Global parental leave in surgical careers: differences according to gender, geographical regions and surgical career stages.


Journal

The British journal of surgery
ISSN: 1365-2168
Titre abrégé: Br J Surg
Pays: England
ID NLM: 0372553

Informations de publication

Date de publication:
11 11 2021
Historique:
received: 14 01 2021
revised: 24 03 2021
accepted: 01 07 2021
pubmed: 2 9 2021
medline: 18 12 2021
entrez: 1 9 2021
Statut: ppublish

Résumé

There is a lack of information regarding the provision of parental leave for surgical careers. This survey study aims to evaluate the experience of maternity/paternity leave and views on work-life balance globally. A 55-item online survey in 24 languages was distributed via social media as per CHERRIES guideline from February to March 2020. It explored parental leave entitlements, attitude towards leave taking, financial impact, time spent with children and compatibility of parenthood with surgical career. Of the 1393 (male : female, 514 : 829) respondents from 65 countries, there were 479 medical students, 349 surgical trainees and 513 consultants. Consultants had less than the recommended duration of maternity leave (43.8 versus 29.1 per cent), no paid maternity (8.3 versus 3.2 per cent) or paternity leave (19.3 versus 11.0 per cent) compared with trainees. Females were less likely to have children than males (36.8 versus 45.6 per cent, P = 0.010) and were more often told surgery is incompatible with parenthood (80.2 versus 59.5 per cent, P < 0.001). Males spent less than 20 per cent of their salary on childcare and fewer than 30 hours/week with their children. More than half (59.2 per cent) of medical students did not believe a surgical career allowed work-life balance. Surgeons across the globe had inadequate parental leave. Significant gender disparity was seen in multiple aspects.

Sections du résumé

BACKGROUND
There is a lack of information regarding the provision of parental leave for surgical careers. This survey study aims to evaluate the experience of maternity/paternity leave and views on work-life balance globally.
METHODS
A 55-item online survey in 24 languages was distributed via social media as per CHERRIES guideline from February to March 2020. It explored parental leave entitlements, attitude towards leave taking, financial impact, time spent with children and compatibility of parenthood with surgical career.
RESULTS
Of the 1393 (male : female, 514 : 829) respondents from 65 countries, there were 479 medical students, 349 surgical trainees and 513 consultants. Consultants had less than the recommended duration of maternity leave (43.8 versus 29.1 per cent), no paid maternity (8.3 versus 3.2 per cent) or paternity leave (19.3 versus 11.0 per cent) compared with trainees. Females were less likely to have children than males (36.8 versus 45.6 per cent, P = 0.010) and were more often told surgery is incompatible with parenthood (80.2 versus 59.5 per cent, P < 0.001). Males spent less than 20 per cent of their salary on childcare and fewer than 30 hours/week with their children. More than half (59.2 per cent) of medical students did not believe a surgical career allowed work-life balance.
CONCLUSION
Surgeons across the globe had inadequate parental leave. Significant gender disparity was seen in multiple aspects.

Identifiants

pubmed: 34467970
pii: 6360747
doi: 10.1093/bjs/znab275
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1315-1322

Commentaires et corrections

Type : CommentIn

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Auteurs

S Au (S)

NHS Education for Scotland, Edinburgh, UK.

V Bellato (V)

St Mark's Hospital, London, UK.

J M Carvas (JM)

Hospital de Bragança, Portugal.

C D Córdoba (CD)

University of Lausanne, Lausanne, Switzerland.

D Daudu (D)

Faculty of Health and Medical Sciences, University of Western Australia, Australia.

J Dziakova (J)

Hospital Clinico San Carlos, IDISSC, Madrid, Spain.

K Eltarhoni (K)

Borders General Hospital, UK.

N El Feituri (N)

Tripoli, Libya.

A C H Fung (ACH)

Department of Surgery, The University of Hong Kong, Hong Kong SAR, China.

C Fysaraki (C)

Urology Department, Mid Yorkshire Hospitals NHS Trust, UK.

G Gallo (G)

Department of Medical and Surgical Sciences, University of Catanzaro, Catanzaro, Italy.

F Ayca Gultekin (FA)

General Surgery Department, Zonguldak Bulent, Ecevit University School of Medicine, Zonguldak, Turkey.

J L Harbjerg (JL)

Department of Surgery, Research Unit C119, Aarhus University Hospital, Palle Juul-Jensens, Aarhus N, Denmark.

F Hatem (F)

Glasgow Royal Infirmary, Glasgow, UK.

A Ioannidis (A)

Athens Medical Centre, Athens, Greece.

L Jakobsen (L)

UiT, The Arctic University of Norway, University Hospital of North Norway, Tromso, Norway.

D Clinch (D)

Department of General Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.

H Ø Kristensen (HØ)

Department of Surgery, Research Unit C119, Aarhus University Hospital, Palle Juul-Jensens, Aarhus N, Denmark.

S Z Kuiper (SZ)

School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, the Netherlands.

A M F Kwok (AMF)

Western General Hospital, Edinburgh, UK.

W Kwok (W)

Royal Infirmary of Edinburgh, Edinburgh, UK.

M Millan (M)

Coloproctology Unit, Department of Surgery, La Fe University Hospital, Valencia, Spain.

K M Milto (KM)

NHS Education for Scotland, Edinburgh, UK.

H J Ng (HJ)

Royal Alexandra Hospital, NHS Greater Glasgow and Clyde, UK.

G Pellino (G)

Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy.

A Picciariello (A)

Department of Emergency and Organ Transplantation, University 'Aldo Moro' of Bari, Italy.

S Pronin (S)

College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.

G H van Ramshorst (GH)

Ghent University Hospital, Ghent, Belgium.

M Ramser (M)

Department of Surgery, Solothurner Spitäler SoH, Bürgerspital Solothurn, Solothurn, Switzerland.

R M Jiménez-Rodríguez (RM)

Colorectal Unit, Hospital Universitario Virgen del Rocío, Sevilla, Spain.

J C Sainz Hernandez (JC)

Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico.

E Samadov (E)

Surgical Department, LEYLA Medical Centre, Baku, Azerbaijan.

S Sohrabi (S)

NHS Lothian, Edinburgh, UK.

M Uchiyama (M)

Showa University School of Medicine, Tokyo, Japan.

J H-S Wang (JH)

Australasian Students' Surgical Association, New Zealand.

M U Younis (MU)

Mediclinic City Hospital, Dubai, United Arab Emirates.

S Fleming (S)

Barts and the London School of Medicine and Dentistry, London, UK.

S Alhomoud (S)

King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.

J Mayol (J)

Hospital Clinico San Carlos, Instituto de Investigación Sanitaria San Carlos, Universidad Complutense, Madrid, Spain.

G Moeslein (G)

Ev. Bethesda Khs Duisburg, University of Witten, Herdecke, Germany.

N J Smart (NJ)

Royal Devon & Exeter Hospital & University of Exeter Medical School, Exeter, UK.

K Soreide (K)

Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.

C Teh (C)

Department of Surgery, Makati Medical Centre, Makati, Philippines.
Department of General Surgery, National Kidney & Transplant Institute, Quezon City, Philippines.

D Verran (D)

Ramsey Health Care, Sydney, Australia.

Y Maeda (Y)

Department of Colorectal Surgery, Western General Hospital and University of Edinburgh, Edinburgh, UK.

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