{"id":49401,"date":"2021-01-15T17:25:28","date_gmt":"2021-01-15T16:25:28","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49401"},"modified":"2021-01-18T19:51:31","modified_gmt":"2021-01-18T18:51:31","slug":"nikki-nabavi-too-girly-to-be-a-doctor","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/01\/15\/nikki-nabavi-too-girly-to-be-a-doctor\/","title":{"rendered":"Nikki Nabavi: Too girly to be a doctor?"},"content":{"rendered":"

\"\"<\/a>\u201cProfessionalism\u201d is a word that is thrown around a lot in medical education, but what does it really mean? Defined in the Cambridge Dictionary as \u201cthe combination of all the qualities that are connected with trained and skilled people\u201d, there seems to be no official indication of what these \u201cqualities\u201d should encompass. Then why, when you search the word \u201cprofessional\u201d in Google images, are you met with an array of photos of tall, masculine figures in dark and boxy suits? Do we still hold a historical perception of professionalism as a less feminine quality?<\/span><\/span><\/p>\n

On <\/span>Episode 42<\/span><\/a> of <\/span>Sharp Scratch<\/span><\/a>, our BMJ Student podcast, our expert guest Kate Lovett, consultant psychiatrist and dean of the Royal College of Psychiatrists, joined me and some of our regular panelists Laura Nunez-Mulder and Olukayode Oki, as we explored ideas of \u201cprofessionalism\u201d and discussed whether our concept of this as a society is more \u201cmasculine.\u201d We often like to discuss professionalism on Sharp Scratch, as it is a vital part of the \u201chidden curriculum\u201d and the culture of medical school.\u00a0<\/span><\/p>\n

The initial inspiration for this topic was after I received feedback from a consultant that I was \u201ctoo girly\u201d, in the context of \u201cwhat I might improve on.\u201d I couldn’t imagine either of the boys in my group were told that they were \u201ctoo boyish\u201d, or \u201ctoo manly\u201d. What may have just been a poorly phrased piece of verbal feedback (as it was just verbal, and did not make its way onto my official end-of-block sign-off form), sparked a lot of reflection around why I might have received that comment – and whether, should it have been true, it even belonged in a \u201cto be improved\u201d section of my review.\u00a0<\/span><\/p>\n

After hearing my anecdote on the episode, the panel expressed regret that \u201cclearly sexist\u201d comments were still being used as professional feedback.\u00a0 \u201cIt\u2019s a shame that nonsense like that is still being peddled in 2020. I’m aware of other examples, and over time, it has felt like they’ve got fewer and fewer.\u201d Kate said as she reflected on sexism in medicine, and went on to talk about \u201canticipatory limitation of ambition\u201d, recalling a surgeon she came across at medical school, who had asked her mixed tutor group what specialty they wanted to do, before dismissing the girls and saying that they would all be GPs – \u201cgirls don’t do surgery were his exact words.\u201d<\/span><\/p>\n

Kate went on to share that when she was first elected as dean at the Royal College of Psychiatrists, a common question she was asked was, \u201chow is your husband coping?\u201d \u201cI knew for a fact that nobody was asking my other male honorary officers at the college how their wives were coping.\u201d<\/span><\/p>\n

The episode sparked conversation about how society might critique the appearance of professional women in a very different manner to that of men. This is perhaps best demonstrated by looking at women in power in the media. \u201cI really admire Angela Merkel\u201d, said Kate,\u00a0 \u201cBecause she, I think, has a deliberate policy of just wearing the same thing so that it’s not a distraction…But you shouldn’t have to.\u201d She went on to criticise an article she had picked up in <\/span>The Telegraph <\/span><\/i>titled, <\/span>\u201cWhy Kamala Harris is the modern beauty icon the world needs\u201d<\/span><\/a>, for bringing attention to her appearance, instead of \u201cwhat she has to say.\u201d<\/span><\/p>\n

Going back to my own experience on placement – my instinctive reaction was also to reflect on my own appearance, particularly scrutinising what I had worn over the last few weeks to see if I had deserved the \u201ctoo girly\u201d label.\u00a0 While I might be partial to a cute hairband and I own a baby pink stethoscope – I had been wearing the same cycle of outfits I had always worn on placement; I had stuck to hospital dress codes. Perhaps the comment is not just reflective of appearance, but character traits as well. But again we are faced with a familiar question – which character traits are \u201ctoo girly\u201d?<\/span><\/p>\n

Laura mentioned how she finds it helpful to separate the two types of professionalism we might hear about. \u201cThere is a difference between the professionalism that we as doctors aspire to so that we can take better care of our patients, and the other meaning which is a group of customs that you learn which help you be taken seriously by other people.\u201d Laura went on to say how there are a lot of qualities that \u201care regarded as feminine, though are by no means exclusive to women, such as nurturing, or diplomacy\u201d, or a general softness of character.\u00a0 \u201cA lot of the things that might mean you are taken less seriously with your colleagues, are also the same things that might really benefit your patients.\u201d\u00a0\u00a0<\/span><\/p>\n

\u201cThe advice I was given by my fantastic role model surgeon when I was a medical school was look after your patients and your career takes care of itself,,\u201d added Kate.<\/span><\/p>\n

\u201cSo much of this is about being able to bring our authentic selves to work\u201d, added Kate,<\/span><\/p>\n

and questioned why we may feel the need to manipulate things such as our clothes or our accents to fit in. After listening to the episode, a listener wrote in, saying \u201cI have noticed similar prejudice in myself. I have almost felt that girly women let the side down and stop us being taken seriously by men and patients. I now realise that this was the wrong way to look at things, but perhaps [the consultant who gave the feedback] felt similarly to me. When you’ve had to fight to be taken seriously by men, perhaps you start to judge other women much more unfairly.\u201d Our discussions and reflection took place in the hope that moving forward, professionals in medicine, or any other career path, do not feel the need to suppress their more feminine qualities or imitate masculinity in order to fit in or be perceived as professional.<\/span><\/p>\n

—<\/span><\/p>\n

The <\/span>Sharp Scratch<\/span><\/a> Panel:<\/span><\/p>\n

Nikki Nabavi<\/i><\/b>, The BMJ, University of Manchester<\/span><\/i><\/p>\n

Laura Nunez-Mulde<\/i><\/b>r, Final year medical student, Cambridge University, and past editorial scholar, The BMJ<\/span><\/i><\/p>\n

Olukayode Oki<\/i><\/b>, Fourth year medical student, University of Dundee<\/span><\/i><\/p>\n

Episode guests:<\/span><\/p>\n

Kate Lovett<\/i><\/b>, Dean of Royal College of Psychiatrists<\/span><\/i> \u00a0and Consultant Psychiatrist for North and West Plymouth<\/span><\/i><\/p>\n

Listen to the episode on <\/span>Spotify<\/span><\/a> or <\/span>Apple pods\u00a0<\/span><\/a><\/p>\n

Follow us on Twitter:\u00a0<\/span><\/p>\n

Panel: <\/span>@nikkixnabavi<\/span><\/a> @teekayoki <\/span><\/i><\/a>@lnm_rugby<\/span><\/i><\/a>\u00a0<\/span><\/i><\/p>\n

Guest: <\/span>@DrKateLovett<\/span><\/a><\/p>\n

Brought to you by: <\/span>@bmj_latest<\/span><\/a>, <\/span>@BMJStudent<\/span><\/a><\/p>\n

Sponsored by: <\/span>@MPS_Medical<\/span><\/a><\/p>\n

Instagram: <\/span>@BMJ_Student<\/span><\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cProfessionalism\u201d is a word that is thrown around a lot in medical education, but what does it really mean? Defined in the Cambridge Dictionary as \u201cthe combination of all the […]<\/p>\n

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