Forged By the Knife

Forged by the Knife, Patricia L. Dawson, Open Hand Publishing LLC, 1999

This book, actually a doctoral dissertation, looks at the world of surgical residency for women of color.

Residency is supposed to be a tough, weeding out process. But female residents have several extra obstacles in their way. Most female doctors are in fields like gynecology or psychiatry. Those who want to become surgeons are encouraged to choose another specialty, because surgery is "too hard." Any patient complication will be looked at especially closely. Role models are rare; the number of female surgeons is tiny, while the number of black female surgeons is practically zero.

Since surgery is very much a male-dominated field, there is the usual obstacle of women having to work twice as hard to be considered half as good. Residency does not teach a person how to keep their humanity (which some surgeons have totally lost); what to say to a family whose loved one has just been declared dead (suppressing their femininity).

This book looks at the personal experiences of several black female surgeons. Their residency experiences, whether at predominantly white or black institutions, ranged from difficult to very difficult.

Even though this is a doctoral dissertation, it is clearly written, easy to read, and worth reading. The next time a loved one is in the hospital, and the doctor is a woman, just remember that she probably is experiencing, or has experienced, the things mentioned in this book.