Parental Leave Policy for Ophthalmology Residents: Results of a Nationwide Cross-Sectional Study of Program Directors.
childbearing
maternity leave
parental leave
parenting
paternal leave
Journal
Journal of surgical education
ISSN: 1878-7452
Titre abrégé: J Surg Educ
Pays: United States
ID NLM: 101303204
Informations de publication
Date de publication:
Historique:
received:
09
06
2020
revised:
25
07
2020
accepted:
27
08
2020
pubmed:
20
9
2020
medline:
22
6
2021
entrez:
19
9
2020
Statut:
ppublish
Résumé
Many residents become parents during residency and the adequacy of parental leave is integrally related to resident wellness. To understand current parental leave policies in ophthalmology residency programs and program director perceptions of the impact of parental leave on trainees. Cross-sectional study. Multicenter among all U.S. ophthalmology residency programs. Ophthalmology residency program directors during the 2017 to 2018 academic year. Sixty-eight percent (82/120) program directors participated in this study. The majority of programs had written maternity leave policies (89%) and partner leave policies (72%). The typical duration of maternity leave taken ranged from 4 to 6 weeks while typical partner leave duration taken ranged from 1 day to 2 weeks. Residents who take leave may need to extend training at 72% of programs. Program directors perceived that parental leave negatively impacts resident scholarly activities and surgical skills and volume. Male program directors, relative to female program directors, perceived that becoming a childbearing parent negatively impacts resident dedication to patient care. Program directors raised concerns including local support and policy, extension of residency, impact on residents, impact on programs, consistency and fairness, and desire for national policy change. Parental leave practices vary significantly among ophthalmology training programs with residents typically taking less leave than permitted. Program directors are challenged to accommodate parental leave while balancing resident training and wellness for all trainees in their program.
Sections du résumé
BACKGROUND
Many residents become parents during residency and the adequacy of parental leave is integrally related to resident wellness.
OBJECTIVE
To understand current parental leave policies in ophthalmology residency programs and program director perceptions of the impact of parental leave on trainees.
DESIGN
Cross-sectional study.
SETTING
Multicenter among all U.S. ophthalmology residency programs.
PARTICIPANTS
Ophthalmology residency program directors during the 2017 to 2018 academic year.
RESULTS
Sixty-eight percent (82/120) program directors participated in this study. The majority of programs had written maternity leave policies (89%) and partner leave policies (72%). The typical duration of maternity leave taken ranged from 4 to 6 weeks while typical partner leave duration taken ranged from 1 day to 2 weeks. Residents who take leave may need to extend training at 72% of programs. Program directors perceived that parental leave negatively impacts resident scholarly activities and surgical skills and volume. Male program directors, relative to female program directors, perceived that becoming a childbearing parent negatively impacts resident dedication to patient care. Program directors raised concerns including local support and policy, extension of residency, impact on residents, impact on programs, consistency and fairness, and desire for national policy change.
CONCLUSIONS
Parental leave practices vary significantly among ophthalmology training programs with residents typically taking less leave than permitted. Program directors are challenged to accommodate parental leave while balancing resident training and wellness for all trainees in their program.
Identifiants
pubmed: 32948506
pii: S1931-7204(20)30334-2
doi: 10.1016/j.jsurg.2020.08.034
pmc: PMC7960573
mid: NIHMS1629971
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
785-794Subventions
Organisme : NEI NIH HHS
ID : P30 EY001765
Pays : United States
Informations de copyright
Copyright © 2020 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Références
JAMA Ophthalmol. 2019 Sep 01;137(9):1015-1020
pubmed: 31318390
JAMA Surg. 2018 Nov 1;153(11):1004-1011
pubmed: 30073246
J Gen Intern Med. 1998 Oct;13(10):670-4
pubmed: 9798813
Soc Sci Med. 2015 May;132:45-53
pubmed: 25792339
Am J Ophthalmol. 2020 Sep;217:261-267
pubmed: 32360345
JAMA Ophthalmol. 2018 Jun 1;136(6):695-701
pubmed: 29801087
JAMA Surg. 2019 Oct 1;154(10):952-958
pubmed: 31389989
J Womens Health (Larchmt). 2018 May;27(5):584-589
pubmed: 29634448
J Am Coll Surg. 2016 Jun;222(6):1090-6
pubmed: 26776357
Ann Surg. 2013 Mar;257(3):571-6
pubmed: 22964726
Educ Prim Care. 2017 Nov;28(6):319-324
pubmed: 28812957
Int J Womens Dermatol. 2017 May 10;3(3):127-130
pubmed: 28831421
West J Emerg Med. 2019 Mar;20(2):351-356
pubmed: 30881556
Ann Surg. 2009 Sep;250(3):463-71
pubmed: 19730177
JAMA Intern Med. 2017 May 1;177(5):651-657
pubmed: 28264090
Acad Med. 2004 May;79(5):447-52
pubmed: 15107284
J Obstet Gynaecol Can. 2018 Nov;40(11):1453-1458
pubmed: 30473122
Pediatrics. 2013 Feb;131(2):387-90
pubmed: 23359582
J Health Econ. 2011 Mar;30(2):221-39
pubmed: 21300415
JAMA Surg. 2018 Jul 1;153(7):644-652
pubmed: 29562068
Am J Ophthalmol. 2020 Jan;209:71-76
pubmed: 31525356
JAMA Surg. 2014 Sep;149(9):893-7
pubmed: 25029501
J Womens Health (Larchmt). 2011 Oct;20(10):1485-96
pubmed: 21859346
JAMA. 2018 Feb 13;319(6):611-614
pubmed: 29450516
Int J Radiat Oncol Biol Phys. 2015 Jul 1;92(3):516-24
pubmed: 25892584
J Grad Med Educ. 2017 Oct;9(5):577-585
pubmed: 29075375
Acad Med. 2016 Jul;91(7):972-8
pubmed: 26606722
Am J Ophthalmol. 2018 Jun;190:125-133
pubmed: 29604282
Plast Reconstr Surg. 2019 Nov;144(5):1227-1236
pubmed: 31688771
Postgrad Med J. 2018 Dec;94(1118):694-699
pubmed: 30554173
Am J Obstet Gynecol. 2018 Aug;219(2):199.e1-199.e8
pubmed: 29673570
N Engl J Med. 2019 Sep 12;381(11):995-997
pubmed: 31509672
J Grad Med Educ. 2020 Apr;12(2):162-167
pubmed: 32322349
JAMA. 2018 Dec 11;320(22):2374-2377
pubmed: 30535211