I disagree. You have to have an appropriate response to a bad situation, even if you are the victim. You are an adult, not a child. It is very difficult to say no, but if you drag things on with excuses instead of gathering the courage and clearly stating your position, the consequences may not be what you want. Sure, if that person does not respond to a clear no (as this one didn't), it is beyond you and you have done all you could. It doesn't seem as if she is his charge or responsibility, as a student would be. I have seen doctors ask their office secretaries out all the time, they are also theoretically in a "vulnerable" position yet it is accepted (some of these docs are now married to these women). I say this as a female in surgery who has experienced these situations many times, including as a student. If the person in power doesn't have the introspection or the aptitude to understand why they are making you uncomfortable, it is your responsibility to make things clear. This "victim blaming" stuff takes women's power out of the equation, assuming us to be helpless victims who are slaves to a bad situation. So they throw their hands up and go the "woe is me" route. We are anything but powerless. These days, an accusation can destroy someone's career, and there are plenty of other letter writers out there. I was aggressively hit on by an attending, who happened to be the head of my surgery rotation. I told him to stop, even knowing it may jeopardize my score and possibly keep me from matching. Lo and behold, I found other people to mentor me and now I'm a surgeon. So please don't be patronizing and say this woman should just curl up and lay all blame for how this situation turned out on the crappy dude. Yes, he shouldn't have done it. But she needs to deal with it if he was too dense to understand her "excuses." Women are not helpless damsels and can deal with these situations directly and forcefully.
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