{"id":6870,"date":"2016-07-08T23:24:07","date_gmt":"2016-07-08T22:24:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=6870"},"modified":"2016-07-09T22:21:43","modified_gmt":"2016-07-09T21:21:43","slug":"the-eva-carneiro-case-and-gender-inequality-in-sem-why-it-matters-for-the-sem-community","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2016\/07\/08\/the-eva-carneiro-case-and-gender-inequality-in-sem-why-it-matters-for-the-sem-community\/","title":{"rendered":"The Eva Carneiro case and gender inequality in SEM: Why it matters for the SEM community"},"content":{"rendered":"

By Sheree Bekker @shereebekker<\/a> and Tracy Blake\u00a0@tracyablake<\/a><\/em><\/strong><\/p>\n

“Women want to be leaders, we just put them off as we go along. I think in every program I have ever watched in my life the woman, the female doctor [unclear] is either hyper-sexualised…or she is not present….This is what young girls, what I, grew up with as the perception of what a female doctor was. This needs to change.” ~ <\/em>Dr Carneiro, Swedish Football Association Conference 2014<\/em><\/a><\/p>\n

What the Eva Carneiro case tells us about gender discrimination in sport<\/strong><\/p>\n

As the BJSM blog \u201cTeam doctors have the authority over managers to make medical decisions #PlayerSafety1st\u201d<\/em><\/a> pointed out, the Mourinho\/Carneiro case has highlighted two critical issues: 1) gender discrimination in sport, and 2) a team doctor\u2019s authority to make medical decisions, not the manager.<\/p>\n

The second issue has rightly seen widespread outcry from the SEM community, and opened up much-needed conversation around scope of practice, and player safety. This included Lisa O\u2019Neil\u2019s excellent editorial \u201cNo way Jose! Clinicians have authority over patient care: The manager\u2019s scope of practice does not cover medical decisions\u201d<\/em><\/a>.<\/p>\n

Yet discrimination – specifically gender discrimination – the deeper underlying issue, has seen little to no commentary from within the SEM community. Whilst – as the recent BJSM blog post stated – \u201cwe applaud and celebrate all SEM practitioners who have a commitment to player welfare\u201d<\/em><\/a> – there has been limited outcry over the sexist treatment to which Dr Carneiro has been subjected, both in this case, and in the larger pattern of insidious and benevolent sexism which she has endured over her career.<\/p>\n

The statement put out by Chelsea FC following the settlement of this case is perhaps the most telling sign of what it takes to be successful as a woman within SEM at the professional sports level:<\/p>\n

\u201cWe wish to place on record that in running onto the pitch Dr Carneiro was following both the rules of the game and fulfilling her responsibility to the players as a doctor, putting their safety first. Dr Carneiro has always put the interests of the club’s players first.\u00a0 Dr Carneiro is a highly competent and professional sports doctor. She was a valued member of the club\u2019s medical team and we wish her every success in her future career.\u201d ~ <\/em>Chelsea Football Club Announcement, June 2016<\/em><\/a><\/p>\n

For those in the SEM community, these statements may be self-evident. But we also need to address the perceptions of those with hiring power. The comments of Chelsea\u2019s former manager explicitly questioned Dr Carneiro\u2019s professional knowledge and her ability to fulfil her role field side at a professional event. These sentiments have the potential to not only follow the individual, but become attached to other women in SEM professions.<\/p>\n

The under representation of women in professional SEM roles<\/strong><\/p>\n

Women in SEM roles in professional sport organizations are rare. A look at the 25 Canadian professional franchises in hockey, basketball, baseball, soccer, football and lacrosse, for example, shows that women comprise only 11 of the 219 listed sport medicine and sport science personnel. Negative comments that reference traits associated with being \u2018female\u2019 can implicitly or explicitly damage not only an individual\u2019s future opportunities, but the opportunities for other women clinicians to work with the top professional athletes in the world. The impact of these comments hold even more weight in the modern era, where the globalization of information means that publicly-stated opinions can be accessed with the ease of opening a search engine. This has not been shown to be the case for men in the same situation, if for no other reason than there are simply too many men in these roles for such generalizations to be tenable. The inclusion of the club\u2019s public statement as part of Dr Carneiro\u2019s settlement clearly exonerates her professionally. However, until it is no longer required in order to justify the work of women SEM professionals, in the face of non-expert opinions, we collectively (men and women in the SEM community) have work to do.<\/p>\n

In this way, women in this industry are shown time and time again – both intentionally and unintentionally, explicitly and implicitly – that they do not yet have an equal place in the sporting world. Men in SEM simply do not experience these same underlying messages.<\/p>\n

Sport is often seen as \u2018inherently good\u2019 and put on a pedestal by our society. However, sport is not experienced as exclusively positive by those who are discriminated against. Discrimination exists at the intersection of gender, race, class, and economic disparities. This means that where gender issues are present, intersectional issues such as racism, and discrimination against people who identify as GLTBQIA – amongst others – exist. When these exist, even highly qualified and experienced women like Dr Carneiro are hindered or excluded from doing their jobs.<\/p>\n

Where is our commitment to the safety of our women (and those who identify as women) and other underrepresented minority SEM practitioners, researchers, patients, and research participants? Just because discrimination is not recognised, does not mean that it does not exist. Agile moves around this issue, and careful sidestepping, only add to the unease that our community has with this very issue.<\/p>\n

Let\u2019s unpack this pattern with some recent examples from our research and context:<\/span><\/strong><\/p>\n