SDN Article: Why Men Should Consider OB/GYN as a Specialty

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Bernard Lynch

The Student Doctor Network publishes articles weekly. Check out this article or other articles about residency and the Match at Student Doctor Network.


“A woman needs a man like a fish needs a bicycle,” croons U2 in the song “Tryin’ to Throw Your Arms Around the World.” The same could be said for the field of Obstetrics and Gynecology (OB/GYN).

I entered my career as an OB/GYN physician with a desire to help families at what, for many, is a critical turning point in their lives. As the years go by, I notice that no matter the workplace, I am often only one of a handful of or the only, male OB/GYN on staff.

The slow and steady decrease of men entering this specialty is well known. Reflecting on this, I cannot help but think about my own clinical journey. Working on labor and delivery has had a positive impact on my professional, and personal, growth. Helping my patients navigate a difficult pregnancy or birth experience makes me a better husband and father, improving the care I provide for my patients.

During my third-year clerkship in medical school, I approached my OB/GYN rotation with a bit of trepidation, as the rotation had a reputation as being quite stressful. I was a single male with no children, and I was not sure what to expect or what I had to bring to the table. Everything was foreign to me, so it caught me by surprise when I found myself falling in love with it. In retrospect, though, it made sense. I care deeply about women’s reproductive rights and come from a family of strong, empathetic women who embody service to others in their personal and professional lives.

From being present at the birth of someone’s child (and getting a hug from the new grandma in the room afterward) to participating in a complex pelvic reconstruction that changed a woman’s life, the daily experiences that I had during that clerkship only strengthened my love of the field. When a patient I treated in the emergency room as a medical student told me never to lose my bedside manner, I took that to heart. Entering the field as a full-fledged physician and meeting my dedicated colleagues, I was confident I would be able to maintain the passion for the field that had first hooked me as a student.

In my current role as an OB hospitalist, I work as part of a cohesive medical team. We are charged with meeting the needs of the patient, their partner, family members, or support persons. During difficult deliveries, emergency situations, or tragedies that can occur during pregnancy, a physician’s skills, compassion, and empathy become the most important qualities.

The stereotype of the paternalistic male gynecologist may be well-founded; however, medical training has made great strides over the last few decades to overcome outdated attitudes when it comes to women’s health. Today, medical schools are increasingly focused on teaching skills to elevate physician bedside manner and encourage students to empathize with patients from all walks of life.

While OB/GYN as a specialty has become predominantly female over the last several decades, male medical students interested in specializing in OB/GYN should not be deterred — it is a truly rewarding career. While many patients prefer female OB/GYNs, a number of women do not have a gender preference, and a small percentage still prefer a male physician. Skill-wise, there is nothing I bring to the table that my female colleagues are not equally capable of providing. However, I am committed to being a compassionate and skilled provider for my patients, and my gender has nothing to do with that.

OB/GYN can be a challenging, but incredibly rewarding career. The specialty tends to understand the need for work-life balance and family time outside of work. In my current role as an OB hospitalist, I have an even greater ability to make time for my wife and four children, while maintaining passion for my work. For male medical students considering entering OB/GYN, the benefits far outweigh the challenges.

If a male medical student is inspired to pursue a career as an OB/GYN and feels that they can provide genuine and meaningful care for women, they should not let the makeup of the physician workforce dissuade them. Yes, working to attract patients can be more challenging as a male in the field. But if male students have the ability and desire to connect with patients and their families in a meaningful way, and are intent on making a difference through providing excellent care, they should not be deterred.

The post Why Men Should Consider OB/GYN as a Specialty appeared first on Student Doctor Network.

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This is gonna be a controversial take but OBGyn is an overworked, underpaid field that requires 24/7/365 coverage, often in-house, and features far and away the worst litigation environment in all of medicine. I don’t know if the phrase “work-life balance” really means the same thing to you as it does to most of us.

I would recommend any student think twice regardless of gender, but especially men in 2023, unless as a stepping stone to REI perhaps
 
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This is gonna be a controversial take but OBGyn is an overworked, underpaid field that requires 24/7/365 coverage, often in-house, and features far and away the worst litigation environment in all of medicine. I don’t know if the phrase “work-life balance” really means the same thing to you as it does to most of us.

I would recommend any student think twice regardless of gender, but especially men in 2023, unless as a stepping stone to REI perhaps

Not controversial at all, right on point in fact.
 
Why a man would want to step into the cluster**** that is the OB world...

But then again let others make mistakes if they want to. Not my problem.
 
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The Student Doctor Network publishes articles weekly. Check out this article or other articles about residency and the Match at Student Doctor Network.


“A woman needs a man like a fish needs a bicycle,” croons U2 in the song “Tryin’ to Throw Your Arms Around the World.” The same could be said for the field of Obstetrics and Gynecology (OB/GYN).

I entered my career as an OB/GYN physician with a desire to help families at what, for many, is a critical turning point in their lives. As the years go by, I notice that no matter the workplace, I am often only one of a handful of or the only, male OB/GYN on staff.

The slow and steady decrease of men entering this specialty is well known. Reflecting on this, I cannot help but think about my own clinical journey. Working on labor and delivery has had a positive impact on my professional, and personal, growth. Helping my patients navigate a difficult pregnancy or birth experience makes me a better husband and father, improving the care I provide for my patients.

During my third-year clerkship in medical school, I approached my OB/GYN rotation with a bit of trepidation, as the rotation had a reputation as being quite stressful. I was a single male with no children, and I was not sure what to expect or what I had to bring to the table. Everything was foreign to me, so it caught me by surprise when I found myself falling in love with it. In retrospect, though, it made sense. I care deeply about women’s reproductive rights and come from a family of strong, empathetic women who embody service to others in their personal and professional lives.

From being present at the birth of someone’s child (and getting a hug from the new grandma in the room afterward) to participating in a complex pelvic reconstruction that changed a woman’s life, the daily experiences that I had during that clerkship only strengthened my love of the field. When a patient I treated in the emergency room as a medical student told me never to lose my bedside manner, I took that to heart. Entering the field as a full-fledged physician and meeting my dedicated colleagues, I was confident I would be able to maintain the passion for the field that had first hooked me as a student.

In my current role as an OB hospitalist, I work as part of a cohesive medical team. We are charged with meeting the needs of the patient, their partner, family members, or support persons. During difficult deliveries, emergency situations, or tragedies that can occur during pregnancy, a physician’s skills, compassion, and empathy become the most important qualities.

The stereotype of the paternalistic male gynecologist may be well-founded; however, medical training has made great strides over the last few decades to overcome outdated attitudes when it comes to women’s health. Today, medical schools are increasingly focused on teaching skills to elevate physician bedside manner and encourage students to empathize with patients from all walks of life.

While OB/GYN as a specialty has become predominantly female over the last several decades, male medical students interested in specializing in OB/GYN should not be deterred — it is a truly rewarding career. While many patients prefer female OB/GYNs, a number of women do not have a gender preference, and a small percentage still prefer a male physician. Skill-wise, there is nothing I bring to the table that my female colleagues are not equally capable of providing. However, I am committed to being a compassionate and skilled provider for my patients, and my gender has nothing to do with that.

OB/GYN can be a challenging, but incredibly rewarding career. The specialty tends to understand the need for work-life balance and family time outside of work. In my current role as an OB hospitalist, I have an even greater ability to make time for my wife and four children, while maintaining passion for my work. For male medical students considering entering OB/GYN, the benefits far outweigh the challenges.

If a male medical student is inspired to pursue a career as an OB/GYN and feels that they can provide genuine and meaningful care for women, they should not let the makeup of the physician workforce dissuade them. Yes, working to attract patients can be more challenging as a male in the field. But if male students have the ability and desire to connect with patients and their families in a meaningful way, and are intent on making a difference through providing excellent care, they should not be deterred.

The post Why Men Should Consider OB/GYN as a Specialty appeared first on Student Doctor Network.

Continue reading...

Dumb article

The field has been thoroughly devastated from a compensation perspective while the workload and litigation is high.

I typically don't recommend the field to anyone who asks, men or women. I say this even though I don't even take call anymore and work regular hours ( Monday through Friday, 8am/9am to 5pm). I'm actually reasonably content with my current job situation but I know the dark side of how brutal taking call can be.

The field does need men because they need more bodies to take call and see patients. Women in general will either work less hours or run boutique GYN only practices etc that basically reduces access to care especially for obstetrics. It's not something that is overtly stated or popular to acknowledge but is true.
 
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“OB hospitalists” are some of the scariest people
I have come across.
 
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“OB hospitalists” are some of the scariest people
I have come across.
The only time I got screamed at by residents as a 3rd year medical student was when I was on OB. Some of those residents had absolutely horrific personalities. They made the surgery residents seem calm and composed by comparison.

Also…every single time I encountered OB residents while I was in residency, usually there would be one guy out of 10 female residents or something, and that guy was always a total weirdo. I’ve never encountered a male OB under the age of 50 or so who was “normal”.
 
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About 10 years ago I got paired up at the golf course with a male OB/Gyn doc from suburban Chicago. He was a private practice doc. He told me his group would not hire any new male OB/Gyn docs fresh out of residency. According to him, OB/Gyn patients in the Chicago suburbs did not want to see male physicians.
 
About 10 years ago I got paired up at the golf course with a male OB/Gyn doc from suburban Chicago. He was a private practice doc. He told me his group would not hire any new male OB/Gyn docs fresh out of residency. According to him, OB/Gyn patients in the Chicago suburbs did not want to see male physicians.
OB in Chicago, you say?

 
OB in Chicago, you say?

Very sad case for the patient. Also odd it took so long for this to get sorted out.

Odd they sued the fellow and resident--I see no mention of an attending physician. Usually residents/fellows are included in a lawsuit along with an attending.

I hope most of that $55 million is coming from the hospital. If not, the family won't see much money since most medmal policy limits are $1 million. Not sure if OB-Gyns commonly carry more, but that's the standard. Which puts those docs in a big bind as their personal assets are at risk now.
 
Very sad case for the patient. Also odd it took so long for this to get sorted out.

Odd they sued the fellow and resident--I see no mention of an attending physician. Usually residents/fellows are included in a lawsuit along with an attending.

I hope most of that $55 million is coming from the hospital. If not, the family won't see much money since most medmal policy limits are $1 million. Not sure if OB-Gyns commonly carry more, but that's the standard. Which puts those docs in a big bind as their personal assets are at risk now.

Depending on the type of fellow, they may have technically been the attending, but unsure.

The hospitals are the main target for these ob lawsuits. They have the deepest pockets.

Docs will get named but will typically just go after the max of their policy.

My current job is an FQHC so I am covered through FTCA. I have a supplemental $2 million/$4 million policy.

Most are $1 million/$3 million.
 
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For the OP, as a male OB hospitalist, are you always on call with a woman or how do you handle it when a patient doesn’t want a male OB?

I think it’s important for male students to understand the challenges they will face taking attending call when a patient has an emergent problem and is horrified to see them walk in.
 
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For the OP, as a male OB hospitalist, are you always on call with a woman or how do you handle it when a patient doesn’t want a male OB?

I think it’s important for male students to understand the challenges they will face taking attending call when a patient has an emergent problem and is horrified to see them walk in.

Ob hospitalist usually cares for unassigned patient. They don't have a choice unless they want to leave AMA. And honestly, for laborist work, the laborist won't care because it's less work for them.

No different then a patient going to an ED with only a male physician and they have a gynecologic issue that requires an exam.

Or getting a consult in certain areas where there is only one urologist or GI ( usually male).
 
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That response really illustrates just how limiting it is. The job is possible because unassigned patients lack autonomy and, although they'd rather not see the male physician, they don't have a choice.

I think its also important to realize that the more subspecialized a physician is, the more their expertise becomes what patients value.

And if a male OB is going to write an article on the subject, it would be better if it actually discussed the issue rather than simply making a single comment largely dismissing the concerns.
 
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That response really illustrates just how limiting it is. The job is possible because unassigned patients lack autonomy and, although they'd rather not see the male physician, they don't have a choice.

I think its also important to realize that the more subspecialized a physician is, the more their expertise becomes what patients value.

And if a male OB is going to write an article on the subject, it would be better if it actually discussed the issue rather than simply making a single comment largely dismissing the concerns.

Agreed. The article is lacking and not that good.

But laborist/hospitalist is a different job then what people typically think of for most OBGYNs which is a mix of clinic/taking call for delivering your patients.

One may have trouble getting a job with certain groups if they are all female. That won't change. They advertise as such and some women will only see a biologically female OBGYN.

I'm Subspecialtized and still do some general work to help out the organization. I'm booking out 2 months for office visits and 3 to 4 for surgery.

Regardless, there are a lot of jobs, both hospitalist/laborist and even group practices/health systems due to the increased demand.

I'm in Southern California and there are plenty of jobs of any practice type ( traditional group practice, hospital affiliated, clinic only, laborist, FQHC etc) for any gender OBGYN.

I tell people regardless of the job situation, which is actually quite robust, the specialty is not worth the hassle. There are more lucrative specialties with less headaches. This is for both men and women.
 
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As someone who seriously considered OB/GYN and found the field interesting, never have I ever met a more difficult and sad group of people to work with than the ob/gyn residents (at my institutions; I'm sure ya'll are lovely elsewhere!).
 
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One may have trouble getting a job with certain groups if they are all female. That won't change. They advertise as such and some women will only see a biologically female OBGYN.
I never really thought about this before but I wonder how it is legal to advertise that you only hire <members not of a specific protected class> 🤔
 
I never really thought about this before but I wonder how it is legal to advertise that you only hire <members not of a specific protected class> 🤔

They won't specifically say they won't hire men. What they'll do is advertise as an all female group in their recruitment ad. That's usually the tell.

There's a big private practice group that was hiring and specifically listed themselves as such in the job posting.

I'm pretty sure if they received a CV from a guy, it would just get trashed.
 
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I'm a male attending OBGYN.
The hours can be long, litigation is as bad or worse as any other field, and no it does not pay as well as other surgical specialties. And I've been there through the dark times of residency with other mainly female residents who did not think highly of males in the field. Very few patients have that same outlook. I enjoy the wide variety each day brings me of clinic, labor, delivery and OR. In my group the busiest and arguably most desired providers are male. I do believe strong male gynecologists can have a long and successful career in this field and I hope they continue to repopulate the residency pool. I chose a field based on what I enjoy and not what others thought.
 
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