Skip to main content
Top
Published in: Digestive Diseases and Sciences 10/2019

01-10-2019 | Chronic Inflammatory Bowel Disease | PROFILES AND PERSPECTIVES

DDS Perspective: Reflections of a Woman in Gastroenterology

Author: Sonia Friedman

Published in: Digestive Diseases and Sciences | Issue 10/2019

Login to get access

Excerpt

When I finished my gastroenterology fellowship in 1999, only about 10% of the gastroenterologic (GI) attending physicians were women [1]. I always considered that an advantage, not an obstacle. At least 50% of GI patients are women, and women prefer female endoscopists [26]. I quickly realized that as a recent female GI graduate, I might have better career opportunities than my male colleagues. In 1999, multiple GI practices were recruiting women because that is what their patients demanded [24]. While there were long waiting lists to see the sole female endoscopist in a given practice, many male endoscopists were searching for patients. In general, women feel more comfortable talking about gas, bloating, diarrhea, pelvic pain, and menstrual symptoms with other women. I have heard male senior gastroenterologists say that only female gastroenterologists should care for female patients. Yet by relegating “women’s GI issues” to women physicians, the medical establishment diminishes not only female patients and their problems, but also the science behind the practice of medicine. A scientific approach to illness accounts for differences among all people and respects all patients regardless of gender. …
Literature
2.
go back to reference Menees SB, Inadomi JM, Korsnes S, Elta GH. Women patients’ preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc. 2005;62:219–223.CrossRefPubMed Menees SB, Inadomi JM, Korsnes S, Elta GH. Women patients’ preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc. 2005;62:219–223.CrossRefPubMed
3.
go back to reference Varadarajulu S, Petruff C, Ramsey W. Patient preferences for gender of endoscopists. Gastrointest Endosc. 2002;56:170–173.CrossRefPubMed Varadarajulu S, Petruff C, Ramsey W. Patient preferences for gender of endoscopists. Gastrointest Endosc. 2002;56:170–173.CrossRefPubMed
4.
go back to reference Shah DK, Karasek V, Gerkin RD, Ramirez FC, Young MA. Sex preferences for colonoscopists and GI physicians among patients and health care professionals. Gastrointest Endosc. 2011;74:122–127.CrossRefPubMed Shah DK, Karasek V, Gerkin RD, Ramirez FC, Young MA. Sex preferences for colonoscopists and GI physicians among patients and health care professionals. Gastrointest Endosc. 2011;74:122–127.CrossRefPubMed
5.
go back to reference Saunders BP, Halligan S, Jobling C, Moussa ME, Bartram CI, Williams CB. Why is colonoscopy more difficult in women? Gastrointest Endosc. 1996;43:124–126.CrossRefPubMed Saunders BP, Halligan S, Jobling C, Moussa ME, Bartram CI, Williams CB. Why is colonoscopy more difficult in women? Gastrointest Endosc. 1996;43:124–126.CrossRefPubMed
6.
go back to reference Mehrotra A, Morris M, Gourevitch RA, et al. Physician characteristics associated with higher adenoma detection rate. Gastrointest Endosc. 2018;87:778–786.CrossRefPubMed Mehrotra A, Morris M, Gourevitch RA, et al. Physician characteristics associated with higher adenoma detection rate. Gastrointest Endosc. 2018;87:778–786.CrossRefPubMed
7.
go back to reference Mahadevan U, Robinson C, Bernasko N, et al. Inflammatory bowel disease (IBD) in pregnancy clinical care pathway—a report from the American Gastroenterological Association IBD parenthood project working group. Gastroenterology. 2019;156:1508–1524.CrossRefPubMed Mahadevan U, Robinson C, Bernasko N, et al. Inflammatory bowel disease (IBD) in pregnancy clinical care pathway—a report from the American Gastroenterological Association IBD parenthood project working group. Gastroenterology. 2019;156:1508–1524.CrossRefPubMed
8.
go back to reference de Silva P, O’Toole A, Marc LG, et al. Development of a sexual dysfunction scale for women with inflammatory bowel disease. Inflamm Bowel Dis. 2018;24:2350–2359.CrossRefPubMedPubMedCentral de Silva P, O’Toole A, Marc LG, et al. Development of a sexual dysfunction scale for women with inflammatory bowel disease. Inflamm Bowel Dis. 2018;24:2350–2359.CrossRefPubMedPubMedCentral
10.
go back to reference Friedman S, Magnussen B, O’Toole A, Fedder J, Larsen M, Nørgård BM. Increased use of medications for erectile dysfunction in men with ulcerative colitis and Crohn’s disease compared to men without inflammatory bowel disease—a nationwide cohort study. Am J Gastroenterol. 2018;113:1355–1362.CrossRefPubMed Friedman S, Magnussen B, O’Toole A, Fedder J, Larsen M, Nørgård BM. Increased use of medications for erectile dysfunction in men with ulcerative colitis and Crohn’s disease compared to men without inflammatory bowel disease—a nationwide cohort study. Am J Gastroenterol. 2018;113:1355–1362.CrossRefPubMed
11.
go back to reference Braun JM, Messerlian C, Hauser R. Fathers matter: why it’s time to consider the impact of paternal environmental exposures on children’s health. Curr Epidemiol Rep. 2017;4:46–55.CrossRefPubMedPubMedCentral Braun JM, Messerlian C, Hauser R. Fathers matter: why it’s time to consider the impact of paternal environmental exposures on children’s health. Curr Epidemiol Rep. 2017;4:46–55.CrossRefPubMedPubMedCentral
12.
go back to reference Soubry A, Hoyo C, Jirtle RL, et al. A paternal environmental legacy: evidence for epigenetic inheritance through the male germ line. Bioessays. 2014;36:359–371.CrossRefPubMedPubMedCentral Soubry A, Hoyo C, Jirtle RL, et al. A paternal environmental legacy: evidence for epigenetic inheritance through the male germ line. Bioessays. 2014;36:359–371.CrossRefPubMedPubMedCentral
13.
go back to reference Rodgers AB, Morgan CP, Leu NA, et al. Transgenerational epigenetic programming via sperm microRNA recapitulates effects of paternal stress. Proc Natl Acad Sci USA. 2015;112:13699–13704.CrossRefPubMedPubMedCentral Rodgers AB, Morgan CP, Leu NA, et al. Transgenerational epigenetic programming via sperm microRNA recapitulates effects of paternal stress. Proc Natl Acad Sci USA. 2015;112:13699–13704.CrossRefPubMedPubMedCentral
14.
go back to reference Ng SF, Lin RC, Laybutt DR, et al. Chronic high-fat diet in fathers programs beta-cell dysfunction in female rat offspring. Nature. 2010;467:963–966.CrossRefPubMed Ng SF, Lin RC, Laybutt DR, et al. Chronic high-fat diet in fathers programs beta-cell dysfunction in female rat offspring. Nature. 2010;467:963–966.CrossRefPubMed
15.
go back to reference Sharma U, Conine CC, Shea JM, et al. Biogenesis and function of tRNA fragments during sperm maturation and fertilization in mammals. Science. 2016;351:391–396.CrossRefPubMed Sharma U, Conine CC, Shea JM, et al. Biogenesis and function of tRNA fragments during sperm maturation and fertilization in mammals. Science. 2016;351:391–396.CrossRefPubMed
16.
go back to reference Fullston T, McPherson NO, Owens JA, et al. Paternal obesity induces metabolic and sperm disturbances in male offspring that are exacerbated by their exposure to an “obesogenic” diet. Physiol Rep. 2015;3:e12336.CrossRefPubMedPubMedCentral Fullston T, McPherson NO, Owens JA, et al. Paternal obesity induces metabolic and sperm disturbances in male offspring that are exacerbated by their exposure to an “obesogenic” diet. Physiol Rep. 2015;3:e12336.CrossRefPubMedPubMedCentral
17.
go back to reference Friedman S, Blumberg RS. Inflammatory bowel disease. In: Longo Braunwald, Isselbacher Fauci, eds. Harrison’s Textbook of Internal Medicine, vol. II. Nineteenth ed. New York: McGraw-Hill Inc.; 2018. Friedman S, Blumberg RS. Inflammatory bowel disease. In: Longo Braunwald, Isselbacher Fauci, eds. Harrison’s Textbook of Internal Medicine, vol. II. Nineteenth ed. New York: McGraw-Hill Inc.; 2018.
18.
go back to reference Bertakis KD, Helms LJ, Callahan EJ, Azari R, Robbins JA. The influence of gender on physician practice style. Med Care. 1995;33:407–416.CrossRefPubMed Bertakis KD, Helms LJ, Callahan EJ, Azari R, Robbins JA. The influence of gender on physician practice style. Med Care. 1995;33:407–416.CrossRefPubMed
19.
go back to reference Roter DL, Hall JA, Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002;288:756–764.CrossRefPubMed Roter DL, Hall JA, Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002;288:756–764.CrossRefPubMed
20.
go back to reference Berthold HK, Gouni-Berthold I, Bestehorn KP, Böhm M, Krone W. Physician gender is associated with the quality of type 2 diabetes care. J Intern Med. 2008;264:340–350.CrossRefPubMed Berthold HK, Gouni-Berthold I, Bestehorn KP, Böhm M, Krone W. Physician gender is associated with the quality of type 2 diabetes care. J Intern Med. 2008;264:340–350.CrossRefPubMed
21.
go back to reference Guardado JR. Policy Research Perspectives Medical Liability Claim Frequency Among U.S. Physicians. American Medical Association Closed Claims Comparative. 2016. Guardado JR. Policy Research Perspectives Medical Liability Claim Frequency Among U.S. Physicians. American Medical Association Closed Claims Comparative. 2016.
Metadata
Title
DDS Perspective: Reflections of a Woman in Gastroenterology
Author
Sonia Friedman
Publication date
01-10-2019
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 10/2019
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-019-05765-6

Other articles of this Issue 10/2019

Digestive Diseases and Sciences 10/2019 Go to the issue