Texan Continues String of Woman AMA Presidents
By Steve Levine Texas Medicine August 2019

Aug_19_TM_womeninmedicine

After 151 years of all-male leadership at the American Medical Association, a family physician from Texas broke through the glass ceiling on June 17, 1998.

Twenty-one years later, another Texas physician is set to become the AMA’s sixth woman president – and its third in a row.

“What’s happened in the last 20 years is that the uniqueness of having a woman is not a big deal anymore,” said Galveston cardiologist Jim Rohack, MD, who served as AMA president about midway between its first and sixth woman leader.

It was a “big deal” in 1998 when Nancy Dickey, MD, then of Richmond, Texas, became the AMA’s 152nd president – the first woman. One feminist writer went so far as to suggest Dr. Dickey be considered as the first woman’s face to be featured on U.S. paper currency – along with such female pioneers as Aretha Franklin, poet Phillis Wheatley, and former Supreme Court Justice Sandra Day O’Connor.

“Clearly 20 years ago there was acknowledgment that it was a first, and a significant first, in 152 years,” Dr. Dickey said. “But it’s not an overnight thing. There were many, many who went before me who weren’t successful in their bid for the presidency but who had been chipping away at the very male AMA.”

Fort Worth allergist Sue Bailey, MD, (top right) remembers Dr. Dickey’s election as a significant first.

“Nancy Dickey to me was an icon,” she said. “She was on the fast-track to leadership from day one. She was just so head and shoulders above everybody else. She was the right person to be the first woman president of the American Medical Association.”

In June, the AMA House of Delegates unanimously elected Dr. Bailey to be the next AMA president. She will follow Atlanta psychiatrist Patrice Harris, MD, the current AMA president, who replaced Albuquerque oncologist Barbara McAneny, MD.

“Let me be the first to tell the world, for the first time in history, the president-elect, the president, and the past president of the AMA will be women,” Dr. Bailey said moments after her election. “And it won’t be the last.”

That trio will be AMA female presidents Nos. 4, 5, and 6.

“It’s extraordinary to look at the tremendous leaders that the five women since me represent,” Dr. Dickey said. “They have done such a fine job that it’s not a factor in the election anymore. It’s now a matter of looking at the leadership qualities that an individual brings, the message, and their capacity to deliver the message, and nobody’s looking at the genetic code.”

Winning a fair share of elections at the AMA House of Delegates is a sign, but not a guarantee, that women physicians have achieved parity with the men.

“I find it fascinating that the same year that Sue is being elected as president-elect of the AMA, the TMA finally got around to creating a [membership] section to focus on women,” Dr. Rohack said, referring to a long-brewing proposal that the Texas Medical Association House of Delegates approved in May (tma.tips/WomenSection).

Initially, Dr. Bailey says, she opposed the idea of a special section to identify and help TMA meet women’s physicians’ needs and to promote women physicians to leadership roles.

“I felt that if I just focused on women’s issues that would give everybody else an opportunity to jump over me in terms of leadership,” she said. “I’m in practice just like a male physician. I have the same concerns regarding payment and prior authorizations and all of the other socioeconomic issues at play.”

But she changed her mind and now supports the Women in Medicine Section. Women’s health disparities, gender pay disparities, and sexual harassment are all problems women physicians want to see TMA address, Dr. Bailey said. “And, we haven’t had women in leadership,” she added.

Starting with the legendary May Owen, MD, in 1960, TMA had three women presidents before Dr. Dickey took the oath of office as the AMA’s first. But Dr. Bailey noted TMA has not elected a woman president since she held the post in 2010-11. Houston emergency medicine physician Diana Fite, MD, unanimously chosen in May to be president-elect, will break the 10-year drought next year.

In her AMA presidential installation address in 1998, Dr. Dickey referred to “the challenges of making it in a ‘man’s’ field.” While cultural changes in the past 20 years have swept many of those challenges away, she said, many remain.

“There are still barriers to senior leadership – deans, full professors, university presidents. We are still in the minority. We still have work to do.”

Dr. Bailey has led organized medicine since her days as a medical student in the charter class at the Texas A&M University College of Medicine. For the past eight years, she has served as vice speaker and then speaker of the AMA House. She has been president of the Texas Medical Association and speaker of the TMA House. She was president of the Tarrant County Medical Society and speaker of the American College of Allergy, Asthma, and Immunology House of Delegates.

“Challenging times remain for our health care system,” she told the AMA. “As AMA president-elect, I pledge to serve as a strong voice and dedicated advocate for patients and physicians on the pressing health care issues confronting our nation. Thanks to all of you, and let’s get to work!”

Dr. Bailey is an honor graduate of the A&M College of Medicine. She completed her residency and fellowship training at the Mayo Clinic School of Graduate Medical Education. Dr. Bailey has been in private practice at Fort Worth Allergy & Asthma Associates since 1988. She is a mother and grandmother, and is married to Fort Worth attorney Doug Bailey.

Tex Med. 2019;115(8):6-7 
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Last Updated On

August 02, 2019

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Steve Levine

VP, Communication

(512) 370-1380
Steve Levine

A former statehouse reporter, political press secretary, and state agency spokesman, Steve Levine has directed the Communication Division at TMA since 1997. He oversees Texas Medicine, Texas Medicine Today, TMA's media and public relations activities, and the TMA Knowledge Center, website, and social media activities.

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