Can men be mammographer technicians?

OK, so imagine you have your mammogram appointment, and when you get there, the person taking the mammogram is male not female. What would you do? In the UK, that doesn’t happen, but in some countries it does. Why are we asking you to imagine it then?

The Society and College of Radiographers just held the 33rd Annual Delegates Conference  – where the members of the trade union (radiographers) put forward their opinions on what they want the Society to work on the following year. This year, motion 44 made us sit up and pay attention. One of three motions brought by the Equalise group, led by @radiographerben, it asked for the Society Council to approach the NHS breast screening programme to ask whether males could become mammographers.

Image describing motion 44 at #ADC2017

www.sor.org

The motion was carried, so the council will indeed start talking to the NHSBSP about this issue.

Why is that needed?

timeWell, a workforce survey published by Public Health England here  describes how mammographers in England are becoming scarce, with over 50% aged over 50, working part time and likely to retire in the next ten years. There’s a 15% vacancy rate too, so there’s not many of them around to start with.

Now let’s look at how thinly we spread that workforce. NHSBSP screens 2.1 million people annually, and that number is going to get 8% higher as the population increases. After you take that into account, the Age Extension trial will also make the number of women eligible for screening go up – by as much as 28%.

That’s a lot of mammograms, needing a lot of mammographers, that we don’t have enough of now, never mind in the future.

image showing a rainbow of colour

 

Then there’s equality. We support the notion of equality, because what’s not to like? Everyone treated the same, with the same opportunities as everyone else – no matter what creed, colour or gender. So, as there are males taking an important part in other screening programmes, why not the breast screening programme? Why are male gynaecologists and male breast surgeons and male radiologists allowed, but not male mammographers? What’s the difference here?

Why is it not needed?

The Society and College of Radiographers classed mammography as an intimate examination last year – would most of us agree with that? I think we might. So, it’s reasonable to assume that a woman having an intimate examination would prefer another woman to carry out that examination.

Another reason is that if it is an intimate examination, then you have the right to ask for a chaperone throughout. Which is a problem, as we currently don’t have enough mammographers to cover the workload, let alone spare staff to chaperone on what could become a regular basis.

Image showing colourful question marks

It’s a question

Some countries do have male mammographers already, and researchers have explored why then, it doesn’t happen in other countries, notably Australia and Ireland.

In Australia a small survey asked women, most of whom had had a mammogram, to imagine if they were given a male mammographer at their appointment. 35% would be embarrassed – but 40% said they would not have a reaction. 9% would refuse the mammogram, and 11% would have the mammogram, but with a female chaperone present. No-one would refuse to see a male breast surgeon, however.

In Ireland, a much larger survey showed an identical 9% refusing to have their mammogram. 9% would have requested a female chaperone. 17.5% would not return if faced with male radiographers, and 25% said it would change their opinion of the service for the worse.

So, is it a problem?

Well, the 17.5% non-returners possibly are a problem, as the service needs to maintain a good uptake of women attending for breast screening if it is to be an effective programme – if not enough of the population attend, then we can’t diagnose enough cancers early enough to treat. We can’t afford to put people off.

However, 9% refusal – is it too high, or does it not really matter? After all, we’re trying to increase the number of mammographers for the service to continue taking mammograms at the rate that it does – needs must when faced with no choice at all?

A quick internet search brings up a few different places to look for a debate. Here’s Reddit:

Image showing an extract from reddit.com

www.reddit.com

I’ve seen that opinion echoed today on Twitter from @WeMammographers too.

But there’s others on Twitter who feel like this:

Image showing an extract from Twitter

www.twitter.com

And that echoes what some of the research said, both in Australia and in Ireland.

Are we hypocrites for not having the same reaction to a male breast surgeon? Or do we perhaps think differently when we are a well woman, attending for screening to when we are an ill woman, attending for breast surgery? Or do we just hate change?

Is it about equality? Or is it about screening uptake? Have your say, post your comment below. Or click here to ask the WoMMeN a question.

If you want to see the tweets from the ADC as delegates discussed them, search Twitter on the hashtag #ADC2017, and give some of our fellow #radiographers a follow while you’re there!

Research

P Fitzpatrick, A Winston and T Mooney (2008)  Radiographer gender and breast-screening uptake British Journal of Cancer 98, 1759–1761. doi:10.1038/sj.bjc.6604385

H.M. Warren-Forward, B. Mackie, M. Alchin, T. Mooney, P. Fitzpatrick, Perceptions of Australian clients towards male radiographers working in breast imaging: Quantitative results from a pilot study, Radiography, Volume 23, Issue 1, February 2017, Pages 3-8, ISSN 1078-8174, http://doi.org/10.1016/j.radi.2016.05.006.

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10 thoughts on “Can men be mammographer technicians?

  • It is about time we had a debate on gender equality in breast screening.
    I for one would not mind what gender the individual identified themselves with.

  • I agree with that argument 100% but what happens it that prevents some women from attending??

  • How is a breast exam any more intimate than an internal vaginal exam most of which are performed by a male gynaecologist? My personal opinion is that an internal exam is way more I donate than pitting your breast in a machine. It is discrimination on being male. Should to U flip the question and a woman had been refused to work in a profession all he’ll would break through. Surely for the 9% who would refuse they could be offered an appointment with a female radiographer even if it meant going to a different location.

  • I’ve never had a breast or gynae exam performed by a male surgeon without a chaperone present. I’ve always assumed that the chaperone is there for the professional’s protection as much as mine. Do male sonographers perform TV scans unchaperoned? & if so, it’d be interesting to see how many have complaints

  • Interesting! Uptake issue comes to mind. Maybe we could trial this? Or the clients makes a choice prior to the examination.

    Some clients attending for breast screening do not like men waiting on the van nevermind a male performing the examination! Or is it different if the male is the health professional?

    From the health promotion perspective, many clients ask wether they will see a female, and it is usually a sigh of relief when the answer is yes.

  • I don’t want a man involved. I recently had a minor gynaelogical operation. It was an all male operating team, NO women practitioners involved whatsoever. I felt it was totally demeaning and will never allow myself to be treated like that again. If men become involved in breast screening, I won’t go.

  • Thanks for sharing your experience, Katty. I’m sorry to hear that you felt that way, and I hope that you’ve recovered well. If you’re faced with a situation that makes you feel uncomfortable again, please ask for a female chaperone, this should always be possible.
    It’s interesting that no-one had thought that an all-male operating team might be overwhelming to a female when sorting their surgical team rota out. Maybe that’s what true equality would be, people with those skills available at that time, doing the job that’s needed.
    But you’re right, that doesn’t take into account that the job was of an intimate nature, and that it may well put people off attending if they had known about it in the first place. We’d like to avoid this situation in breast screening, and that’s why we need as many people as possible to join the debate – how do we find a way forward?

  • Don’t put men as technicians for breast screening or for transvaginal ultrasounds I recently had to attend an appointment with a male technician for an ultrasound and transvaginal scan it was explained on my appointment form that it might be performed by a male but if I requested a female that they would try to accommodate my wishes but couldn’t garrunte that one would be available so basically saying that I had no real choice if I wanted to be seen soon and I decided to take the appointment as to wait could delay my diagnosis and treatment so even though I excepted the appointment I felt I had no choice and felt a little uncomfortable at first but there was a female chaperone present so why not train her and stop wasting tax payers money on the need for a chaperone when she could just do the job in the first place the other reasons would be that men can’t relate to how you might feel during the procedure of having your boobs clamped between tow sheets of glass and flattened with great pressure when all the time your other boob is still swinging while you’re trying to hold on for your life also many women who attend the appointments are of an older age and will be feeling uncomfortable with the whole process as it is with out the added concern that a man who has no idea what any of this feels like on a physical point or an emotional point is now about to perform one of the most degrading procedures with no clue as to how stressful this is when you are so worried already that it could leave you feeling less of a woman than anything else so my point is that the information contained in other surveys about excepting doctors gynaecologist is untrue as we usually have very little choice about the situation but it’s accepted only because we need to be treated as do men who receive a female to treat them for prostate the other point is that after I had my scan their was a Muslim women waiting for a scan and as I was pulling of the car park is saw her coming out of the clinic in remember thinking oh that’s quick but then realised that she must have refused the scan which means because she wasn’t seen by a woman straight off she will now have to reschedule and could delay in her diagnosis and treatment this is a big risk one which could be avoided especially as the woman chaperone keept calling the patients in for their appointment and you weren’t made aware of the fact that a man would be performing the scan until you were already in the room for me it was uncomfortable but for her she wouldn’t have had any choice because I wouldn’t have had any reprocessing from my husband but she might I also strongly recommend that the whole process to be released thought as clamping my breasts between glass doesn’t fill me with joy as I know it to be painful as my sister had explained her experience to me and described how painful and degrading the whole procedure was for her equality does not mean exposing patients to further unnecessary humiliation both genders have their place in society and equality starts with understanding that.

  • When my wife attends her next breast screening, she is asking for the last appointment as she insists she is taking me her husband in with her. As she hated her last one. Why because of two things when she went into the mammography room the mammographer pointed closely between her breasts saying ooh look you have a bruise there . Secondly she did not need the mammographer to keep telling her how nice she was smelling especially when she was alone with her in the examination room. When we were both alone that evening me and my wife she asked me to have a look at the bruise that the mamographer said she had.. There was not a bruise there at all. This has now caused me to be. At her cervical smears and future breast screenings to be protectivve of my wife and it is my wifes wishes that i am there. Nhs take note my wife is my wife and is only your patient

  • Steve, that sounds like the mammographer was trying to put your wife at ease. Many of us talk to the women as we x-ray them. This usually works however, if you feel strongly enough to post here, maybe your wife would like to write to the unit and share her feelings as it can then be used as a learning experience for staff.
    You mention that you wish to attend with your wife in the future, please contact the unit directly when the appointment arrives as this can depend on the protocols of that unit.
    Sorry that this quick procedure has caused you concern. I hope your wife gets an all clear results letter very soon.

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