Reasons and remedies for under-representation of women in medical leadership roles: a qualitative study from Australia

OBJECTIVE: To elicit medical leaders' views on reasons and remedies for the under-representation of women in medical leadership roles.

DESIGN: Qualitative study using semistructured interviews with medical practitioners who work in medical leadership roles. Interviews were transcribed verbatim and transcripts were analysed using thematic analysis.

SETTING: Public hospitals, private healthcare providers, professional colleges and associations and government organisations in Australia.

PARTICIPANTS: 30 medical practitioners who hold formal medical leadership roles.

RESULTS: Despite dramatic increases in the entry of women into medicine in Australia, there remains a gross under-representation of women in formal, high-level medical leadership positions. The male-dominated nature of medical leadership in Australia was widely recognised by interviewees. A small number of interviewees viewed gender disparities in leadership roles as a 'natural' result of women's childrearing responsibilities. However, most interviewees believed that preventable gender-related barriers were impeding women's ability to achieve and thrive in medical leadership roles. Interviewees identified a range of potential barriers across three broad domains-perceptions of capability, capacity and credibility. As a counter to these, interviewees pointed to a range of benefits of women adopting these roles, and proposed a range of interventions that would support more women entering formal medical leadership roles.

CONCLUSIONS: While women make up more than half of medical graduates in Australia today, significant barriers restrict their entry into formal medical leadership roles. These constraints have internalised, interpersonal and structural elements that can be addressed through a range of strategies for advancing the role of women in medical leadership. These findings have implications for individual medical practitioners and health services, as well as professional colleges and associations.

Culturally diverse parenting: an Australian study

In a period of educational reform that gives much attention to children?s family experiences, gaining an understanding of diverse cultural views of parenting is important. This is especially so for Australia, a multicultural society where the values of diversity, culture, family, and community are all shared in early childhood education. This article reports a study in Australia that explored the viewpoints of seven culturally diverse women on raising young children. By engaging with multiple cultural groups, the study seeks to expand scholarship on culturally diverse education which tends to draw on samples of single ethnic communities. The purpose is to locate the concept of parenting within a broader concept of culture and more importantly within the paradigm of diversity. Findings suggest that ideas of “culture”, “minority” and “difference” played a complex and dynamic role in the parents? experiences, and their childrearing practice was an articulation of cultural relationship that characterised the life of children and parents in resettlement contexts.

Motivation, responsibility and anxiety : parenting dispositions of Chinese mothers

One of the key principles in the ideology which underpins education is the value of children’s family experience. Central to this idea is the view of parents as important. Parenting has become a vital dimension in contemporary education. Parenting discourses traditionally focus on such concepts as parenting style, approach, attitude or practice. The main consideration behind these concepts is what parents appear to be doing at a single point of time, referring to parenting per se. This paper takes on the notion of disposition in order to understand urban Chinese mothers’ habitual and characteristic ways of child rearing. It presents evidence to show that a group of Chinese mothers had parenting dispositions of motivation, responsibility and anxiety. Data came from a series of conversations between 50 Chinese mothers of preschool children and five early childhood teachers through a synchronous online text chat. In the process of consulting the early childhood teachers, the parents expressed many concerns, questions and views of childrearing and early childhood education, thereby providing evidence about their thinking and behaviour. Drawing on the concept of ‘disposition’, the study provides insights into the common thinking threads that characterized Chinese parenting and the ways those threads were woven into their disposed approaches to child rearing and early education.