Parenthood and Parental Leave Decisions in Pediatric Residency.


Journal

Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422

Informations de publication

Date de publication:
10 2021
Historique:
accepted: 14 07 2021
pubmed: 30 9 2021
medline: 21 12 2021
entrez: 29 9 2021
Statut: ppublish

Résumé

The demands of residency training may impact trainees' decision to have children. We examined characteristics of pediatric residents' decisions regarding childbearing, determinants of resident parental leave, and associations with well-being. A survey of 845 pediatric residents at 13 programs was conducted between October 2019 and May 2020. Survey items included demographics, desire for future children, and logistics of parental leave. Outcomes included parental leave length, burnout and depression screening results, satisfaction with duration of breastfeeding, and satisfaction with parental leave and parenthood decisions. Seventy-six percent (639 of 845) of residents responded to the survey. Fifty-two percent (330) of respondents reported delaying having children during residency, and 29% (97) of those were dissatisfied with their decision to do so. Busy work schedule (89.7%), finances (50.9%), and a desire not to extend residency (41.2%) were the most common reasons for delay. Of respondents, 16% were parents and 4% were pregnant or had pregnant partners. Sixty-one parental leaves were reported, and 67% of parents reported dissatisfaction with leave length. The most frequently self-reported determinant of leave duration was the desire not to extend residency training (74%). Program mean leave length was negatively associated with burnout, measured as a dichotomous outcome (odds ratio = 0.81 [95% confidence interval 0.68-0.98]; Many pediatric trainees delay parenthood during residency and are not satisfied with their decision to do so. Pediatric resident parental leave remains short and variable in duration, despite the positive association between longer leaves and overall well-being.

Identifiants

pubmed: 34584002
pii: peds.2021-050107
doi: 10.1542/peds.2021-050107
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2021 by the American Academy of Pediatrics.

Déclaration de conflit d'intérêts

POTENTIAL CONFLICT OF INTEREST: Dr Schwartz serves as the director of the Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network through a contract from the Association of Pediatric Program Directors to the University of Illinois at Chicago; the other authors have indicated they have no potential conflicts of interest to disclose.

Auteurs

Kelly Mw Dundon (KM)

Department of Pediatrics dundonkm@uw.edu.

Weston T Powell (WT)

Pediatric Pulmonary and Sleep Medicine, Seattle Children's Hospital and University of Washington, Seattle, Washington.

Jayme L Wilder (JL)

Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.

Beth King (B)

Association of Pediatric Program Directors, McLean, Virginia.

Alan Schwartz (A)

Association of Pediatric Program Directors, McLean, Virginia.
Departments of Medical Education and Pediatrics, University of Illinois at Chicago, Chicago, Illinois.

Heather McPhillips (H)

Department of Pediatrics.

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