Letter to a Young
Female Physician
Suzanne Koven, MD, MFA
Internal Medicine, SOPW Board member
2022, W.W. Norton & Company
In 2017, Dr. Suzanne Koven published an essay describing the challenges faced by female physicians, including her own personal struggle with “imposter syndrome”—a long-held secret belief that she was not smart enough or good enough to be a “real” doctor. Accessed by thousands of readers around the world, Koven’s “Letter to a Young Female Physician” has evolved into a deeply felt reflection on her career in medicine.
Koven tells candid and illuminating stories about her pregnancy during a grueling residency in the AIDS era; the illnesses of her child and aging parents during which her roles as a doctor, mother, and daughter converged, and sometimes collided; the sexism, pay inequity, and harassment that women in medicine encounter; and the twilight of her career during the COVID-19 pandemic. As she traces the arc of her life, Koven finds inspiration in literature and faces the near-universal challenges of burnout, body image, and balancing work with marriage and parenthood.
Shining with warmth, clarity, and wisdom, Letter to a Young Female Physician reveals a woman forging her authentic identity in a modern landscape that is as overwhelming and confusing as it is exhilarating in its possibilities. Koven offers an indelible account, by turns humorous and profound, from a doctor, mother, wife, daughter, teacher, and writer who sheds light on our desire to find meaning, and on a way to be our own imperfect selves in the world.
Praise for Letter to a Young Female Physician
“[Koven] is rueful and delightful and keeps on building a careening and fascinating life… [Letter to a Young Female Physician] is a warm and wry epistle, the endless and near-perfect email you wish your mother, your mentor and your therapist would sit down and type out together.”
- Laura Kolve, Wall Street Journal“[These] phenomenal essays…are full of acuity and generosity… [Koven’s] writing is full of humor, candor, by turns (and often simultaneously) beautiful and heartbreaking shards of narrative, about her own life and the lives of her patients and colleagues. She’s also got a killer sense of humor and a fantastic eye for detail.”
— Leslie Jamison, LitHub“Koven illustrates medicine’s tendency to exploit and shame certain of its students or practitioners, especially those identified as “weak,” and admits that she felt gratitude when the harsh lens of judgment was directed at someone other than herself…Her description of the pride she felt in being identified as a stronger member of a team will be familiar to readers who have trained in medicine. They may also find themselves uncomfortably familiar with the routine denigration of foreign-born physicians, or the overtly classist preference for “prestige” residencies. But as Koven explains, at the time it all “seemed normal then, at least to me. Refusing to cast herself in a heroic, prescient, or moral role, Koven’s faithful depiction of her acceptance of such practices allows us to consider our own blind spots, which is in effect what enables ongoing institutional cowardice and injustice to become more viscerally visible.”
— Rana Awdish, Los Angeles Review of Books