A senior doctor like me: Gender match and occupational choice

Abstract

Men and women consistently sort into different occupations and fields within occupations, contributing to persistent gender inequality in economic outcomes. In this paper, we examine how social factors influence this sorting, specifically the gender composition of supervisors early in one’s career. Our setting is the English National Health Service, where medical specialties vary widely in their gender composition. We exploit features of the doctor training pathway that generate quasi-random variation in junior doctors’ exposure to senior women. We find greater exposure to senior women specialists increases the probability of junior women subsequently training in their specialty, but only in very male-dominated training placements. A junior woman exposed to a 10 percentage point higher share of senior women specialists during a placement is 1.7 percentage points or 24% more likely to pursue training in the placement specialty, if the share of senior women doctors is below one in five. This effect corresponds to two-fifths of the gender gap in training choices, and appears even in specialties that are not particularly male-dominated as a whole. Heterogeneity analyses suggest that access to and relatability of potential role models matter, and that gender match effects interact with preferences for geographic and schedule flexibility.