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From pay gap to ill-fitting PPE, female workers highlight challenges in U.K. health care – CBC.ca

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When Dr. Amun Sandhu moved to the United Kingdom a decade ago to study medicine, her superiors predicted her career advancement would be limited.

“You don’t tend to see very many female surgeons,” she said she was told. “You’ll end up being a GP, anyway.”

While Sandhu is now a doctor of acute medicine in East London, the Vancouver native still feels a gender bias. 

She recounted times when she has approached patients’ bedsides, flanked by a male nurse or junior colleague, and the patient will speak over her entirely, assuming the man is the doctor.

“You feel like you’ve done all the hard work and earned this, and you’re still being referred to as either a nurse or not even being referred to at all,” Sandhu said.

Lorraine Sunduza, a chief nurse in East London, said women are often charged with representing their gender when working in a sphere dominated by men. (Submitted by NHS East London Trust)

Lorraine Sunduza, the chief nurse for the East London Trust, has had similar experiences. Originally from Zimbabwe, Zunduza said there have been times when she has assigned tasks to her staff, only to have them question her authority. 

She said these “subtle” yet frequent occurrences have left her wondering, “If I was a man, would they do that? And if I was white, would they do that?”

Of the people who work for the National Health Service in Britain, 77 per cent are women. But while they make up more than three-quarters of the NHS workforce, women account for less than half of its most senior members, on average, according to a study published last month by the University of Exeter.

This lack of representation makes things more difficult for female health-care workers, said Sandhu — from commanding the respect they deserve to earning reasonable pay to being given the proper equipment to do their jobs.

Medical careers based on ’20th-century model’

The Exeter study, led by professor Ruth Sealy of the university’s business school, included an analysis of more than 3,000 directors across the NHS in England, as well as more than 70 in-depth interviews with board chairs, directors and aspiring executives.

The senior female NHS employees Sealy interviewed reported having overcome workplace inequality and domestic pressures to secure a leadership role. “Women who get to senior positions in leadership have been clinging on with their nails,” she said.

Ruth Sealy, a professor at the University of Exeter’s business school, said there are still some hospital alliance boards in the U.K.’s National Health Service that have little to no female representation. (Submitted by Ruth Sealy)

A major factor in determining whether someone in health care can advance to the next rung of the ladder is their ability to get experience in several different areas of medicine, says Sealy.

However, a lack of flexibility from senior decision-makers or an alliance board makes it difficult for women to advance, she adds.

“Medical careers are still based on a … 20th-century model,” said Sealy.

Sandhu said that in her experience, female consultants tend to be more aware of the work-life balance many women in health still navigate today.

When asked to comment on the support available for female staff, a spokesperson for the NHS provided the CBC with an email response, saying the NHS is “offering greater options for flexible working, modern and inclusive recruitment practices and a continued focus on staff health and well-being as set out in the NHS People Plan.”

Poorly equipped

A gender bias can also be seen in pay. According to a review by the U.K. government this year, the overall NHS gender pay gap is 23 per cent.

Similar numbers can be seen in Canada. In Ontario and British Columbia, female doctors earn 30 per cent and 36 per cent less, respectively, than their male counterparts, according to a report published in the Canadian Medical Association Journal in August.

The gap is slightly smaller in the United States, according to a 2019 report published by medical news site Medscape. The average U.S. male doctor earns 25 per cent more than his female equivalent.

Sandhu, centre, poses with female colleagues in their oversized personal protective equipment earlier this year. (Submitted by Amun Sandhu)

Another way the lack of female leadership affects women in the NHS is that they aren’t always provided appropriate equipment.

In the early stages of the pandemic, Sandhu and fellow health-care workers were “fit-tested” to ensure their personal protective equipment (PPE) was sufficient. The test involved having a fine spray, meant to mimic the virus, misted over their masked faces. 

If the PPE was reliable, the wearer wouldn’t be able to smell or taste the spray. But Sandhu and many other female colleagues reported an orange smell and a bitter taste in the back of their throats. In other words, the mask didn’t fit properly.

Sandhu said this demonstrates that female health-care workers weren’t “taken into consideration” with regards to proper PPE, including masks, scrubs and gowns.

Most PPE is based on the sizes and characteristics of male populations from certain countries in Europe and the United States, according to a 2017 report from the U.K.’s Trades Union Congress. That means only three in 10 women in the U.K. have PPE that’s designed for their bodies, the report states.

Sandhu said many of her female colleagues had to use tape to adjust their XXL scrubs, and when surgical caps were in short supply, they re-purposed excess gown material for handkerchiefs to tie around their heads.

“We were told, basically, ‘This is what we have, this is what you’ll need to use,'” said Sandhu.

The quality of supplies has improved greatly since the number of coronavirus cases dropped, Sandhu said, but earlier in the pandemic, the lack of proper PPE left her feeling unprotected.

Sealy said that “when you are in less than a powerful position, it’s much harder to question the way that things are being done, and to question why you don’t have the PPE … and to push when you don’t get what you should be given.”

Women the ‘shock absorbers’ of society

Dr. Roopa Dhatt, a doctor of internal medicine in Washington, D.C., who also serves as the executive director of Women in Global Health, said “there are superhuman expectations on women.”

Dr. Roopa Dhatt is the executive director of Women in Global Health, an organization working towards gender equality in global health leadership. (Peter Braverman)

She calls women the “shock absorbers” of society, saying they continue to work long hours for less pay than men in order to keep their communities moving forward.

Women in Global Health collaborated with the World Health Organization on a 2019 report on female leadership in health, which found that women make up more than 70 per cent of the global health workforce, but only hold one in four leadership positions. 

“If we want to really actually make headway in creating not only stronger, more resilient health systems … women need to be in leadership roles. They’ve demonstrated it. They have the expertise. They have the power,” said Dhatt.

But those who have power also know they can be subject to abuse. 

British Columbia’s chief medical officer of health, Dr. Bonnie Henry, spoke recently about the importance of addressing gender bias in order to ensure better treatment for the next generation of leaders.

In a panel presentation at the Union of B.C. Municipalities last week, Henry opened up about death threats and other negative comments she has received since the start of the pandemic. 

“I sense that people find that [kind of abuse is] OK for a woman who is up-front, more so than some of our male leaders,” Henry said.

WATCH | Dr. Bonnie Henry speaks about receiving abuse:

B.C.’s Provincial Health Officer talks about concerns over her safety as she handles the COVID-19 pandemic. 1:31

Despite the challenges for women in health care, Sandhu said she takes inspiration from female medical leaders like Henry and Canada’s chief medical officer, Dr. Theresa Tam.

“The way that they’re conveying their messages is beneficial to female physicians and nurses and women in health care in general,” Sandhu said.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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