Abstract
Women continue to face gender-related challenges in the medical field in places around the world where it has traditionally been male-dominated, including in the U.S. In an online experimental study with women attending a mid-sized public university in the Northeastern U.S. (N = 55) who were interested in pursuing a pre-medical track (being pre-med) as undergraduates, we explored the mechanisms involved in undergraduate women’s pursuit of a career as a physician, focusing on three factors: exposure to successful female physician role models, perceived identity compatibility between being a woman and being pre-med, and sense of belonging in pre-med. Participants were randomly assigned to an experimental condition in which they were exposed to information about successful female physicians, or to a control condition in which no information about female physicians was provided. First, as hypothesized, participants exposed to successful female physicians reported higher perceived identity compatibility, sense of belonging, and interest in a medical career compared to those in the control condition. Second, also as hypothesized, perceived identity compatibility mediated the effect of role models on sense of belonging, and sense of belonging mediated the relationship between perceived identity compatibility and interest in a medical career. This study highlights three key factors in women’s pursuit of a career as a physician and the process through which these factors may operate. Findings support the use of role models to set a positive psychosocial process in motion that can support women’s persistence in medicine.
Similar content being viewed by others
References
Aron, A., Aron, E. N., & Smollan, D. (1992). Inclusion of other in the self scale and the structure of interpersonal closeness. Journal of Personality and Social Psychology, 63, 596–612. doi:10.1037/0022-3514.63.4.596.
Asgari, S., Dasgupta, N., & Stout, J. G. (2012). When do counterstereotypic ingroup members inspire versus deflate? The effect of successful professional women on young women’s leadership self-concept. Personality and Social Psychology Bulletin, 38, 370–383. doi:10.1177/0146167211431968.
Babaria, P., Bernheim, S., & Nunez-Smith, M. (2011). Gender and the pre-clinical experiences of female medical students: A taxonomy. Medical Education, 45, 249–260. doi:10.1111/j.1365-2923.2010.03856.x.
Barr, D. A., Gonzalez, M. E., & Wanat, S. F. (2008). The leaky pipeline: Factors associated with early decline in interest in premedical studies among underrepresented minority undergraduate students. Academic Medicine, 83, 503–511. doi:10.1097/ACM.0b013e31816bda16.
Barzansky, B., & Etzel, S. I. (2008). Medical schools in the United States, 2007–2008. Journal of the American Medical Association, 300, 1221–1227. doi:10.1001/jama.300.10.1221.
Blake-Beard, S., Bayne, M., Crosby, F., & Muller, C. (2011). Matching by race and gender in mentoring relationships: Keeping our eyes on the prize. Journal of Social Issues, 67, 622–643. doi:10.1111/j.1540-4560.2011.01717.x.
Cheryan, S., Plaut, V. C., Davies, P. G., & Steele, C. M. (2009). Ambient belonging: How stereotypical cues impact gender participation in computer science. Journal of Personality and Social Psychology, 97, 1045–1060. doi:10.1037/a0016239.
Dasgupta, N., & Asgari, S. (2004). Seeing is believing: Exposure to counterstereotypic women leaders and its effect on the malleability of automatic gender stereotyping. Journal of Experimental Social Psychology, 40, 642–658. doi:10.1016/j.jesp.2004.02.003.
Eccles, J. S. (2005). Subjective task value and the Eccles et al. model of achievement-related choices. In A. J. Elliot & C. S. Dweck (Eds.), Handbook of competence and motivation (pp. 105–121). New York: The Guilford Press.
Eccles, J. S., Wigfield, A., Harold, R. D., & Blumenfeld, P. (1993). Age and gender differences in children’s self- and task perceptions during elementary school. Child Development, 64, 830–847. doi:10.2307/1131221.
Else-Quest, N. M., Hyde, J. S., & Linn, M. C. (2010). Cross-national patterns of gender differences in mathematics: A meta-analysis. Psychological Bulletin, 136, 103–127. doi:10.1037/a0018053.
Finn, J. D. (1989). Withdrawing from school. Review of Educational Research, 59, 117–142. doi:10.3102/00346543059002117.
Fiorentine, R., & Cole, S. (1992). Why fewer women become physicians: Explaining the premed persistence gap. Sociological Forum, 7, 469–496. doi:10.1007/BF01117557.
Gilbert, L. A., Gallessich, J. M., & Evans, S. L. (1983). Sex of faculty role model and students’ self-perceptions of competency. Sex Roles, 9, 597–607. doi:10.1007/BF00290067.
Good, C., Aronson, J., & Harder, J. A. (2008). Problems in the pipeline: Stereotype threat and women’s achievement in high-level math courses. Journal of Applied Developmental Psychology, 29, 17–28. doi:10.1016/j.appdev.2007.10.004.
Good, C., Rattan, A., & Dweck, C. S. (2012). Why do women opt out? Sense of belonging and women’s representation in mathematics. Journal of Personality and Social Psychology, 102, 700–717. doi:10.1037/a0026659.
Hogg, M. A., & Abrams, D. (1988). Social identifications: A social psychology of intergroup relations and group processes. Florence: Taylor & Francis/Routledge.
Hoyt, C. L., & Simon, S. (2011). Female leaders: injurious or inspiring role models for women? Psychology of Women Quarterly, 35, 143–157. doi:10.1177/0361684310385216.
Langballe, E. M., Innstrand, S. T., Aasland, O. G., & Falkum, E. (2011). The predictive value of individual factors, work-related factors, and work–home interaction on burnout in female and male physicians: A longitudinal study. Stress and Health, 27, 73–87. doi:10.1002/smi.1321.
Lo Sasso, A. T., Richards, M. R., Chou, C., & Gerber, S. E. (2011). The $16,819 pay gap for newly trained physicians: The unexplained trend of men earning more than women. Health Affairs, 30, 193–201. doi:10.1377/hlthaff.2010.0597.
Lockwood, P. (2006). “Someone like me is successful”: Do college students need same-gender role models? Psychology of Women Quarterly, 30, 36–46. doi:10.1111/j.1471-6402.2006.00260.x.
Lockwood, P., & Kunda, Z. (1997). Superstars and me: Predicting the impact of role models on the self. Journal of Personality and Social Psychology, 73, 91–103. doi:10.1037/0022-3514.73.1.91.
London, B., Downey, G., Romero-Canyas, R., Rattan, A., & Tyson, D. (2012). Gender based rejection sensitivity and academic self-silencing in women. Journal of Personality and Social Psychology, 102, 961–979. doi:10.1037/a0026615.
London, B., Rosenthal, L., Levy, S. R., & Lobel, M. (2011). The influences of perceived identity compatibility and social support on women in non-traditional fields during the college transition. Basic and Applied Social Psychology, 33, 304–321. doi:10.1080/01973533.2011.614166.
Marx, D. M., & Roman, J. S. (2002). Female role models: Protecting women’s math test performance. Personality and Social Psychology Bulletin, 28, 1183–1193. doi:10.1177/01461672022812004.
Mendoza-Denton, R., Downey, G., Purdie, V., Davis, A., & Pietrzak, J. (2002). Sensitivity to status-based rejection: Implications for African-American students’ college experiences. Journal of Personality and Social Psychology, 83, 896–918. doi:10.1037/0022-3514.83.4.896.
O’Connell, A. N., & Russo, N. F. (1980). Eminent women in psychology: Models of achievement. Psychology of Women Quarterly, 5, 6–10. doi:10.1111/j.1471-6402.1980.tb01031.x.
Ostrove, J., & Long, S. (2007). Social class and belonging: Implications for college adjustment. The Review of Higher Education, 30, 363–387.
Pas, B. R., Peters, P., Doorewaard, J. A. C. M., Eisinga, R. N., & Lagro-Janssen, A. L. M. (2011). Explaining career motivation among female doctors in the Netherlands: The effects of children, views on motherhood and work-home cultures. Work, Employment & Society, 25, 487–505. doi:10.1177/0950017011407973.
Paul, H. (2006). Educational and career barriers to the medical profession: Perceptions of underrepresented minority students. College Student Journal, 40, 429–441.
Phinney, J. S., Torres Campos, C. M., Padilla Kallemeyn, D. M., & Kim, C. (2011). Processes and outcomes of a mentoring program for Latino college freshmen. Journal of Social Issues, 67, 599–621. doi:10.1111/j.1540-4560.2011.01716.x.
Pratto, F., & Walker, A. (2004). The bases of gendered power. In A. H. Eagly, A. E. Beall, & R. J. Sternberg (Eds.), The psychology of gender (2nd ed., pp. 242–268). New York: The Guilford Press.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.
Riska, E. (2011). Gender and medical careers. Maturitas, 68, 264–267. doi:10.1016/j.maturitas.2010.09.010.
Rosenthal, L., London, B., Levy, S. R., & Lobel, M. (2011a). The roles of perceived identity compatibility and social support for women in a single-sex STEM program at a co-educational university. Sex Roles, 65, 725–736. doi:10.1007/s11199-011-9945-0.
Rosenthal, L., London, B., Levy, S. R., Lobel, M., & Herrera-Alcazar, A. (2011b). The relation between the Protestant work ethic and undergraduate women’s perceived identity compatibility in STEM majors. Analyses of Social Issues and Public Policy, 11, 241–262. doi:10.1111/j.1530-2415.2011.01264.x.
Ryan, M., Haslam, S. A., Hersby, M. D., Kulich, C., & Wilson-Kovacs, M. D. (2009). The stress of working on the edge: Implications of glass cliffs for both women and organizations. In M. Barreto, M. K. Ryan, & M. T. Schmitt (Eds.), The glass ceiling in the 21st century: Understanding barriers to gender equality (pp. 153–169). Washington, D.C.: American Psychological Association. doi:10.1037/11863-007.
Settles, I. H. (2004). When multiple identities interfere: The role of identity centrality. Personality and Social Psychology Bulletin, 30, 487–500. doi:10.1177/0146167203261885.
Settles, I. H. (2006). Use of an intersectional framework to understand Black women’s racial and gender identities. Sex Roles, 54, 589–601. doi:10.1007/s11199-006-9029-8.
Settles, I. H., Jellison, W. A., & Pratt-Hyatt, J. S. (2009). Identification with multiple social groups: The moderating role of identity change over time among women scientists. Journal of Research in Personality, 43, 856–867. doi:10.1016/j.jrp.2009.04.005.
Shapiro, J. R., & Williams, A. M. (2012). The role of stereotype threats in undermining girls’ and women’s performance and interest in STEM fields. Sex Roles, 66, 175–183. doi:10.1007/s11199-011-0051-0.
Stamm, M., & Buddeberg-Fischer, B. (2011). The impact of mentoring during postgraduate training on doctors’ career success. Medical Education, 45, 488–496. doi:10.1111/j.1365-2923.2010.03857.x.
Stout, J. G., Dasgupta, N., Hunsinger, M., & McManus, M. A. (2011). STEMing the tide: Using ingroup experts to inoculate women’s self-concept in science, technology, engineering, and mathematics (STEM). Journal of Personality and Social Psychology, 100, 255–270. doi:10.1037/a0021385.
Tajfel, H., & Turner, J. C. (1979). An integrative theory of intergroup conflict. In W. G. Austin & S. Worchel (Eds.), The social psychology of intergroup relations (pp. 33–47). Monterey: Brooks/Cole. doi:10.1016/S0065-2601(05)37005-5.
Tropp, L. R., & Wright, S. C. (2001). In-group identification as the inclusion of in-group in the self. Personality and Social Psychology Bulletin, 27, 585–600. doi:10.1177/0146167201275007.
Valian, V. (2007). Women at the top in science—and elsewhere. In S. J. Ceci & W. M. Williams (Eds.), Why aren’t more women in science?: Top researchers debate the evidence. Washington, D.C.: American Psychological Association. doi:10.1037/11546-002.
Walker, C., & Greene, B. (2009). The relations between student motivational beliefs and cognitive engagement in high school. The Journal of Educational Research, 102, 463–471. doi:10.3200/JOER.102.6.463-472.
Walton, G. M., & Cohen, G. L. (2007). A question of belonging: Race, social fit, and achievement. Journal of Personality and Social Psychology, 92, 82–96. doi:10.1037/0022-3514.92.1.82.
Wohlford, K. E., Lochman, J. E., & Barry, T. D. (2004). The relation between chosen role models and the self-esteem of men and women. Sex Roles, 50, 575–582. doi:10.1023/B:SERS.0000023076.54504.ca.
Young, C., Fang, D., Golshan, S., Moutier, C., & Zisook, S. (2012). Burnout in premedical undergraduate students. Academic Psychiatry, 36, 11–16. doi:10.1176/appi.ap.10080125.
Author information
Authors and Affiliations
Corresponding author
Additional information
This work was supported by Grant HRD-0733918 from the National Science Foundation (Human Resource Development-Research on Gender in Science and Engineering). Dr. Rosenthal’s effort was supported by The Aetna Foundation and the training grant T32MH020031.
Rights and permissions
About this article
Cite this article
Rosenthal, L., Levy, S.R., London, B. et al. In Pursuit of the MD: The Impact of Role Models, Identity Compatibility, and Belonging Among Undergraduate Women. Sex Roles 68, 464–473 (2013). https://doi.org/10.1007/s11199-012-0257-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11199-012-0257-9