The notion of feminisation of a profession signifies a variety of meanings. In much of the literature, a profession is feminised when women constitute the majority of its practitioners. However, Menkel-Meadow 1 identifies two other meanings: those who recognise certain attributes as uniquely feminine regard the profession as feminised 'when traits such as empathy, relatedness, nurturance and collectiveness are recognised, valued and expressed in the performance of professional tasks and functions' . Women purportedly impart these traits when they join a profession. Then there is the feminist premise that a profession is feminised not by stereotypic attribution of gender qualities, but when its practice and substantive rules adapt and change in such a manner that women who enter the profession do not have to conform to a male model of what it means to be a professional. This editorial considers feminisation of the South African medical profession from all three perspectives.The increasing presence of women in the medical profession in South Africa has been confirmed in several studies. According to the 2007 figures (the latest available) on medical school enrolments, females now form 56.2% of overall enrolments, up from a minority of 49.7% in 1999, and the proportion of women graduating from medical school has increased from 46.6% to 55.1% during the same period.2 In this regard South Africa is in line with global trends. In the USA, for example, women make up more than 50% of matriculating medical students and 25% of practising doctors.
3The foreseeable eventuality of women becoming a majority in the profession is generating angst in some quarters. Globally, women doctors work fewer hours in all age groups than their male counterparts, and take time off for child rearing. McKinstry et al. 4 fret that 'the rapidly increasing proportion of women in general practice [in Scotland] may lead to an increasing shortfall of medical availability in the future if current work patterns are maintained' . The feminist response might be that such work patterns should not be maintained, but should rather be adapted to be in harmony with the changing professional demographics, taking into account inter alia that women generally stay in the workforce longer and retire later in life.Some worry about the impact of feminisation on the status of medicine. Citing the experience in former Soviet Union countries where medicine has long been dominated by women, and where the profession is generally regarded as a low-status occupation, some speculate that feminisation will lead to the erosion of the profession's prestige. Others, however, counter that medicine is feminising precisely because, for a complex set of reasons, the profession has already lost some of its gloss and has consequently become less attractive to men.There is some evidence that the growing participation of women in the medical profession has a favourable transformative impact on medical practice. A much-cited paper by Levinson and Lurie 3 predicts notable changes in...