Flexible Work Arrangements

I’ve debated this topic with my father, a physician, for over eight years now. He, an old-school doctor, established in his field, has always had a beef about women in medicine – that it’s not fair for them to take spots in medical schools and residencies, if only years later, they are to exit the workforce, or, work part-time.

As his strong-willed, feminist and outspoken daughter, I could not believe what I heard my progressive father say. He, who told me to always “be my own boss.” He, who always told me not to ever have to rely on anyone else “but myself.” He, who supported my every career move. How could he say these words?

Well, you can imagine my astonishment today when I read this Editorial piece in the New York Times called “Don’t Quit Your Day Job,” and written by a female anesthesiologist, Karen Sibert. The premise of her argument is that part-time medical work (the majority of which is taken by women) is bad for medicine because it’s hard for patients, hard financially on the institutions that provide the female doctors’ education and ultimately, bad for the industry because of the so few residency positions available to many hard working and educated young med students.

An excerpt from Sibert’s piece reads:

Students who aspire to go to medical school should think about the consequences if they decide to work part time or leave clinical medicine. It’s fair to ask them — women especially — to consider the conflicting demands that medicine and parenthood make before they accept (and deny to others) sought-after positions in medical school and residency. They must understand that medical education is a privilege, not an entitlement, and it confers a real moral obligation to serve.

She goes on:

You can’t have it all. I never took cupcakes to my children’s homerooms or drove carpool, but I read a lot of bedtime stories and made it to soccer games and school plays. I’ve ridden roller coasters with my son, danced at my oldest daughter’s wedding and rocked my first grandson to sleep. Along the way, I’ve worked full days and many nights, and brought a lot of very sick patients through long, difficult operations.

Patients need doctors to take care of them. Medicine shouldn’t be a part-time interest to be set aside if it becomes inconvenient; it deserves to be a life’s work.

When I read it the first thing my competitive-self thought was, “damn, my father is now validated.”

But I have to think further about it before I really will concede too much ground. I don’t know the ins and outs of residency programs and med school applications and the finances behind Medicare. But, what I do know are my friends, who are doctors, some who work part-time and some who do not, and whether or not our medical world would be better off without them, regardless of their schedule, and their present commitment to their causes.

And the answer is no. I don’t know what the ramifications of women in the medical field will be down the road when I’m old, or g-d forbid, sick. But I can’t imagine that one woman’s choice to stay home with her children more would really impact the big picture of the care I’m getting at any particular moment. And I can’t imagine a world where the caring, thoughtful, smart and dedicated doctor friends of mine are not practicing because of the inflexibility of systems, procedures and old-school rules reinforced by Congress.

I’m not sure if Siber is an anti-feminist. I don’t know if she comes from the old-school world of medicine like my dad, but I appreciate her words. However, in the facile world I live in, I just don’t agree with them.

What say you? Can female doctors work part time, and do it well?

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I’m at the precipice in my new career where I’m too busy to not be working until 11 pm every night, but not busy enough that I can afford more help so that I’m not working until 11 pm at night.

I’m paying to work. The cost of my childcare is just being covered by the revenue I’m generating.

And that’s before taxes.

This is how I think life is going to be as a quasi-consultant until my kids go to school full-time. You mean you thought I was raking in the dough? You thought wrong.

I’m finding that while it’s mentally challenging/ enjoyable, exhilarating, dramatic, funny and cathartic to be working, it’s not exactly lucrative. But little are the options for the stay-at-home-turned-semi-employed-freelancer.

How do you all do it? Are your kids just running around like mad while you’re fielding calls? Are you that efficient during nap time? Do you pull all-nighters like Janice? Do you fake it til you make it? Please tell me if you’ve figured it out.

I found an old blog post of mine about how part-time work is the devil. Ouch. I do see it’s ghoulish qualities, but now that I’m purportedly my own boss, I see the benefits too. Hey, I’m packing it up and high-tailing it to NYC tomorrow.

Which just means I’ll be up to my ears when I get back.

I’m gonna pay for this gig I got either way.

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