LETTER TO A YOUNG FEMALE PHYSICIAN

Graceful reflections on being a female doctor by a longtime primary care physician.

Koven, a Harvard Medical School faculty member and writer-in-residence at Massachusetts General Hospital, builds on the tradition of Richard Selzer’s Letters to a Young Doctor in a collection of personal essays, some published in the New England Journal of Medicine. As a medical student, the author learned that a senior doctor saw her presence on a urology rotation as “pointless” because “no self-respecting man would go to a lady urologist,” and sexism persists in her profession: Female physicians earn $20,000 per year less than their male peers, hold fewer leadership positions, and face sexual harassment ranging from “bro” humor in operating rooms to abuse severe enough to cause some women to switch careers. Yet this book is no rant against a field Koven clearly enjoys. Writing without rancor and with self-deprecating humor, the author debunks myths (it’s untrue that nurses dislike female doctors—“nurses were, in fact, especially supportive of us new women MDs”) and suggests how she has avoided such perils as burnout (she began working part time when her children were young and didn’t expand her practice as they grew). She also ably describes how her work affected her care for her parents and her childbearing years (she spent part of her first pregnancy at home with preeclampsia, “my dangerously high blood pressure no doubt caused by my long work hours”) and why she volunteered to help in a Covid-19 clinic. Less effectively, she argues that a female doctor faces an obstacle “more insidious” than sexism: the fear that she’s a fraud, or “imposter syndrome,” a pop-psych term that may strike some readers as glib or anti-feminist in its implication that self-doubt could be worse than sexual abuse or being denied raises or promotions. Nonetheless, Koven’s down-to-earth message is likely to win over skeptics, as she learned “that I can only be who I am. And that this is OK.”

A fine graduation present for a newly minted female M.D.