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The subject of gender-based harassment and violence is a difficult one. It makes people uncomfortable. As such, important conversations rarely happen, but they must. The discomfort of breaking the silence is often when and where progress happens. [ABSTRACT FROM AUTHOR]

Women comprise more than one third of the active physician workforce, an estimated 46% of all physicians-in-training, and more than half of all medical students in the United States. Although progress has been made toward gender diversity in the physician workforce, disparities in compensation exist and inequities have contributed to a disproportionately low number of female physicians achieving academic advancement and serving in leadership positions. Women in medicine face other challenges, including a lack of mentors, discrimination, gender bias, cultural environment of the workplace, imposter syndrome, and the need for better work–life integration. In this position paper, the American College of Physicians summarizes the unique challenges female physicians face over the course of their careers and provides recommendations to improve gender equity and ensure that the full potential of female physicians is realized. [ABSTRACT FROM AUTHOR]