put questioners in touch with the experienced. To this end, all WLOs are invited to continue to update AAMC staff on progress and developments. A variety of issues have emerged as requiring special attention as women work together to improve their environment. While of quite varying length, each of the following subjects has its own chapter and bibliography: addressing sexism in medicine working toward salary equity parenting and flexibility issues leadership issues and creating professional development programs women's health curricula If a WLO deems it appropriate, she may These chapters are designed to stand alone. photocopy individual sections for various purposes (for instance, to discuss the chapter on women's health curricula with the chair of the curriculum committee). The final sections on making use of other resources and looking ahead offer additional strategies. Appendix I displays the name, address, and phone number of each WLO whose institution is named in the Handbook. Each WLO and medical school dean has been mailed one copy of this publication. WLOs or deans who wish to obtain up to three free additional copies may write, fax or phone Renee Quinnie at (202) 828-0521. For all others, purchasing information is printed inside the title page. 2 CHAPTER 1 QUESTIONS AND ANSWERS ABOUT THE ROLE OF A WLO Who are the WLOs and how many are there? Originally in the late 1970's, most of the WLO's were student affairs personnel. As the spectrum of women faculty concerns and the visibility of the WLO position have increased, WLOs have come from more diverse institutional roles. Many deans have appointed women with academic as well as administrative appointments and with other responsibilities as well. The dean may appoint a maximum of two WLOs. A balance is desirable such that, if the first WLO works primarily with students, the second one should be close to faculty issues. Presently 205 WLOs have been appointed by the 126 U.S. medical schools and 14 from 16 schools in Canada. Members of AAMC's Council of Academic Societies (CAS) may also appoint a liaison. Whenever a professional society is approved for membership in CAS, the president receives an invitation to appoint a WLO. Currently, 26 societies (of 90) have a WLO. These individuals tend to be leaders in their field and/or have a longstanding commitment to women in medicine. The fact that almost one-third of house officers are women lends additional impetus for the CEOs of AAMC's Council of Teaching Hospital (COTH) to appoint a WLO. Since this opportunity has only existed for two years, few examples of activities COTH WLOs have sponsored are available. These WLOs also represent a broad range of titles, from coordinators ::-. some cases, hospital CEOs have appointed someone who is already to vice presidents. serving as a dean-appointed WLO; however, because it will increase the number of persons receiving AAMC publications, a better strategy is to select a different woman leader within the hospital. Currently of the 410 eligible hospitals, 190 have appointed WLOs. Now are WLOs appointed? Each October AAMC sends to all medical school deans and COTH CEOs a computer- generated form listing the WLO(s) currently representing the institution. Deans and CEOs are asked to make any deletions, additions or corrections. At any time of the year, however, they (as well as CAS officers) may write a letter to the Assistant Vice President for Women's Programs appointing a WLO. While there are no "selection" guidelines per se, women who are appointed as WLOs should be well-connected within their institutions and have a demonstrated interest in improving the environment for women students, faculty and administrators. Some deans and 3 1 0