During her time interning at the Women’s Hospital of Philadelphia, Macfarlane held the position of instructor in obstetrics at the Women’s Medical College of Pennsylvania. She began a private practice in 1900 and continued this until 1903 at which time she accepted a position with the Women’s Medical College of Pennsylvania as an instructor of gynecology. In her last year of private practice, she became the first practitioner to use radium in cancer treatment. After accepting the position of instructor of gynecology at the Women's Medical College of Pennsylvania, Macfarlane pursued graduate study in urology, obstetrics, gynecology, and radiology between 1903 and 1905. In 1908 she was appointed chief of gynecology at Women’s Hospital in Philadelphia and in 1913 she was admitted to the American College of Surgeons. In 1922, Macfarlane was appointed professor of gynecology at the Women’s Medical College of Pennsylvania. This same year she attended the first Pennsylvania State Conference on Birth Control alongside Margaret Sanger to advocate for women's right to vote and obtain birth control. Two years later in 1924, Catherine Macfarlane was appointed Chief of Obstetrics and Gynecology at Philadelphia General Hospital and accepted the position of research professor of gynecology at Woman’s Medical College of Pennsylvania which she held until death. In 1938, Macfarlane co-founded the Cancer Control Research Project at the Woman’s Medical College of Philadelphia. The same year, she received a grant from the Committee on Clinical Research of the American Medical Association to establish a cancer research and prevention clinic alongside which she opened the first uterine cancer screening program in the United States. In 1962, near the end of her career, Macfarlane began research on self-breast exams with the Philadelphia Division of the American Cancer Society.
Legacy and honors
In 1936, Macfarlane was appointed to the head of the Medical Women’s National Association, later renamed the American Medical Women’s Association. A year later, in 1937, she was appointed to the position of Vice President of the Medical Women’s International Association which she held until 1947. The same year, in 1947, her five-year tenure as the chairman of the Cancer Committee of the Philadelphia Medical Society ended. Macfarlane served as the president of the Obstetrical Society of Philadelphia from 1943 to 1944. In 1948 Macfarlane was the first woman to be awarded the Strittmatter Award. In 1949 she was awarded the Gimbel Award for humanitarian service. In 1951, Macfarlane was jointly awarded the Lasker Award for Clinical Medical Research for her applications of preventive medicine to cancer control. In 1953, Macfarlane was awarded the first annual Mary Silberman Award for her work on cancer prevention.
