Wednesday, May 15, 2013

Are DVMs paid less 'cause we're girls?


This is gonna be long.*

I've been wondering how much veterinary medicine's current problems--with salaries underperforming student debt, that is--are linked to the huge shift in who is going to school, i.e. classes made up of 80% women. Considering that our society hasn't got its mind wrapped around paying an equal wage to women, that might actually be part of the problem.

My two main sources for facts on this TATUAH (Today's Analytic Topic Unrelated to Actual Homework):
Gender and Veterinary Medicine

Plus this one on why men aren't applying to vet school: Feminization in Veterinary Education

Looking at veterinary medicine, there are problems. Low income makes high expense of school a major problem down the road. 

1. Women accept lower pay.

How much of a role does gender discrimination play? How much of a role does gender actually play? It seems like women accept lower salary, which is a problem. They are less driven by financial considerations than career satisfaction based on relationships. I've read a lot of anecdotal references to the fact that women approach work differently than men, but haven't found a legit study to pin it to yet. But I remember financial advice from vet school about not underselling yourself when negotiating a salary. And I remember reading that a living wage for a man tends to assume that he may be supporting a wife and kids, while a living wage for a woman...well, it doesn't assume she's supporting a husband and kids. 

Are women less likely to become perfectionist surgeons? Well, I would guess that in general, yes, women are a little better at life balance--and so even when they are doing the same amount of work, it looks a little more relaxed. And they may not push themselves quite so hard at work because they are pushing themselves hard on ALL fronts.

How does this play into professional salaries? Subtly, I would guess. 

2. Women are less likely to aim for practice ownership.

Conversely, men may be discarding the profession because they see decreased opportunities for practice ownership. It is difficult to approach this topic without it starting to sound like a blame game, you know "you women are ruining the profession with your lack of incentive" vs. "well, you men are dropping it because all you care about is money." 

But if women don't own the practices, then they are not in charge of paychecks for the other veterinarians there. 

I was discussing this all with a friend, who wanted to know if men are just more willing to work crazy hours and take lousy jobs that get them better pay down the line. Which is the point at which I want to go dig in the data and start making box-and-whiskers plots. 

3. Women take time off for having kids.

This one sucks. Women are penalized in their careers for having kids, but society expects us to revere family and babies. And medicine is the sort of career that is physically and emotionally challenging as it is. Women do not receive any kickback, however, for being more understanding or more well-rounded (that is not supposed to be a pun). Instead, the system pokes them in the eye and says, "well, it's only fair that people who don't take maternity leave at their time of peak productivity get several pay grades higher salary." And then the system pokes them again and says, "But seriously, you are bringing down the professional average."

4. Veterinarians are not MDs

Which is just baffling. I wonder how much this has to do with gender. Doctors these days are both men and women, and as far as I can tell, it is relatively equitable. I think because the people who go into medical school are all recognized to be workaholic psychos. Because there's still relative gender balance, MDs have maintained an even spread. Also, medicine may be changing, but no one is blaming doctors for not wanting to work in rural areas where they might not get paid enough to cover their loans.

Vets, on the other hand. Vets are also workaholic psychos, but the shift to women takes the focus off that. Again, anecdotally (time for a coding exercise! And I don't mean with a defibrillator), I hear complaints that women just want to practice small animal medicine, settle into a cozy practice, and start in on maternity leave. It is true that fewer men are going into veterinary medicine in total. But this may be a case where men are more likely to go into veterinary medicine if they want to practice in large animal medicine, which is going to skew the numbers and make it look like women are eschewing large animal, when in fact that entire field is in significant decline.

5. Women just ain't men. Oh, and a few massive sociologic upheavals that just happen to be right now.

One point to keep in mind, women are outnumbering men in getting college degrees overall, and men who make it through the system without retreating to video games (will-to-power, topic for another day), tend to funnel into fields that provide enough prestige (money, title, or geek cred) to overcome that tendency. freak out when they see the classrooms full of females.

80% of the vet class is female. 4% of the females go into large animal medicine
20% of the vet class is male. 13% of the males go into large animal medicine.
Out of the class, over half of the students going into large animal medicine are female.

And large animal medicine tends to be in rural areas where people cannot pay enough to cover a young doctor's school loans. It may just be that large animal medicine is undergoing its own massive upheaval, namely, the shift to herd health and techs who are more than happy to take over ultrasound and DA surgery in return for a steady job.

6. Maybe it's a good thing?

If veterinarians did not learn the exact same medicine as MDs, this would not be as obnoxious. Vets have a couple of advantages. We can practice on our patients much earlier in the learning process, we have at least a modicum of financial education, and we can start practicing without an additional four years of low-paying residency. 

I want to know if women are just less interested in prestige. They are okay with practicing and being good veterinarians, but they're not going to rock the boat over a few grand a year and greater recognition of their medical prowess. Because vet clinics tend to be small and privately owned (or small and franchised, like Banfield) they don't jockey for prestige like hospitals trying to be the biggest and best. Because insurance doesn't obscure the costs, because people don't (can't) put as much money into their animals, there's not the same quantity of money at stake. 

In summary, women in veterinary medicine is most likely linked to the pay disparity between this medical profession and every other profession that requires 4 years of maniacal devotion to studying. It is probably multifactorial; women may not be coming into the profession with the financial underpinnings for running a business, which is still a part of veterinary medicine. Lingering gender discrimination hurts the bargaining power of women at the beginning of their careers. Our culture's expectation that professionals establish their careers through long hard hours straight out of school conflicts with societal pressure and biological prudence to have kids around the age of 30. Because there are disproportionately more women in veterinary medicine hitting that stage now, it draws attention to the gender imbalance, and decreases the likelihood of young men seeing themselves as potential veterinarians. Lastly, veterinary medicine has some strengths in terms of practicality that may make it more robust than it currently appears, provided that veterinarians--both men and women--are prepared to apply that practicality to the shifting environment of modern medicine and economics.

*I plan to rewrite this with real stats and examples and stuff, since it was written off the cuff.

Crummy bike thieves

So today my bike was stolen.
In addition to stealing my bike, they dropped my helmet on the road and drove over it. Honestly.

I was (still am) upset. This was my bike for fourteen years, I'd added a rack and fenders to it so I could ride in the rain to the clinic all through vet school. I'd locked my bike up on the rack outside my apartment, pretty typical, considering that I usually bike every day. However, the rear tire went flat overnight, and I was planning on taking it to the bike shop as soon as I was through the first half of finals. So I didn't take it down to the basement, where I normally move it if I'm not riding for a couple of days. Besides, while I love my bike very much, it's not shiny or even new; I think Schwinn stopped making it in 1990. The paint has been scraped off in multiple places. The gears are a bit gap-toothed. Nonetheless, when I came home today, the cable was cut, my bike was gone and my helmet was shattered in the middle of the parking lot. It's an unpleasant wake up call, not just that people steal, but that people steal with bolt-cutters. (yes, I'm sheltered)

I feel like I let the bike down. This is anthropomorphizing a utilitarian mode of transportation, of course, not to mention the fact that it was some thief who chose to cut the cable and make off with my bike. There is a question on the police report asking, "Did you give permission for the theft of your property?" No no nope no no.

In retrospect, I should have done things. I will do them with my next bike. I make a list of them here:

  1. Locking inside overnight. Kryptonite locks can be picked, not as easily as cables cut, but breaking into an apartment complex is another level of theft.
    1. High visibility, multiple locks, make the bike unattractive, yada yada yada. My bike was non-descript, but it only had a cable and it was tucked away at the end of a quiet cul-de-sac.
    2. Evidently barely being able to squeeze the lock through both bike and anchor is good, as it makes it harder to use leverage to break the lock.
  2. Documentation
    1. I hear the VIN (BIN?) is under the pedal base. This would explain why I had so much trouble finding it the last time I looked (the internet has come a long way since I was in high school).
    2. Photographs. Astoundingly, I don't think I have any pictures of my bike, despite bike riding and photography both having been fairly major parts of my life. 
    3. Receipts: I should, theoretically, have the receipt from its last tune-up, but I hadn't planned on my bike being stolen, especially not when it was sporting a flat tire. And it's been a trouble-free 14 years, so receipts are few and far between.
  3.  Insurance
    1. This is complicated. Basically, you can get renter's insurance to cover your bike. But if you use it, your premiums go up. If your bike is stolen, you file a claim and get paid, and the bicycle is then recovered, you have to pay the insurance company to get it back.
      1. Given the dismal recovery rates for stolen bikes, it's probably worth it.
  4. Registration: Minimally helpful, apparently, as this usually means pieces of paper floating in one small region, and bikes are so very transportable, but it tends to be cheap and it may help a little. And what else are you going to do?
    1. http://www.nationalbikeregistry.com/ According to forum boards, the closest thing to a useful registration system.
Brand:
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In short, my bike wasn't a target for theft until someone stole it and drove off, at which time it was too late to get paperwork in order or to move it inside. I am kicking myself for not moving it inside.