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Intersectionality and Its Impact on Microaggression in Female Physicians in Academic Medicine: A Cross-Sectional
Alyson K Myers1,2,3, Myia S Williams2,3, Renee Pekmezaris2,3
1Division of Endocrinology, Department of Medicine, North Shore University Hospital, Manhasset, New York, USA.
Women'S Health Reports (New Rochelle, N.Y.)
|July 5, 2023
Summary
Female physicians frequently experience workplace microaggressions, which negatively impact their careers and well-being. Academic medical institutions must create more supportive environments for women in medicine.
Area of Science:
- Medical Education
- Workplace Psychology
- Health Equity
Background:
- Microaggressions pose a significant stressor for female physicians in academic medicine.
- Intersectionality exacerbates the burden for women of color or those in the LGBTQIA+ community.
- Understanding the prevalence and impact of microaggressions is crucial for improving physician well-being and patient care.
Purpose of the Study:
- To assess the frequency of microaggressions experienced by female physicians.
- To explore associations between microaggressions and individual outcomes, patient care, and perceptions of equity.
- To identify areas for institutional improvement in supporting female physicians.
Main Methods:
- Cross-sectional analysis of 117 female residents, fellows, and attendings across all specialties.
- Utilized REDCap for data collection via questionnaires on imposter phenomenon, microaggressions, and work-related attitudes.
- Data collected from December 2020 to January 2021 at Northwell Health.
Main Results:
- 84.6% of female physicians reported experiencing microaggressions.
- Positive associations found between microaggressions and imposter phenomenon, and counterproductive work behavior.
- Negative associations observed between microaggressions and perceived pay/promotion equity.
Conclusions:
- Despite increasing numbers, female physicians continue to face workplace microaggressions.
- Academic medical institutions need to foster more supportive environments for female physicians.
- Further research is needed to explore racial and ethnic differences due to sample size limitations.
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