How do we get more women into healthcare and medical leadership?

Cultural change is needed to increase the number of women in healthcare and medical leadership in Australia, according to Australian researchers. In a perspective piece, the authors outline how women are continually underrepresented in leadership despite making up 70% of the global health workforce. The researchers argue increasing female representation in leadership will have positive outcomes for healthcare, and outline the strategies required to increase gender balance in leadership. In a second perspective piece, Australian authors discuss the ‘glass cliff’ phenomenon, where they argue women tend to be appointed to leadership positions in times of crisis but less so during periods of stability

Journal/conference: Medical Journal of Australia

Link to research (DOI): 10.5694/mja2.52244

Organisation/s: Monash University, Swinburne University of Technology, RMIT University

Funder: Paper 1: Jenny Proimos is supported by an Australian Government Research Training Program (RTP) stipend. Paper 2: Laksmi Govindasamy is a PhD candidate supported by an Australasian College for Emergency Medicine Swinburne University Postgraduate Research Award scholarship. The funding source had no role in any part of the preparation of this manuscript.

Media release

From: Medical Journal of Australia (MJA)

Push for more women in medical leadership this International Women’s Day

Women continue to be under-represented in health care and medical leadership in Australia, with experts labelling the disparity an issue of “equity and social justice”.

The burden of addressing barriers on a woman’s path to leadership should not sit with individuals, but with changing the culture, organisations and systems where women work, according to a new Perspective article published today in the Medical Journal of Australia.

A renewed push is under way to improve the disparity, writes paediatrician Dr Jenny Proimos and colleagues, through the Advancing Women in Healthcare Leadership (AWHL) initiative, funded by the National Health and Medical Research Council (NHMRC).

A key focus of the AWHL initiative is recognising the role played by member organisations, including professional associations and medical colleges.

Eight colleges and member organisations partnered with the AWHL to explore the systems and policies they have in place to help advance women in the field.

The feedback from member organisations on the AWHL initiative has been very positive, with more funding now secured from the NHMRC.

Extensive engagement continues with member organisations as one way to improve the representation of women in health care and medical leadership.

Concerns as women in medicine hit a  career “glass cliff”

Women in medicine face a persistent “glass cliff” when trying to obtain leadership positions, according to a Perspective article published in the Medical Journal of Australia today to mark International Women’s Day.

Although more women took on medical leadership positions during the coronavirus disease 2019 (COVID-19) pandemic, there appears to be a “glass cliff phenomenon” in Australia, Dr Melissa Wheeler from RMIT University and Dr Laksmi Govindasamy wrote. 

Women tend to be appointed to leadership positions in times of crisis, where they are often put under increased demands, they argue.

“The glass cliff phenomenon, drawn from the glass ceiling concept, refers to the tendency for women and other minoritised people to be appointed to leadership positions in times of crisis, compared with periods of stability,” Dr Wheeler and Dr Govindasamy wrote. 

“This is because, when circumstances are bad, change is both desired and needed, and women and other minoritised people are often pushed forward as visible signals of change.”

Many gender equity initiatives fail to improve women’s representation in medical leadership, they argue, with too many initiatives aimed at professional development for individuals who are seeking or holding leadership positions.

This approach “ignores the structural barriers that continue to be unchallenged with such supply side approaches,” Dr Wheeler and Dr Govindasamy wrote.


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