Pregnancy and Motherhood During Surgical Training

Rangel, Erika L.; Smink, Douglas S.; Castillo-Ángeles, Manuel; Kwakye, Gifty; Changala, Marguerite; Haider, Adil H.; Doherty, Gerard M.

doi:10.1001/jamasurg.2018.0153

Cited by 261 publications

(321 citation statements)

References 37 publications

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“…In a recent survey analysis of 347 female surgeons, 63% responded that an unmodified surgical residency program during pregnancy was perceived as unhealthy for either the female surgical trainee or the unborn child. 10 Perhaps of most concern, approximately 40% of female surgeons considered leaving surgical residency, and 30% would discourage female medical students from a surgical career because of the challenges of balancing pregnancy and motherhood with surgical training. 10 In its recent Women in Surgery Taskforce Report, the Royal College of Surgeons of Ireland (RCSI) stressed the need to build a culture that supports female surgical trainees, including the requirement to provide meaningful options for parental leave, and to consider the special needs of trainees who are parents.…”

mentioning

confidence: 99%

“…10 Perhaps of most concern, approximately 40% of female surgeons considered leaving surgical residency, and 30% would discourage female medical students from a surgical career because of the challenges of balancing pregnancy and motherhood with surgical training. 10 In its recent Women in Surgery Taskforce Report, the Royal College of Surgeons of Ireland (RCSI) stressed the need to build a culture that supports female surgical trainees, including the requirement to provide meaningful options for parental leave, and to consider the special needs of trainees who are parents. 9 In addition, the report states that support should be provided by hospitals and institutions for extended child care hours.…”

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confidence: 99%

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Women in neurosurgery: inequality redux

Abosch

Rutka²

2018

Journal of Neurosurgery

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confidence: 99%

mentioning

confidence: 99%

Women in neurosurgery: inequality redux

Abosch

Rutka²

2018

Journal of Neurosurgery

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“…[4][5][6][7] Surveying women in surgery who were residents between 2010 and 2017 found that 39% thought about quitting surgical residency; 29% would not recommend surgery due to challenges involved in being pregnant and giving birth in training. 8 Directors of programs for general surgery indicated a perception of negative stigma about pregnant trainees in a cross-sectional survey, with 61% reporting that pregnancy and birth have a negative effect on female trainees' work. Thirty-three percent stated that female trainees who become pregnant burden other residents with additional work.…”

Section: Introductionmentioning

confidence: 99%

Re‐evaluation of birth trends and pregnancy complications among female urologists: Have we made any progress?

Scott

Lerner

Eilber

et al. 2020

Neurourology and Urodynamics

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Aims Females are becoming surgeons at ever‐increasing rates and doing so while many have or wish to have children. This study follows up on a 2007 effort to study the problems and conditions such women faced. We ask here if these challenges are different after a decade that included changes in working rules. Methods A survey was sent to all female American Board of Urology diplomates. Birth trends, pregnancy complications, infertility service requirements, and satisfaction were evaluated in respondents (n = 183) and compared to the previous survey of female urologists who completed residency before August 2007 as well as Center for Disease Control data. Results Seventy‐six physicians completed the survey who were residents before 2007, while 107 replied who experienced residency after. The first group's average age was 50.2 and the second's 38.3. Overall, these women gave birth 6 to 7 years later than the US mean. Complications did not decrease, infertility occurred at similar levels, and both were higher than US norms. Length of maternity leave correlated with respondents' level of overall satisfaction. The most positive responses came from those with more than 8 weeks off (P = .002). Conclusions Women practicing in urology gave birth later, had greater fertility issues, used assisted reproductive technology (ART) more and reported a higher level of at least one complication during pregnancy than American women overall. Changes in hours and awareness of this issue have not made giving birth a healthier event for these physicians. Further investigation into factors other than work hours is needed.

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“…Barriers to childbearing and early childrearing during residency are multifactorial and include a variety of administrative, logistical, regulatory, and political challenges. Reported barriers include inadequate parental leave policies, lack of perceived institutional support for new parents, inflexibility of scheduling upon return to work, limited access to scheduled and emergency childcare, and lack of adequate lactation support for working mothers . With these barriers, it is not surprising that resident physicians report decreased career satisfaction after childbirth, especially in procedural specialties, which are more likely to have shortened maternity leaves .…”

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confidence: 99%

The Birth of a Return to work Policy for New Resident Parents in Emergency Medicine

Gordon

Sebok‐Syer

Dohn

et al. 2019

Academic Emergency Medicine

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Objective: With the rising number of female physicians, there will be more children than ever born in residency, and the current system is inadequate to handle this increase in new resident parents. Residency is stressful and rigorous in isolation, let alone when pregnant or with a new child. Policies that ease these stressful transitions are generally either insufficient or do not exist. Therefore, we created a comprehensive return-to-work policy for resident parents and piloted its implementation. Our policy aims to: 1) establish a clear, shared understanding of the regulatory and training requirements as they pertain to parental leave; 2) facilitate a smooth transition for new parents returning to work; and 3) summarize the local and institutional resources available for both males and females during residency training.Method: In Fall 2017, a task force was convened to draft a return-to-work policy for new resident parents. The task force included nine key stakeholders (i.e., residents, faculty, and administration) at our institution and was made up of three graduate medical education (GME) program directors, a vice chair of education, a designated institutional official (DIO), a chief resident, and three members of our academic department's faculty affairs committee. The task force was selected because of individual expertise in gender equity issues, mentorship of resident parents, GME, and departmental administration.Results: After development, the policy was piloted from November 2017 to June 2018. Our pilot implementation period included seven new resident parents. All of these residents received schedules that met the return-to-work scheduling terms of our return-to-work policy including no overnight shifts, no sick call, and no more than three shifts in a row. Of equal importance, throughout our pilot, the emergency department schedules at all of our clinical sites remained fully staffed and our sick call pool was unaffected. Conclusion:Our return-to-work policy for new resident parents provides a comprehensive guide to training requirements and family leave policies, an overview of available resources, and a scheduling framework that makes for a smooth transition back to clinical duties.

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Pregnancy and Motherhood During Surgical Training

Cited by 261 publications

References 37 publications

Women in neurosurgery: inequality redux

Women in neurosurgery: inequality redux

Re‐evaluation of birth trends and pregnancy complications among female urologists: Have we made any progress?

The Birth of a Return to work Policy for New Resident Parents in Emergency Medicine

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