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AAMC academic medicine accomplishments achievement motivation affiliated American Journal American Medical Association American Medical Women's Blackwell cardiology career development cent clinics colleague group competence competition Coser couples dermatologist discrimination dual-career marriages Elizabeth Blackwell Elston Epstein evaluations faculty family responsibilities fellowship female physicians feminist Freidson gatekeepers gender graduates Health Service Heins hospital husband inner circles institutions internist internship interviewed Journal of Medical Lorber male physicians married to physicians Mary Putnam Jacobi Matthew effect Medical Education medical profession medical school medical students medical training Medical Women's Association Miller Morantz Nadelson National Health Service novice physicians number of women office practice opportunities organization patients patterns pediatrics peer person Pleck positions postgraduate education prestigious private practice professional attainment referrals Salieri phenomenon social Sociology Soviet Union sponsors sponsorship Starr thirties two-physician marriage United Walsh wife woman women doctors Women in Medicine women physicians workers York