When Doctors Sweat

A career in medicine means jumping out of bed in the middle of the night for emergencies, making rounds after hours, treating cranky patients, and dodging malpractice suits. It's a stressful occupation. What's not so easy to tell is what stresses physicians the most.

Psychologist Edith B. Gross, Ph.D., now knows. It all depends on gender. Male and female physicians perceive different things as stressors.

In matters such as how to diagnose and treat, the sexes are remarkably similar; they go through the same medical school grind and job training. But with stress, the differing patterns of male/female socialization show their weary faces.

A professor at Beaver College, Gross found that medicine's time-demands bug women docs the most. Runner-up is career-family conflict. Men mainly struggle with the doctor-patient relationship.

Around 51.5 percent of male doctors found patient relationships stressful, while only 17.9 percent of women docs did. On the other hand, 43.6 percent of women felt stress in juggling career and family, compared with a measly 6.1 percent of men.

Medicine is one of the most demanding professions in terms of time, and though it squeezes both men and women, it affects women more because they carry more domestic responsibilities. "The house and kids are ultimately the responsibility of the mom," Gross explains. As it turns out, women physicians usually marry men physicians, while male docs usually marry women with less demanding careers and more time.

Also, as a minority in medicine, women feel pressure to perform well, while simultaneously trying to be perfect wife and mother. Many make sacrifices, usually in their career; female physicians work part-time more often, and pick less demanding specialties.

Relationships with patients rack men's nerves the most, especially lately, as power shifts away from physicians. Patients no longer see them as all-knowing. "Male doctors feel like their expertise is being questioned," says Gross. Women never even define the doctor-patient relationship as a power thing.

The real kicker for male docs is the threat of malpractice suits. They get sued more often than women docs, which makes doctor-patient relations tense. When women do feel stress in patient interaction, it's because it's emotionally draining.

Tags: beaver college, career family, different things, doctor, domestic responsibilities, family conflict, female physicians, female socialization, gender, male doctors, malpractice suits, medicine women, patient relationships, perfect wife, power shifts, sacrifices, sexes, stress, stressful occupation, stressors, time, time demands, work, work part time

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