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I’m having trouble understanding it and I welcome opinions in the comments on what I’m missing. The gender pay gap in medicine appears to be a misnomer in today’s times.Here’s how I see it:Women get paid the exact same standard RVU for the same procedures as men do in medicine. But women are far more likely to go into the lowest paid specialties like pediatrics, and far more likely to prefer part-time work which is going to reduce pay regardless of gender. How much of the gender pay gap is due to preferences?The small remainder of the gender pay gap, after adjusting for personal preferences, may be self-inflicted. Researchers have found women have a “confidence gap” after accounting for skills and preferences. [1]And in my experience, this seems to be true for my fiancée. My fiancée is in software engineering and got lowballed (that company lowballs everyone, regardless of gender). Right after a job interview, she told me she did not deserve more and would accept below market. I told her to negotiate her pay by asking for above market and to be confident about what you’re worth, because she has stellar recommendations from higher ups in her previous work and extra skills that merit higher pay. She had every reason to merit more pay, but she just had trouble believing in her own abilities. High achieving women appear to be affected by “imposter syndrome” more.[2] She successfully got double the pay they offered by aggressively negotiating. She gets paid more than men in the same level of the career ladder in the same company, and she works less hours too. How much is due to this “confidence gap”?I’ve heard a popular female physician writer Amy Chai on Quora said there is a huge gender gap because “Men tend to show that they care by “fixing it” possibly with duct tape or a scalpel. Tell a man your problem, and he will start telling you how to fix it. Women tend to show they care by empathizing and validating your feelings. Then they fix it. But it takes longer, because they spent too much time empathizing.”.[3]I’ve tried looking at female physician opinions on why to perhaps see evidence to the contrary. I’m having trouble making sense of this comment by Dr. Chai. “Fixing things” is how you get paid, procedures increase pay and that’s what you can expect because insurance companies pay, not the consumer. Insurance companies don't care about paying for extra stuff that cannot be easily proven to fix things, because they care about profits. This has nothing to do with gender and all about profits. If women were really paid less for the same work, they would easily make more profits by only hiring women for less pay, but I don’t see that happening. This is not due to lack of women in medicine. Women are the majority of matriculants in medical school at 51%.This is further evidenced when “motivational interviewing” principally packages empathy to solve patient health problems with it’s own Current Procedural Terminology (CPT) code. The approach was invented by men who figured out how to use empathy to “fix things” systematically and formally. This resulted in getting paid for it.I’ll note the gender stereotype Dr. Chai claims isn’t necessarily true in medicine. Female patients may find male obgyns are more attentive and willing to listen compared to their female colleagues, according to Women’s Health magazine:“My doctor is a man but he’s one of the most kind, caring, and gentle people I’ve ever met. Plus, he’s an awesome listener and always takes time to listen to all of my concerns. It really showed me that gender really doesn’t have anything to do with someone’s skill as a doctor.” —Angela H., 27, Iowa City, IA[4]If anything, I see the opposite issue. When men are being discriminated against, many women don’t seem to empathize at all. Obgyn resident matches are overwhelmingly majority women these days (80–90% women) and obgyns are paid well, especially with surgical procedures. Obgyns have acknowledged that men will be almost gone in obgyn at this rate. “All-women obgyn clinics” have been discriminating against hiring men on the basis of gender principally because they have penises instead of vaginas, not because male doctors lack empathy.This constitutes gender discrimination in hiring as the business is putting an advertisement saying “we only want to hire women”. Now there are extremely rare exceptions to this rule when men cannot do the same job where it is legal - clearly men cannot be a female model, a female pornstar or a female athlete.This is not the case legally. It’s not a sex-based requirement to be a OBGYN. The field used to be all men many, many decades ago; thus, men can absolutely do the job.Imagine if a clinic said they did not hire women physicians. There would be outrage by both genders. Where are prostate clinics that explicitly hire all men and advertise that they do so as an “all-men’s clinic”? That has never happened ever in the course of history.Footnotes[1] Bridging the confidence gap at work means forming new habits[2] https://www.paulineroseclance.com/pdf/ip_high_achieving_women.pdf[3] Amy Chai's answer to It is said that female doctors love their patients, while male doctors love the disease. Is there any truth to this?[4] 14 Women Explain Why They Love Their Male Gynos​