Among new physicians entering the work force, women earned almost $17,000 a year less than their male counterparts — almost regardless of which specialty they picked — according to an analysis of starting salaries over a 10-year period.

In fact, the analysis of starting salaries for more than 8,000 physicians found that the pay gap between men and women increased almost fivefold — from $3,600 in 1999 to $16,819 in 2008.

It’s great to have the pay gap out in the open, but I must take exception to the way the authors of the study seem to place the blame for lower pay on the shoulders of the women doctors. The authors speculate that the pay gap might be explained because women take jobs that give them more balance between lifestyle and career, or because women are poor negotiators.

I am married to a fellow physician, and I’m sure he’d agree that I’m a terrific negotiator, and I’ve always worked as hard, if not harder, than him or any male physician we know. This is true of all the working women I know: physicians, administrators, nurses, executives, salespeople – all women. Blaming women for bias against them is just another aspect of the bias.

The perpetuation of the myth that it’s a woman’s own fault if she’s paid less, or passed over for promotion in favor of a less qualified man, must end. We women have to cry foul every time we hear it.

It’s still true that women must work twice as hard as men to be thought half as good. Even now, in the 21st century.

Isn’t it time that changed?

- Yvonne S. Thornton, MD, MPH.

The latest to come to me via email really touched me. It’s from Mr. Fred Belknap, whose lovely words make me think that he appreciates the values that my father instilled in his children in almost the same way I do:

What an example this can be for our children relative to today, in that many think everything should be handed to them and meeting goals and beating the odds is a birth right. It seems your father did a special job to prepare you and your sisters for this world though perhaps his message was questioned at times as a result of his methods. Even though his vision, now a reality through his daughters, speaks to the strength of having a plan and carrying it through.

Thank you for sharing your experiences and I pray the many messages engraved within them are seen by the upcoming generation.

Thank you Mr. Belknap. Your kinds words have made my day, week and month.

And a big thanks to all those who have read The Ditchdigger’s Daughters and taken its lessons to heart. I hope you’ll all continue the journey with me and read Something to Prove, my next memoir, which picks up where The Ditchdigger’s Daughters left off. It’s scheduled to be published by Kaplan Publishing in Fall 2010.

- Yvonne S. Thornton, MD, MPH

My new memoir, SOMETHING TO PROVE: Memoirs of a Ditchdigger’s Daughter, by Yvonne S. Thornton, M.D., with Anita Bartholomew, will be published by Kaplan Publishing in Fall 2010.

The book sold at auction, meaning that more than one publisher wanted to publish it. I decided to accept Kaplan’s offer over the others because the team at Kaplan really seemed to get what I was saying and what I was about. And Kaplan has published a number of other memoirs by physicians and medical professionals, so I feel that it’s a good match.

SOMETHING TO PROVE: Memoirs of A Ditchdigger’s Daughter, builds on the foundation of my earlier book and shows that what was true as I was growing up is true today: despite bias, despite setbacks, with hard work and determination, we can accomplish whatever we set out to do.

The book begins with the challenges I encountered when, in the early 1980s, I entered what was still an all white boy’s club of academic medicine. Although I faced bias for both my gender and color, I had a secret weapon: my father’s wisdom. The essence of what he drummed into me as a child was that, as a female, and an African-American, I’d have to work twice as hard as anyone else to be thought to be half as good (a sentiment that later became a mantra for the women’s movement). And I did.

SOMETHING TO PROVE will also document how I handled the personal struggles that every working mother must confront, of juggling a career and family life.

And because I’m a specialist in high-risk pregnancies, SOMETHING TO PROVE will offer plenty of edge-of-your-seat medical drama.

It won’t focus solely on the challenges though. Yes, I’ve dealt with setbacks and pain, but I have also enjoyed great success in my career. I have a supportive, wonderful husband, and two children who are poised to follow their parents into careers in medicine.

And that’s the ultimately uplifting message of SOMETHING TO PROVE, in life lessons passed down from my father to me, and from me to my own children.

It’s been a great journey and I look forward to sharing it with you in SOMETHING TO PROVE.

- Yvonne S. Thornton, MD, MPH