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Should All Ph.D.'s Be Called 'Doctor'? Female Academics Say Yes

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On the first day of class, Debbie Gale Mitchell, a chemistry professor at the University of Denver, introduced herself to her students, telling them about her Ph.D. and her research. She told her students they could call her either “Dr. Mitchell” or “Debbie.” A male colleague had told her that he went by his first name and that students were friendlier as a result, so Mitchell decided to try it. Many students chose to call her “Debbie.”

Then one day a student asked if she thought she’d ever get a Ph.D.

“I discovered that for me, the use of my title is VITAL to remind students that I am qualified to be their professor,” Mitchell wrote on Twitter.

Mitchell’s story was just one among hundreds shared last summer on social media calling attention to the way gender affects how professionals are addressed, especially those who hold a doctorate.

The discussion comes at a time when research studies into gender bias are increasingly confirming that how a person is addressed is linked to perceptions of their status.

The Twitter conversation branched from multiple roots. On June 7, Eric Kelderman, reporter for the Chronicle of Higher Education, sent out a critical tweet of a female academic who responded to his media inquiry by suggesting that he should have used “Professor” or “Doctor” (the tweet has since been deleted). The next day, a doctor from the U.K., David Naumann, criticized doctors, medical or otherwise, who use their title in a nonprofessional setting. And a few days later the Globe and Mail, a Canadian newspaper, announced revised style guidelines wherein only medical doctors would be referred to using “Dr.”, a convention that is already used most of the time by the Associated Press and news outlets that follow AP Style  (including KQED). What followed was an explosion of opinions and experiences revolving around titles, expertise, and gender and racial bias.

Many Ph.D. holders are fine with reserving the title for medical doctors in common parlance, viewing insistence on the title as arrogant and elitist, and do not use their titles even in a scholarly setting. But for women and people of color, an academic title can be a tool to remind others of their expertise in a world that often undermines it.

Some Ph.D. holders who insist on titles say that they actually prefer their first names. But given the discrepancy in usage, some women feel they must use and defend their titles, especially where the alternative is a gendered title like “Ms.”, “Mrs.”, or “Miss”. Fern Riddell, a Ph.D.-holding historian, wrote:

My title is Dr Fern Riddell, not Ms or Miss Riddell. I have it because I am an expert, and my life and career consist of being that expert in as many different ways as possible. I worked hard to earned my authority, and I will not give it up to anyone. — Dr Fern Riddell (@FernRiddell) June 13, 2018

Following backlash to the tweet, which described her as “arrogant” and “immodest,” Riddell coined the hashtag #ImmodestWomen, encouraging hundreds of women to change their Twitter handles to include “Dr.” or share experiences of bias. Riddell later wrote about the rationale behind the hashtag, saying that “we define women by their ability to be well behaved.” #ImmodestWomen was “retaliation.”

The tweets show “Dr.” is preferred by many women because it is both unrelated to marital status and gender-neutral, unlike “Mrs.”, “Miss”, or “Ms”. Several tweets described situations where a woman’s husband or colleague was referred to as “Dr.” (whether or not he actually had a doctorate) while she got “Mrs.” or a first name.

My pastor has her PhD. She was interviewed by a local newspaper along with another male member of clergy, NOT a PhD.. HE was referred to as “Reverend Smith”, SHE was called “Paula”. Seriously. — Head To Toe Organizers (@HTTOrganizers) June 11, 2018

In other anecdotes, female doctors (M.D. and Ph.D. alike) were met with utter confusion when they answered the phone to a caller looking for “Dr.”, or presented an airline ticket bearing the title. Even in 2018, with women making up 34 percent of active physicians and more than half of medical school matriculants and doctorate recipients , many people assume that “Dr.” refers to a man.

Bias in forms of address and use of titles is not limited to gender, many participants in the Twitter discussion pointed out. People of color with doctorates are also often not given the courtesy of their title, which echoes a long history of racially biased uses of titles. History professor Charles W. McKinney wrote:

Wanna know why my students will always call me “Dr. McKinney”? Because one day in 1980 I went to the store with my 75 yr old Grandmother Melida Thomas. Clerk greeted two 20 yr old, white women in front of us with “Mrs” and said “Well, hello Melida” to my Grandmother. That’s why. — Charles W. McKinney (@kmt188) June 10, 2018

The bias reflected in these stories is backed up by data. Last year, a study from the Mayo Clinic found that female doctors were introduced by their first names, rather than a professional title, much more often than male doctors. And on June 25, researchers from Cornell University published results showing that female professionals are half as likely as their male colleagues to be referred to by their last names, a practice that is associated in the study with lower status.

“The way that we speak about others influences and is influenced by the way that we think about them,” wrote Stav Atir and Melissa J. Ferguson, authors of the recent paper.

Atir and Ferguson described eight different studies, covering forms of address in professor evaluations, talk radio and under experimental conditions. Across the board, female professionals were less likely to be referred to solely by their last name. They even found that fictional researchers who were described with last name only were perceived as better known, more eminent, higher status, and more deserving of awards.

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The researchers proposed several explanations for their results. It may be more culturally common to refer to men by their last names because they are thought to be more permanent, since women may change their last names when they marry. Alternatively, it could be that speakers use first names to identify a subject’s gender, and this is more common for women in male-dominated professions, where male is the assumed default. This type of bias could even result from attempts to highlight women’s participation by identifying their gender using first names.

“The consequences may be ironic,” wrote Atir and Ferguson, “leading to lower judgments of eminence, status, and deservingness.”

As Mitchell, the chemistry professor from the University of Denver, and other academics related on Twitter, one way of fighting this type of bias is to insist upon the title “Dr.”

But other Ph.D. holders question whether insisting on titles is the best strategy. Meena Kandasamy, a poet and writer with a Ph.D. in sociolinguistics, rarely uses her title and did not change her Twitter handle. She questioned the practice of elevating those who earned doctorates over those who have not had the opportunity to do so:

For every one of us who has managed to float up and breathe from that cesspool with a doctorate degree above our heads–we must remember our sisters sent home, their dreams crushed, their futures messed up, academia behaving like one petty thug-gang to have the backs of a few men — meena kandasamy (@meenakandasamy) June 14, 2018

Critics argue that titles do not necessarily reflect how hard one has worked or even level of expertise, and that the most equal solution is fewer titles, not more. But supporters say that claiming the titles is the best choice under the present circumstances. Elissa Harbert, a musicologist, wrote:

I support #ImmodestWomen . As a PhD and professor, I currently use Dr. as my title professionally. My relationships with students improved when I switched to Dr., even though in a perfect world I’d use my first name. It’s not a perfect world. — Dr. Elissa Harbert (@KyrieElissa) June 14, 2018

In some instances, women are less likely to exhibit bias in form of address. The Mayo Clinic study found female medical doctors introduced both men and women with a title more than 95 percent of the time. Men introduced their female colleagues with a title 49 percent of time, compared with 72 percent of the time for a male colleague. In the Atir and Ferguson study, male speakers on talk radio referred to women by last name less than half as often as they did for men, while female speakers did not have such a strong contrast. In other research on gender bias in academia and medicine, women were just as likely to treat men and women differently. As research epidemiologist Chelsea Polis related, implicit bias can extend to usage of titles for speakers and writers of any gender:

I was once quoted in a story where all men w/PhDs were “Dr. X” & all women w/PhDs were untitled. Writer (a woman) was mortified when I pointed it out. Claiming our titles publicly raises consciousness than women can/do have these credentials. I want young girls/women to see that. — Chelsea Polis, PhD (@cbpolis) June 10, 2018

While the evidence points to persistent bias in professional forms of address, the solution is not so clear. Highlighting women with doctorates, medical or otherwise, may provide an important reminder that woman are now earning nearly half of medical and research-based doctoral degrees. But bias in use of doctoral titles is just one example of the larger issue of gender bias, as Atir and Ferguson’s study demonstrates.

“We find evidence of a gender bias in the way that we speak about professionals in a variety of domains,” wrote Atir and Ferguson. Addressing the problem may require attention to bias in all arenas, from the classroom to the boardroom.

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Who gets to be called ‘doctor’?

Go to med school, earn an m.d. and the “dr.” honorific gets tacked on to your last name. some women — and ph.d.s — say they get the courtesy title, and respect, less often..

We call physicians "doctor." Should we do the same for people with PhDs? (Credit: Bigstock)

This story is from The Pulse , a weekly health and science podcast.

Subscribe on Apple Podcasts , Stitcher or wherever you get your podcasts.

Molecular biologist Adam Ruben has a Ph.D.

There was one time when he made a conscious choice to refer to himself as Dr. Ruben — when he emailed an airline to complain about a messed up flight.

“We had to spend a night in some city and I was trying to get a refund for our hotel bill, so I signed the email Dr. Ruben,” he said. “And I know that’s kind of an icky thing to do but I have heard that you get better service when you use the term doctor.”

It kind of worked: He got his refund — after three months.

“It’s not outright wrong and the world should forgive me,” he said.

Ruben has been thinking about the doctor honorific for a while. He polled his friends and acquaintances with Ph.D.s on Facebook and Twitter about whether or not they call themselves doctor.

Some said they’ve earned it. Others said it seems a little pretentious.

“A surprising number of people all had the same concern about using the term doctor: if they were going to be on an airplane when somebody needs a doctor,” Ruben said.

This sort of happened to Ruben several years ago, but when he was on the ground.

Besides being a biologist, he’s also a writer and comedian. He was at a Story Collider storytelling event, performing for an audience of mostly graduate students.

“And somebody actually had a medical emergency in the middle of the show. He fainted and needed an ambulance,” Ruben recalled.

As he described it at the time, someone asked if there was a doctor in the room and about 200 people with Ph.D.s kind of looked around at each other frantically.

Some EMTs helped the guy.   He was okay in the end and the show went on .

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After checking in on social media, Ruben wrote about his informal poll for the journal Science. He heard from female engineers with Ph.D.s who said they are under-represented in their field, and feel like they need to put doctor in front of their names to get the same respect that male engineers get.

Epidemiologist Beth Linas also earned a Ph.D., and she wants media outlets to refer to people with Ph.D.s as doctor, especially if we’re interviewing them about their area of expertise.

“Someone comes up [to me] on the street and says hello to me, they can address me as Beth, but if I’m being called upon for my background in infectious disease, epidemiology or digital health which is the other area that I study, I think I should be recognized as Dr. Beth Linas.”

Linas has been thinking about this issue and wrote a commentary about the congressional hearings with Supreme Court nominee Brett Kavanaugh and research psychologist Christine Blasey Ford, who accused Kavanaugh of sexually assaulting her when they were in high school.

“There was a lot of chatter online and on Twitter about how in written media, she wasn’t being addressed as Doctor Ford, I started noticing it in other publications and other outlets,” said Linas.

Some NPR listeners complained about the “insidious bias” of the radio network calling Kavanaugh “Judge Kavanaugh” but not calling Ford “Dr. Ford.”

The NPR ombudsman explained that like many media outlets, NPR follows the Associated Press stylebook, which says if someone practices medicine, NPR calls them doctor. If it’s someone with a Ph.D., it’s up to the individual media outlet.

On the radio, we don’t have a lot of time, and every word counts. Saying someone is a doctor or saying they have a Ph.D. can be a little vague. Ultimately that doesn’t give the listener much information. So for clear and efficient communication, our policy at “The Pulse” is to introduce someone as an epidemiologist, or pediatrician — being specific about a person’s expertise when we can.

Linas said her concern comes from an issue of representation.

“There are a lot of women, and particularly women of color that really struggle to make their way in science and stay in science, and we face a lot of obstacles, and I think it’s important for women also to be recognized.”

There’s a study that backs her up: researchers found that male doctors introduce their male colleagues as “Dr.” around 70 percent of the time, but introduce their female colleagues as doctor a little less than half the time.

Linas says if media outlets refer to people with Ph.D.s as doctor, especially when we’re interviewing them about their area of expertise, then it shouldn’t be that hard to tell who is the kind of doctor who can help you when someone needs an ambulance — and who’s best suited to give you statistics on the next flu outbreak.

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Integration & Physician Issues

Should phds refer to themselves as 'doctors'.

While traditional MDs or DOs are typically referred to as "doctors," should scientists with PhDs refer to themselves in the same fashion?

Biologist Adam Ruben, PhD, told WHYY Radio he once decided to refer to himself as "doctor" after a flight mishap to hold the airline accountable and receive a refund. He said the incident got him thinking about when or if individuals with PhDs should refer to themselves as "doctors."

Dr. Ruben said he informally polled his colleagues and friends on social media to hear their thoughts on the issue.

"A surprising number of people all had the same concern about using the term doctor: if they were going to be on an airplane when somebody needs a doctor," Dr. Ruben said.

Epidemiologist Beth Linas, PhD, said scientists with doctorate degrees should be able to call themselves "doctor" if they choose to, as the moniker adds another layer of authority, especially for women and others who are underrepresented in their fields.

"[If] someone comes up [to me] on the street and says hello to me, they can address me as Beth, but if I'm being called upon for my background in infectious disease, epidemiology or digital health, which is the other area that I study, I think I should be recognized as Dr. Beth Linas," she told WHYY .

"There are a lot of women, and particularly women of color that really struggle to make their way in science and stay in science, and we face a lot of obstacles, and I think it's important for women also to be recognized," she added.

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