Celebrating the Work of Our Women Members | P3 the Challenges of Medical Leadership | P13 Asms Branch Officers' Meet |

THE MAGAZINE OF THE ASSOCIATION OF SALARIED MEDICAL SPECIALISTS ISSUE 116 | OCTOBER 2018 CELEBRATING THE WORK OF OUR WOMEN MEMBERS | P3 THE CHALLENGES OF MEDICAL LEADERSHIP | P13 ASMS BRANCH OFFICERS’ MEET | P19 TOI MATA HAUORA INSIDE THIS WOMEN IN ASMS ANGELA BELICH | ASMS DEPUTY EXECUTIVE DIRECTOR ISSUE hen I came to work for ASMS – 3 out of 11. We know that women form and, since 2007, criteria for the starting ISSUE 116 | OCTOBER 2018 Win 2001, women were 22% of a larger proportion of members at the salary has been carefully defined in a way the ASMS membership. Now women bigger DHBs but the smaller DHBs tend to that should minimise unconscious bias. constitute 37% of ASMS members. Given be male-dominated. that ASMS’ membership density in the Factors such as years of relevant permanently employed DHB workforce is We know anecdotally from our industrial experience and qualifications can be around 90%, this is likely to be consistent officers that we have a steady stream of taken into account but reference to women appointed at lower steps, with lesser for all senior medical and dental officers. recruitment and retention as a factor in MORE WAYS TO GET FTE and without the extra allowances of Given the proportion of women in medical their male colleagues. We have even joked setting starting salary was knowingly and YOUR ASMS NEWS school and the proportion of women that a woman joining the roster seems to consciously removed by the parties (both You can find news and views registrars, it seems inevitable that the be a signal that recruitment and retention DHBs and the Association). The ASMS- relevant to your work as a specialist senior salaried medical workforce will is no longer a problem and that any extra DHB MECA is, however, a minimum rate at www.asms.nz. The website is become a majority female workforce in the payments are no longer necessary. When document so there is nothing to prevent updated daily so please add it to near to medium term. It will not necessarily the ASMS industrial staff know about this, an employer paying above the MECA in a your favourites or online bookmarks follow in a straight line. In New Zealand, a we can almost always get the obvious variety of ways. Given the overseas data, to remain up to date. very large proportion of our doctors are inequities corrected. DHBs have no there is reason to suspect that this will international medical graduates (IMGs) ideological commitment to treating women play out in a way that favours men over We’re also on Facebook, Twitter and it’s possible that in New Zealand we unfairly. It is just something that ‘happens’. WOMEN IN ASMS women and male-dominated specialities and LinkedIn, and links to those 03 train more women locally and then recruit Why is explained in the book Why so slow? over the female-dominated. If this is pages are at the top of the ASMS more men than women from overseas. the advancement of women by Virginia happening, it is a breach of the Equal Pay Valian (Valian 1998) which was referred website homepage. Act which has been in force since 1972. 04 CELEBRATING THE WORK OF OUR WOMEN MEMBERS Since 2002 the Association has been to extensively by Caprice Greenberg in collecting data on where senior doctors her presidential address to the American and dentists are on the salary scale by It is a sociological truism that professions USING QR CODES DOES INCREASED USE OF PRIMARY CARE REDUCE PRESSURE ON Association Academic Surgeons (https:// that become female-dominated lose gender. There are important caveats to academicsurgicalcongress.org/aas-2017- You’ll notice QR codes are 11 HOSPITAL SERVICES? this data. It reflects steps on the salary status, power and relative wealth (Pringle president-address-caprice-greenberg-md- 1998). The Association and our members used throughout this issue of scale but not hours of work or any mph/ and also see Greenberg 2017 for full will need to find a way to make sure that The Specialist. They will take you MEDICAL LEADERSHIP – WHY SO HARD TO DO THE ‘RIGHT’ THING? allowances. So, it doesn’t reflect FTE or text of address). to the websites or online articles 13 call or availability or any other after-hours becoming a female dominated profession mentioned in the magazine without payments or recruitment and retention The ASMS DHB MECA (and the salary does not diminish our members’ leadership manually having to type in a REVIEW OF THE STATE SECTOR ACT payments or clinical leadership allowances. scales we have in our other collective role in the public health system but leads website address. 15 agreements) should be very effective at to an era of sustainable work patterns and Over the years, the survey has shown a mitigating against the unconscious bias REMOVAL OF PATHOLOGY FROM THE LONG-TERM SKILL patient-centred care. If you don’t already have a QR steady gap between the salary of men we are all subject to (an online gender SHORTAGE LIST and women members (see Figure 1). reader/scanner on your smart phone, 17 bias test can be found at the following: REFERENCES you can download one for free from We hypothesised that this reflected the https://implicit.harvard.edu/implicit/ relative seniority of the age cohorts that Greenberg, C. C. (2017). “Association for Academic your phone’s app store (eg, Google 2018 ASMS BRANCH OFFICERS’ WORKSHOP takeatest.html). were male dominant and therefore at the Surgery presidential address: sticky floors and Play on Android or the App Store on 19 top of the scale. After 16 years it may be Contrary to the clichés of human glass ceilings.” J Surg Res 219: ix-xviii. Apple phones). It’s simply a matter time to revisit this hypothesis. Pringle, R. (1998). Sex and medicine: gender, power, THE CURSE OF DEFERENCE resources and business management, then of pointing the QR reader at 23 flexibility and deregulation is most likely and authority in the medical profession/Rosemary the QR code on the page of the What else do we know about women in to allow these unconscious biases or Pringle. Cambridge, New York, Cambridge magazine and then clicking through ASMS? We know we have never had a University Press. VITAL STATISTICS schemas to unfold without restriction. to the website link that appears. 25 female President and that we presently Valian, V. (1998). Why so slow? : the advancement of have the largest number of women we ASMS salary scales require movement women/Virginia Valian. Cambridge, Mass., have ever had on our National Executive up the scale on satisfactory performance MIT Press. The Specialist is produced with the generous ASMS 30TH ANNUAL CONFERENCE support of MAS. 25 100% 85% 90% Work through illness COLLECTIVE BARGAINING IN THE NON-DHB SECTOR 84.6% 92% ISSN (Print) 1174-9261 26 80% 75% Work through 73% ISSN (Online) 2324-2787 70% infectious illness 78% FIVE MINUTES WITH NEIL STEPHEN 60% Report witnessing bullying 65% 28 to some degree 70% 50% The Specialist is printed on Forestry Score with 44% 40% personal burnout Stewardship Council approved paper DID YOU KNOW? 59% 30 30% Score with 39% PERCENTAGE SPECIALISTS PERCENTAGE work-related burnout 47% 20% 25% Self-report as bullied 32% ASMS FREE SERVICE 10% 15.4% 31 to some degree 40% 0% 1 2 3 4 5 6 7 8 9 10 11 12 13 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% HISTORIC MOMENTS SALARY STEP 32 Men Women % Female SMOS 2017 % Female SMOS 2007 % Male SMOS 2017 % Male SMOS 2007 THE PROBLEMS OF TREATING THOSE CLOSE TO YOU FIGURE 1: PROPORTION OF SENIOR DOCTORS AND FIGURE 2: KEY DATA FROM RECENT ASMS RESEARCH 33 DENTISTS ON THE ASMS SALARY SCALE BY GENDER AS IT PRESENTS ACCORDING TO GENDER ALL DIFFERENCES BETWEEN MALE AND FEMALE RESPONDENTS FOR EACH VARIABLE ARE STATISTICALLY SIGNIFICANT (P<0.05) 2 THE SPECIALIST | OCTOBER 2018 WWW.ASMS.NZ | THE SPECIALIST 3 I always thought that if the boys could do it, then I could too. TANYA WILTON Tanya Wilton has worked as an emergency physician for the past 10 years, and is employed by Hutt Valley District Health Board. I have had an interesting journey want to play as well as having time for through medicine. I was a graduate my own non-work pursuits. student entering medical school When I started emergency medicine after completing a degree in physical training, there were few specialists in education. It was at the start of my New Zealand and even fewer women. medical degree that higher fees and Those I came across were encouraging student loans were introduced. I had Tanya Wilton (left) with friend Kate CELEBRATING THE WORK and interested in getting trainees on the Neas, who is also an ASMS member managed to pay my own way through path to emergency medicine but it was my first degree without any debt. a pretty tough run for them being only However, the fees and loan scheme refused to accept the historical limits OF OUR WOMEN MEMBERS one of one or two consultants supporting meant that I graduated from medicine that were part of the social mores of a whole department. I completed with a large student debt, in spite of their times. There are many who have most of my training in Australia, continuing to work part time throughout made it easier for women to have a where emergency medicine was more my medical degree. Incongruously one career in medicine. I think the current developed and had greater numbers of of my jobs was at a bottle store and I challenge for medicine as well as ew Zealand led the way 125 years ago which we established at the request of Our next steps include conducting a pilot specialists from whom to learn.

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