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The 1970s was a decade of remarkable growth for women in academic medicine. The percentage of women entering medical school, the number of women on medical-school faculties, and the number of women in senior administrative positions have all increased during the past 10 years. Although substantial modifications have occurred in admission practices and in the general responsiveness of academic medicine to women, it is difficult for women in medical academia to be optimistic, because the number of women at senior professorial ranks and in administrative positions has been slow to change. The challenge to academic medicine in the 1980s is to ensure that women have equal access to leadership positions.

Attitudinal data obtained from interviewing random samples of women and men physicians in metropolitan Detroit indicated that women were generally more liberal and egalitarian than men. Older women were more liberal/egalitarian than older men while younger men were closer in attitudes to younger women. Within specialties, women and men physicians frequently held similar attitudinal scores; however, controlling for age, sex accounted for more variation than did specialty. A weighted combination additional 12 per cent of the men was blocked by a secretary, nurse or spouse (none of the woman physicians had such gate-keepers). There were no significant differences between

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