Towards a women oriented medicine Romanian Women doctors

Towards a women oriented medicine. Romanian Women doctors vs Romanian Men doctors Ratios Dr. Denis Păduraru, Dr. Victor Eșanu, Dr. Vlad Haralambie, Dr. Dan Perețianu CFSMR- RTUPR For GA FEMS Napoli , 30 -31 May - 1 June 2019

�Introduction �Gender equity in medicine is a prominent topic in the medical profession represented in medical editorials, scientific literature, and mass media. �There is a gender disparity in the medical profession, including evidence for inequities in evaluation, promotion and avancement 1. �Contributors to gender inequity in medicine include implicit and explicit bias, cultural factors, unsuportive work environments, and representation of women in medicine 2. 1. Shannon M. Ruzycki, Sarah Fletcher; Madalene Earp, Aleem Bharwani, Kirstie C. Lithgow. Trends in the Proportion of Female Speakers at Medical Conferences in the United States and in Canada, 2007 to 2017. JAMA Network Open. 2019; 2(4): e 192103. 2. Mascarenhas A, Moore JE, Tricco AC, et al. Perceptions and experiences of a gender gap at a Canadian research institute and potential strategies to mitigate this gap: a sequential mixed-methods study. CMAJ Open. 2017; 5(1): E 144 -E 151.

�Visibility or representation of women doctors is an important facet of gender equity.

�Objective �To determine the actual trend in the proportion of the women doctors in the healthcare field and medical work organization.

�I. Aim of the study � To investigate the number and percentage of women students enrolled in medicine universities and women doctors involved in the healthcare sector and work organization. �Therefore, our study presents the situation in Romania

II. Material and method v. Collecting the data from Romanian Authorities in this field v Romania in figures. Statistic breviary. Health. In Romanian National Institute of Statistics, pp. 43 -47, 2017.

Romanian Doctors (without dentists) by age and gender Age Men Women Total Men % Women% 24 10 17 27 0, 02 0, 03 25 -34 4740 12001 16741 8, 27 20, 94 35 -44 4115 9803 13918 7, 18 17, 11 45 -54 3768 9047 12815 6, 58 15, 79 55 -64 3701 7897 11598 6, 46 13, 78 65 -74 1036 1111 2147 1, 81 1, 94 75+ 42 16 58 0, 07 0, 03 Total 17412 39892 57304 30, 39 69, 61

Women doctors in Romania (without dentists) Men 30% Women 70% Women Men

AGE Romanian Doctors (without dentists) by age and gender – percent data 75+ 65 -74 55 -64 45 -54 35 -44 25 -34 24 -10, 00 -5, 00 0, 00 5, 00 Men 10, 00 Women 15, 00 20, 00 25, 00

Romanian General Practitioners by age and gender Age Men Women Total Men % Women% 24 0 0, 00 25 -34 334 951 1285 2, 71 7, 71 35 -44 624 2198 2822 5, 06 17, 82 45 -54 683 2774 3457 5, 54 22, 49 55 -64 900 3320 4220 7, 30 26, 92 65 -74 206 340 546 1, 67 2, 76 75+ 2 1 3 0, 02 0, 01 Total 2750 9584 12334 22, 30 77, 70

Women General Practitioners in Romania Men 22% Women 78% Women Men

Romanian General Practitioners by age and gender –percent data AGE 75+ 65 -74 55 -64 45 -54 35 -44 25 -34 24 -10, 00 -5, 00 0, 00 5, 00 Men 10, 00 15, 00 Women 20, 00 25, 00 30, 00

Romanian Other Medicine Specialities by age and gender Age Men Women Total Men % Women% 24 0 0, 00 25 -34 4405 11050 15455 9, 61 24, 10 35 -44 3491 7605 11096 7, 62 16, 59 45 -54 3985 6273 10258 8, 69 13, 68 55 -64 3701 3677 7378 8, 07 8, 02 65 -74 830 771 1601 1, 81 1, 68 75+ 40 15 55 0, 09 0, 03 Total 16452 29391 45843 35, 89 64, 11

Romanianan Other Medicine Specialities by Age and Gender Men 36% Women 64% Women Men

AGE Romanian other medicine specialists by age and gender 75+ 65 -74 55 -64 45 -54 35 -44 25 -34 24 -15, 00 -10, 00 -5, 00 0, 00 5, 00 Men 10, 00 Women 15, 00 20, 00 25, 00 30, 00

�The difference on the percent between women doctor general practitioner and other specialities is huge �Test z = 28, 5. P << 0, 001 �This difference is generated by the few number of younger GP women vs other specialities women ! �Test z = -13, 44. P << 0, 001

Romanian dentists doctors by age and gender Age Men Women Total Men % Women% 24 1 3 4 0, 01 0, 02 25 -34 1848 3734 5582 11, 25 22, 72 35 -44 1730 3469 5199 10, 53 21, 11 45 -54 869 2235 3104 5, 29 13, 60 55 -64 636 1328 1964 3, 87 8, 08 65 -74 238 319 557 1, 45 1, 94 75+ 14 8 22 0, 09 0, 05 Total 5336 11096 16432 32, 47 67, 53

Women Medical Dentist in Romania Men 32% Women 68% Women Men

AGE Romania dentists doctors by age and gender 75+ 65 -74 55 -64 45 -54 35 -44 25 -34 24 -15, 00 -10, 00 -5, 00 0, 00 Men 5, 00 10, 00 Women 15, 00 20, 00 25, 00

Head of departments in "Carol Davila" Bucharest Faculty of Medicine Women 36% Men 64% Women Men

Faculty of Medicine – University “Lucian Blaga” Sibiu Total Head Women% Men % Women% Men Preclinical 22 56% 17 44% 1 0 Internal Medicine 26 72% 10 28% 1 0 Surgical Dep. 3 12% 22 88% 0 1 Nursing 27 75% 9 25% 1 0 Management 3 70% 2 30% 1 0 Total 81 57% 60 43% 4 80% 1 Men % 20%

Head of Departments at Faculty of Medicine. University “Lucian Blaga” Sibiu * Men 20% Women 80% * The European Union Council Informal Summit – 9 May 2019

Women doctors in The Board of CFSMR-RTUPR Men 60% 3 Women 2 Men Women 40% Women doctors Presidents in the National Council of CFSMR-RTUPR 6 Men 67% 12 Women Men Women 33%

IV. Conclusions 1. Although our results indicate that the proportion of women doctors is incresed in healthcare field, women continue to be under-represented as head of departments and in a leadership position. 2. Women doctors in Romania are mostly general practitioners. 3. Younger doctors, including especially women, do not want to be general practitioners !!