Changing the Palace Guard: Analysing the Impact of Women's Entry into Medicine

Women's rapid entry into medicine raises important questions about change in this historically male‐dominated profession. In addition to shifting the gender balance, do increasing numbers of women signal a more fundamental change in the way in which medicine is organized and practised? A growing body of research suggests such change. Yet there is continuing controversy about the meaning of observed gender differences in practice, whether they reflect an essentially pragmatic response to women's dual workload of family and career, or whether they are the result of underlying differences in attitudes, values and orientations. This article uses data from a survey of a recent cohort of family physicians in Ontario, Canada, to document the extent of gender differences and similarities in medical practice, and their interrelationships to family situation, political attitudes and patient care attitudes. The results show that seemingly related differences in practice are accounted for in different ways: while some are associated with differences in family situation, others are tied to attitudes, while others are a function of gender alone. The results also reveal gender similarities which do not suggest that women are becoming more like men, but that men, and the profession as a whole are changing. We would emphasize the importance of interpreting gender differences and similarities within a broader conceptual understanding of change in the profession.