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I wasn't there for my son's first steps or first words. When I had children, I felt tremendous guilt about being what I considered tantamount to an absentee mom -- and I didn't feel very tough. Julie Frieschlag, former surgeon-in-chief at Johns Hopkins, once wrote "the environment must be made more amenable to women" when discussing the lack of women in surgery. Another was told by a transplant surgeon that women surgeons are only useful in the operating room as organ donors. Almost half of new medical school graduates are women , and they will represent a growing proportion of the cohort of physicians who are accepting new patients. As a woman in my early 30s, I felt it was a reasonable time to start a family. Another difficulty is that the lifestyle is not very conducive for having a family -- a reason frequently cited by women medical students when deciding not to pursue a surgical field.

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It's inspiring to see smart, capable women in fields such as engineering and physics take charge of this issue. But that was my decision. Only a handful of women currently hold leadership positions -- you can count on two hands the number of female Department Chairs of Surgery in the country. Anyone who has watched Grey's Anatomy would agree with that, however exaggerated or inaccurate Hollywood portrayals may be. I loved being fully immersed in surgery.

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He was on the phone, but when I entered the room, he said, "Hang on, the aide just came in to give me my newspaper. I dealt with frustration and resentment from my family and friends as surgery became a major priority in my life. In particular, male patients seem uncomfortable with female physicians' use of chaperones during office visits. One surgeon told me that when her co-resident became pregnant, her program director said, "This is why we didn't want to match two girls in the same year. Somewhere near the end of my eight years of surgical training, I was operating with an older female attending surgeon.

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Description: Roughly half of the patients returned within that time if they shared their physicians' gender. I left the house before my children woke up and arrived home after they were asleep, which left me feeling empty and depressed -- emotions that I stifled at work. In addition, there is a severe paucity of female mentors. But as residents, we were also subtly praised for being more masculine, more tough. Women surgeons appear to take three distinct approaches to manage this internal conflict to prove their worthiness. We finished the operation and I headed home later that day.
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