Women and ASOPRS Margaret "Peg" F. Obear

Women and ASOPRS 
Dr. Margaret Obear

The story of women and ASOPRS* begins with Margaret (Peg) F. Obear 1906-2001), the senior-most member of the “Gang of Five” Oculoplastic surgeons (Charles Beyer, George Buerger, Thomas Cherubini, Robert Wilkins, and Peg Obear) from New York who founded our Society in 1969. All five were fellows of Byron Smith, MD. They met after hours at Donohue’s pub and restaurant on Lexington Ave in New York City to discuss cases and plot towards our specialty having its own society. Obear, transplanted from California to New York, was well-connected, and she enthusiastically lobbied the leading oculoplastic surgeons across the US to support their cause. The “Gang of Five” founded ASOPRS in 1969 as a nonprofit educational 501(c)(3). This was a time when Oculoplastics was deciding whether to form its own society or ally with larger specialties such as plastic surgery or The American Academy of Facial Plastic Surgery. Peg’s efforts at reaching out to the renowned oculoplastic surgeons of the time led to a seminal 1969 ASOPRS organizational meeting held at the Palmer House in Chicago; about sixty persons attended, bylaws were adopted, and Wendell Hughes, former President of AAOO was elected the first ASOPRS President.
Regarding Obear, another founder of ASOPRS, George F Buerger Jr wrote, “If it hadn’t been for (Obear’s) enthusiasm and hard work, the ASOPRS wouldn’t be.”  Obear then served on the first-ever ASOPRS executive committee and was elected President in 1972.  Unfortunately, Obear developed a serious illness and retired from Medicine in 1974, although she still attended some subsequent meetings. She died at the age 94. It would be two decades before ASOPRS elected its second female president, Bernice Brown (1990). Using the language of the times, both of these women were pioneers, blazing trails and clearing the way for those who would follow. As Bob Dryden once quipped at a lecture he gave in Kansas City, “Pioneers are the ones who take all the arrows, the settlers come later and take the land.” The careers of Drs. Obear and Brown, as well as female physicians in general, reflect the downstream ripple effects of US women having entered the factory and industrial workforce during WWII, thereby encouraging later generations to enter higher-paid professions.
 
ASOPRS Membership
Year Female percentage Female/Male Total Membership
1970 3.9% 2/49 51
1994 5.5% 18/309 327
2019 18.6% 154/674 830

During WWII, female employment jumped from 27% to 37%. These women were paid 55% less than their male counterparts. With America's WWII factories, civilian population, and electrical supply lines under no risk of aerial bombardment, the US tapped the female labor pool so as to ramp up military-industrial production. At the same time, European countries were busy bombing and sabotaging each other’s infrastructure and industrial capacity. Some things never change. The US emerged as the victorious superpower capable of projecting kinetic force anywhere on the planet.

Women’s entry into the workforce naturally spurred an interest in higher-paid professions. However, the female path to higher education was a bumpy ride. Since college tuition was expensive, many families in the 1950s only sent the boys to college. Women who attended college were often offered two options; nursing or teaching. Upon graduation, women received a lower salary than men for the same work, the argument being that men were supporting a family, but women would get pregnant and quit. "The pill" and declining fertility rates helped women pursue their goals of equal pay and legal protections.  Fast-forward to the Women's Movement of the 70's and 80's which favored women in career roles. Workplace female figures such as Mary Tyler Moore appeared routinely on TV and in movies. This encouraged even more women to enter into the educated workforce, where they demanded equal treatment. The net effect was a gradual acceptance of women in the workplace as co-equal to men (Traditional roles still play an equally strong and often fulfilling role in many women's lives). As a result, college-educated women in American society have achieved remarkable progress in creating a path into the once-hostile workplace, similar to the achievements of minorities and gays. Nonetheless, the gender-based pay gap still persists. As well institutional racism and sexism are still present, but they are no longer omnipresent and unchallengeable. Troubling and destabilizing class, gender, and race-based wealth inequalities are widening.

My medical class of 1982 was 45% female. OR signage back then indicated Doctors' Changing Room and Nurses' Changing Room. It didn't seem that big a deal to me at the time; it took decades for me to understand the institutionalized nature of sexism. It was against this background that I first attended an ASOPRS meeting in the late 1980’s. Though women were common in medical school, it was rare to see women in Presidency or upper leadership positions, but I remember many notable and esteemed exceptions such as Barbara Beatty and Eva Hewes of Hewes flap fame, charter member Virginia Lubkin, and of course, Bernice Brown. My interaction with Dr. Bernice Brown concerned my OPRS journal manuscript entitled "Does Decompression Diminish Dysthyroid Discomfort?" I was jazzed that every word in the title began with the letter "D." 

However, a senior reviewer rejected the manuscript, asserting that in his decades of practice, he had never encountered a thyroid patient with orbital discomfort. Undeterred, I immediately sent a letter to each study subject, explaining that OPRS had rejected the study because a senior reviewer didn't believe that they had experienced any discomfort. I asked each to describe in their own handwriting the discomfort they experienced. All twelve responded quickly in defense of their personal discomfort. I bundled the descriptions and mailed them to Dr. Brown, receiving, shortly thereafter, an acceptance. That experience convinced me that being right and marshaling facts and logic could win the day. My respect for Bernice Brown was bolstered by her valuing scientific merit over the opinion of a senior reviewer.

In closing, the movement of women into higher paying male-dominated professions has taken centuries, culminating in our modern capitalistic society which combines the benefits of traditional male employees with the added bonus of a highly educated female employee pool. This effective doubling of workforce creates a sustainable competitive advantage for the US, whose financial and military dominance depends upon labor supply, economic power, and intellectual capital. While our specialty was begun by white male military WW2 surgeons, ASOPRS was founded by five members, possibly the most important of which was Margaret “Peg” Obear. She and four other Byron Smith fellows envisioned and championed our Society. Peg Obear navigated the traditional and sexist boundaries of her time to manifest her vision for ASOPRS.  We are all beneficiaries of that vision and enthusiasm. It would take another two decades before ASOPRS elected another female president. Was that sexism or demographics? Regardless, as the number of females in ASOPRS rose, female leadership became normalized. We are a microcosm of society at large, subject to the same philosophical differences, prejudices, and disagreements. While it is easy to focus on our storied individuals, there have been many women in ASOPRS who have quietly contributed. It is important that we honor our collective past-- all of it, and no one part at the expense of any other.
 
*Much of the biographical information and quotes for this article were derived from David Reifler’s ASOPRS 50th anniversary book: https://issuu.com/nextprecisionmarketing/docs/asoprs_50th_anniversary
 
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