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'The Wrong Sex'
I am certain many male and many older physicians can second Dr. David Garfinkel's experience ("Fired Male Ob.Gyn. Claims Gender Bias," April 1, 2001, p. 1).
More actions aren't filed because of the time, expense, and difficulty in proof of claim. It is easy for the offending facility to claim "poor performance" or simple preference for the female applicant, denying gender bias. There is rarely anything in writing.
I have personal experience of this activity at two of the largest health care systems in California. In one facility, the practice manager only interviewed female applicants.
I have been told confidentially by the head of another group, as well as by a recruiter whom I got to know well, that I was "the wrong sex.
In another very large system at which I've worked intermittently as a locum tenens, older physicians are rarely considered for full-time positions, as younger (especially female) physicians can be hired right out of residency much more cheaply and are more easily molded to the system.
It is not really experience and comfort with patient care that matter in the managed care ...