[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-115472-en":3,"doc-seo-115472-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},115472,1099523882367,"Hazel","https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc",7,"Healthcare","Harsh Medicine - Why Women Can’t Get Ahead in Science and Health Care","Harsh Medicine examines why gender equity remains elusive in academic medicine and health care, focusing on the obstacles women face in becoming recognized experts, building sustainable careers, and advancing into leadership. The book analyzes hostile environments, the motherhood trade-offs, unequal evaluations, resource disparities, and the consequences of mentoring and network exclusion. It connects power, relationships, and workplace culture to concrete career outcomes and offers a practical framework for changing academic medical culture.","[OceanofPDF.com](OceanofPDF.com)  \nHARSH MEDICINE  \n[OceanofPDF.com](OceanofPDF.com)  \nHARSH MEDICINE  \nWhy Women Can’t Get Ahead in Science and Health Care  \nJENNIFER RUBIN GRANDIS, MD  \n JOHNS HOPKINS UNIVERSITY PRESS | Baltimore  \n[OceanofPDF.com](OceanofPDF.com)  \n© 2026 Jennifer Rubin Grandis All rights reserved. Published 2026  \nFirst printed in the United States of America on acid-free paper 9 8 7 6 5 4 3 2 1  \nJohns Hopkins University Press 2715 North Charles Street Baltimore, Maryland 21218  \n[www.press.jhu.edu](www.press.jhu.edu)  \nLibrary of Congress Cataloging-in-Publication Data is available.  \nA catalog record for this book is available from the British Library.  \nISBN 978-1-4214-5478-8 (paperback)  \nISBN 978-1-4214-5479-5 (ebook)  \nSpecial discounts are available for bulk purchases ofthis book. For more information, please contact [Special Sales at ](Special Sales at specialsales@jh.edu)[specialsales@jh.edu](Special Sales at specialsales@jh.edu).  \nEU GPSR Authorized Representative LOGOS EUROPE, 9 rue Nicolas Poussin 17000, La Rochelle, France  \nEmail: contact@logoseurope.eu  \n[OceanofPDF.com](OceanofPDF.com)  \nFor Don, who knows everything about me and still chooses to love me.  \n[OceanofPDF.com](OceanofPDF.com)  \nCONTENTS  \nAcknowledgments  \nIntroduction  \nPART I. RESPECT  \n1. Women Can’t Be Experts: The Hostile Environment  \n2. Motherhood: The Catch-22 for Women  \nPART II. VALUE  \n3. Money: What Are Women Worth?  \n4. More than Money: Resources Make Careers  \nPART III. RELATIONSHIPS  \n5. Mentoring: Why It Matters  \n6. Unequal Relationships: Changing the Mentoring Culture  \n7. Lack of Mentoring: What You Don’t Know Will Hurt You  \n8. Networks: Keeping Women Out of the Loop  \nPART IV. UNEQUAL MEASURES  \n9. The Double Standard: Are You Nice?  \n10. Women and Power: Leadership and Influence  \nCONCLUSION: Blindness Is a Choice  \nAppendix A: Academic Medicine, A Cheat Sheet for Translating the Jargon  \nAppendix B: Solutions, A Practical Guide to Changing the Culture  \nNotes  \nBibliography  \nIndex  \n[OceanofPDF.com](OceanofPDF.com)  \nACKNOWLEDGMENTS  \nI am grateful to my family and several dear friends and colleagues who read parts of this book in earlier versions and encouraged me to keep going: Judy Rubin, Jonathan Rubin, Don Grandis, Ben Grandis, Anna Grandis, Kevin Murphy, Sara Mcintire, and Dan Dohan. Kevin Murphy and Sally O’Driscoll provided insight, criticism, encouragement, and expert editing that made my undertaking easier and improved the quality of the finished product. I am grateful to my agent Jennifer Thompson of the Nordlyset Literary Agency for championing this book and helping it find a home. I am indebted to my interview subjects, men and women, colleagues all, who were willing to share their experiences and points of view. Their stories allowed me to understand why gender equity has been so elusive in academic medicine. I am hopeful that by becoming more comfortable discussing these uncomfortable topics, together we can chart a way forward. Medicine is a profession that promotes health for all. To improve the well-being of humanity, it requires that we nurture and support all of our dedicated physicians and scientists.  \n[OceanofPDF.com](OceanofPDF.com)  \nHARSH MEDICINE  \n[OceanofPDF.com](OceanofPDF.com)","cbCaigjoFcPpdF5L","https://ap.wps.com/l/cbCaigjoFcPpdF5L","pdf",2292045,3,1,307,"English","en",105,"# Introduction\n# Part I. Respect\n## Women Can’t Be Experts: The Hostile Environment\n## Motherhood: The Catch-22 for Women\n# Part II. Value\n## Money: What Are Women Worth?\n## More than Money: Resources Make Careers\n# Part III. Relationships\n## Mentoring: Why It Matters\n## Unequal Relationships: Changing the Mentoring Culture\n## Lack of Mentoring: What You Don’t Know Will Hurt You\n## Networks: Keeping Women Out of the Loop\n# Part IV. Unequal Measures\n## The Double Standard: Are You Nice?\n## Women and Power: Leadership and Influence\n# Conclusion\n## Blindness Is a Choice\n# Appendix\n## Academic Medicine, A Cheat Sheet for Translating the Jargon\n## Solutions, A Practical Guide to Changing the Culture\n# Notes\n# Bibliography\n# Index","[{\"question\":\"What does the book identify as barriers to women becoming experts in academic medicine?\",\"answer\":\"It describes a hostile environment that blocks women from gaining expert status, limiting opportunities to develop and be recognized in science and health care.\"},{\"question\":\"How does motherhood affect women’s career advancement according to the book?\",\"answer\":\"It frames motherhood as a catch-22, where expectations and career trade-offs create structural disadvantages for women’s progress.\"},{\"question\":\"What solutions does the book propose to change the culture in academic medicine?\",\"answer\":\"It includes an appendix with practical guidance for changing culture, offering actionable solutions alongside a framework for addressing the underlying causes of inequity.\"}]","Harsh Medicine - 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