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Natasha Azzopardi-Muscat , WHO director of health policies and systems, talks to The BMJ about the global health workforce crisis, medical deserts, and why women are still struggling in medical careers despite a better gender balance ### How is the medical profession faring in terms of gender balance? The workforce as a whole has become more feminised. But women are still expected to do more home care, whether it’s for older parents or young children. Women are still struggling. What they’re really struggling with isn’t necessarily a shift system but more the fact that you can’t take time off because you have to make up for a shortage on the rota. And then the hours add up, and they become unbearably long, with the unpredictability of thinking that you’re going to be at home but suddenly you’re called in to replace someone else. I hear more and more stories from young female health workers who are very concerned about the concept of moral injury: that feeling, that helpl

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