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Law and medicine are perhaps worse because these professions impose relatively rigid career tracks upon their members. It's well and good to work 80+ hours/wee
by ShabbyDoo 17y ago
Law and medicine are perhaps worse because these professions impose relatively rigid career tracks upon their members. It's well and good to work 80+ hours/week at a "white shoe" law firm when you're in your late 20's without children. But, even the time off required to push out a baby and recover will have a negative impact on your billable quota. A couple years ago, a friend's firm adopted some new, supposedly mommy-friendly policies in hope of keeping more women on partner track. A few months later, they did a round of lay-offs which included her. She had been working part-time post-child after having received glowing reviews pre-pregnancy. Other firms have done better by offering non-partner track roles which paid less, but offered 40-hour work weeks -- a realistic option taken by a couple of women I know. Perhaps the whole up-or-out partner track model of traditional law firms must change. It's clearly from an era where the rising star was expected to have a stay-at-home wife to take care of things. It can't be the only model by which law can be practiced successfully. This model also adversely affects those opting into law as a second career.
Physicians finish residency around age 30 -- about the average age for college-educated women to have a first child. A friend of ours had to delay residency by two years because a pregnancy required bed rest at the time she was supposed to be finishing up her internship year. The next year's match class was already full. So, after a MD/PhD and fellowship, she will have her first real job at age 37. Maybe the traditional model of "lots and lots of school" followed by being a full-fledged doctor could be replaced by some sort of stepping-stone model which where one could opt out of the rat race for a couple of years in the middle. I'm imagining a path that allows on to practice as doctor-lite (like a nurse practitioner) and later become a full-fledged doctor.
I don't think one can "have it all" -- meaning that a parent can't compete successfully with those willing to sacrifice their lives to work and still show up at the after-school soccer games. Society will have to figure out alternatives for those models of success built-up in the era where it would have been redundant to prepend "stay-at-home" to "wife."
I'm not suggesting that there's anything morally/ethically wrong with the way law firms work today. If a private business wants to limit the available work force through an incentive system that's not fully utilizable by 50% of the population, that's its right. I'm not so comfortable with making a similar statement about medicine because the rites of passage are implicitly set by government regulation rather than market forces. It's not as if I can start-up a certification program for high-end health professionals which will compete with the AMA's MD designations.
- joeyo 17y agoI don't disagree with the substance of your post, but I wanted to note that the AMA, and the national and state licensing boards are non-government entities. While the states do make it illegal to practice medicine without a license (or practice law without a license), for the most part they let these professions regulate themselves.
- ShabbyDoo 17y agoCan I start-up a competing licensing body? That's my issue -- the AMA is given an implicit monopoly by the Federal/State governments.
- johnnybgoode 17y agoI'm not so comfortable with making a similar statement about medicine because the rites of passage are implicitly set by government regulation rather than market forces. It's not as if I can start-up a certification program for high-end health professionals which will compete with the AMA's MD designations. I understand what you're trying to say, but I think this applies to law as well as medicine. The ABA has government-granted privileges, too.
- ShabbyDoo 17y agoYou are absolutely right. I thought about that last night after I wrote this post. In retrospect, I hadn't considered it because (1) the overall level of education required by the ABA is so much less than that required by for a physician (3 years of grad school vs. four years of med school + an internship/residency) and (2) it's much easier to go to law school part-time or in mid-career. Part-time medical schools are few and far between.
- contagionhealth 17y agoLots of friends who are docs (and med students) articulate similar challenges with work/life planning. If your performance metrics are based on project attainment and productivity (trackable) rather than hierarchical position power (or the lack thereof as a PTE post-baby), then women might have a shot at trying both. In the US business culture, unfortunately I think the cultural 'allowance' for women (and all employees) to work in this manner goes organization by organization rather than sector by sector. This isn't a universal, however. http://www.guardian.co.uk/lifeandstyle/2009/oct/21/men-work-paternity-leave http://www.guardian.co.uk/lifeandstyle/2009/oct/21/men-work-... In the Netherlands, where I lived in 2007, for example, both parents are given 16 weeks paid leave. In Chile and Cuba parents are given 18 weeks leave paid at 100%. In Albania it's 1 year at 80 percent. The stats are eye-opening, to say the least. http://en.wikipedia.org/wiki/Parental_leave http://en.wikipedia.org/wiki/Parental_leave The US? Zero paid leave standard, with 12 weeks option to take unpaid leave according to the FMLA, which does not apply to business that employ less than 50 people (aka many startups).