Accessibility and Characterization of Parental Leave Policies for Orthopaedic Surgery Residency Training in the United States.
Journal
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
ISSN: 2474-7661
Titre abrégé: J Am Acad Orthop Surg Glob Res Rev
Pays: United States
ID NLM: 101724868
Informations de publication
Date de publication:
01 Aug 2024
01 Aug 2024
Historique:
received:
26
06
2024
accepted:
26
06
2024
medline:
16
8
2024
pubmed:
16
8
2024
entrez:
16
8
2024
Statut:
epublish
Résumé
This study assesses the accessibility and nature of parental leave policies during orthopaedic surgery residency training after implementation of the Accreditation Council for Graduate Medical Education (GME) mandate for 6 weeks of paid parental leave effective July of 2022. An audit of orthopaedic surgery residency and affiliated GME websites was conducted to assess the accessibility of parental leave policies during the 2023-2024 academic year. Details on length of leave and nature of renumeration during the leave were recorded. Bivariate analyses were conducted to determine residency program characteristics associated with the accessibility of a parental leave policy. Results were compared with a previous analysis during the 2017-2018 academic year. A total of 200 residency programs were evaluated, and 152 had parental leave policies (76.0%). Compared with 2017 to 2018, a similar percentage of parental leave policies were accessible on residency program websites (3.0% vs. 2.0%, P = 0.777) but fewer were accessible on GME websites (55.5% vs. 80.7%, P < 0.001). More contemporary policies were obtained from program coordinators (18.5% vs. 7.2%, P = 0.003), and more were not available (24.0% vs. 9.0%, P < 0.001). Most policies offered renumeration (86.7%) and leave for 6 weeks in length (75.0%). A higher prevalence of parental leave policy accessibility was found among orthopaedic residency programs with university affiliation (P < 0.001), more faculty members (P = 0.008) and residents (P = 0.017), a higher percentage of female faculty (P = 0.008), affiliation with a top 50 ranked National Institutes of Health-funded orthopaedic surgery department, and accreditation achieved before 2017 to 2018 (P = 0.004). Most orthopaedic surgery residency programs do not have accessible parental leave policies on their websites. The new Accreditation Council for GME mandate will require orthopaedic residency programs to provide residents with 6 weeks of paid parental leave during residency training. Accessible policies may be useful to applicants interested in child rearing during orthopaedic residency training.
Identifiants
pubmed: 39151119
doi: 10.5435/JAAOSGlobal-D-24-00230
pii: 01979360-202408000-00010
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.
Références
Todd AR, Cawthorn TR, Temple-Oberle C: Pregnancy and parenthood remain challenging during surgical residency: A systematic review. Acad Med 2020;95:1607-1615.
Lumpkin ST, Klein MK, Battarbee AN, Strassle PD, Scarlet S, Duke MC: Fellowship or family? A comparison of residency leave policies with the family and medical leave act. J Surg Res 2019;241:302-307.
Stack SW, Eurich KE, Kaplan EA, Ball AL, Mookherjee S, Best JA: Parenthood during graduate medical education: A scoping review. Acad Med 2019;94:1814-1824.
Morrison LJ, Abbott AG, Mack Z, Schneider P, Hiemstra LA: What are the challenges related to family planning, pregnancy, and parenthood faced by women in orthopaedic surgery? A systematic review. Clin Orthop Relat Res 2023;481:1307-1318.
Chambers CC, Ihnow SB, Monroe EJ, Suleiman LI: Women in orthopaedic surgery: Population trends in trainees and practicing surgeons. J Bone Joint Surg Am 2018;100:e116.
Humphries LS, Lyon S, Garza R, Butz DR, Lemelman B, Park JE: Parental leave policies in graduate medical education: A systematic review. Am J Surg 2017;214:634-639.
Accreditation Council for Graduate Medical Education: ACGME Answers: Resident Leave Policies. 2022. Available at: https://www.acgme.org/newsroom/blog/2022/acgme-answers-resident-leave-policies/. Accessed January 1, 2024.
Weiss J, Teuscher D: What provisions do orthopaedic programs make for maternity, paternity, and adoption leave?. Clin Orthop Relat Res 2016;474:1945-1949.
Siljander BR, Van Nortwick SS, Flakne JC, Van Heest AE, Bohn DC: What proportion of orthopaedic surgery residency programs have accessible parental leave policies, and how generous are they?. Clin Orthop Relat Res 2020;478:1506-1511.
Summers MA, Matar RN, Denning JR, et al.: Closing the gender gap: Barriers to success for recruitment and retention of the female orthopaedic surgery applicant. JBJS Rev 2020;8:e0211.
Jamorabo DS, Khander A, Koulouris V, Feith JE, Briggs WM, Renelus BD: Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate. PLoS One 2021;16:e0260057.
U.S. Energy Information Administration: U.S. Census Regions and Divisions. 2021. Available at: https://www.eia.gov/consumption/commercial/maps.php. Accessed January 1, 2024.
Aiyer A, Sankar V, Summers S, et al.: Unifying the orthopaedic surgery residency application process under a single accreditation system: A primer. J Am Acad Orthop Surg 2020;28:263-267.
Nemeth C, Roll E, Mulcahey MK: Program directors' perception of pregnancy and parenthood in orthopedic surgery residency. Orthopedics 2020;43:e109-e113.
Mulcahey MK, Nemeth C, Trojan JD, O'Connor MI: The perception of pregnancy and parenthood among female orthopaedic surgery residents. J Am Acad Orthop Surg 2019;27:527-532.
Compton J, Hajewski CJ, Pugely AJ: Pregnancy and parental leave during orthopaedic surgery residency. Iowa Orthop J 2021;41:19-23.
Ponzio DY, Bell C, Stavrakis A, et al.: Discrepancies in work-family integration between female and male orthopaedic surgeons. J Bone Joint Surg Am 2022;104:465-472.
Reid DB, Shah KN, Lama CJ, Kosinski LR, Daniels AH, Eberson CP: Parenthood among orthopedic surgery residents: Assessment of resident and program director perceptions on training. Orthopedics 2021;44:98-104.
Hamilton AR, Tyson MD, Braga JA, Lerner LB: Childbearing and pregnancy characteristics of female orthopaedic surgeons. J Bone Joint Surg Am 2012;94:e77.
Chou LB, Stephanie TK, Shapiro LM: Health considerations for female orthopaedic surgeons. J Am Acad Orthop Surg 2024;32:e125-e133.
Nguyen CV, Luong M, Weiss JM, Hardesty C, Karamitopoulos M, Poon S: The cost of maternity leave for the orthopaedic surgeon. J Am Acad Orthop Surg 2020;28:e1001-e1005.
Legister CS, Morgan SJ, Samora JB, Weiss JM, Caird MS, Miller DJ: Policies, practices, and attitudes related to parental leave for practicing pediatric orthopaedic surgeons. J Pediatr Orthop 2023;43:337-342.
Wynn M, Caldwell L, Kowalski H, Lawler E: Identifying barriers: Current breastfeeding policy in orthopedic surgery residency. Iowa Orthop J 2021;41:5-9.
Ruse S, Bergman R, Crawford E: Pregnancy in orthopaedic residents: Peripartum barriers identified. JBJS Open Access 2022;7:e22.00098.
Kin C, Yang R, Desai P, Mueller C, Girod S: Female trainees believe that having children will negatively impact their careers: Results of a quantitative survey of trainees at an academic medical center. BMC Med Educ 2018;18:260-268.
Mohan H, Ali O, Gokani V, et al.: Surgical trainees' experience of pregnancy, maternity and paternity leave: A cross-sectional study. Postgrad Med J 2019;95:552-557.
Bartel A, Rossin-Slater M, Ruhm C, Slopen M, Waldfogel J: The impacts of paid family and medical leave on worker health, family well-being, and employer outcomes. Annu Rev Public Health 2023;44:429-443.
Myers SP, Tzeng E, Downs-Canner SM: Addressing the challenges faced by female surgical trainees who have children during protected academic periods. JAMA Surg 2021;156:599-600.
Altieri MS, Salles A, Bevilacqua LA, et al.: Perceptions of surgery residents about parental leave during training. JAMA Surg 2019;154:952-958.
Rangel EL, Smink DS, Castillo-Angeles M, et al.: Pregnancy and motherhood during surgical training. JAMA Surg 2018;153:644-652.
Gasior AC, Bergus KC, Beeler WH, Xi AS, Rialon KL: Pregnancy in medical training: A survey of physician moms on their experiences during residency and fellowship. J Surg Educ 2024;81:84-92.
Jella TK, Patel VR, Cwalina TB, Schmidt JE, Lawler EA, Vallier HA: What factors are associated with early career attrition among orthopaedic surgeons in the United States?. Clin Orthop Relat Res 2023;481:1895-1903.
Haruno LS, Chen X, Metzger M, et al.: Racial and sex disparities in resident attrition among surgical subspecialties. JAMA Surg 2023;158:368-376.
Pearl A, Saleh K, Quick JC: Identifying and addressing burnout in the orthopaedic surgeon. J Am Acad Orthop Surg 2023;31:229-238.
Ebrahimpour A, Razi M, Mortazavi SJ, et al.: Job satisfaction, career burnout, and work-related well-being prevalence among orthopedic surgeons: A nationwide study. Arch Bone Joint Surg 2023;11:293-300.
Ames SE, Cowan JB, Kenter K, Emery S, Halsey D: Burnout in orthopaedic surgeons: A challenge for leaders, learners, and colleagues: AOA critical issues. J Bone Joint Surg Am 2017;99:e78.
Day CS, Lattanza L, Van Heest A, Templeton K, Fore JA, Ode GE: AOA critical issues: Gender justice in academic medicine: What it might look like in orthopaedic surgery. J Bone Joint Surg Am 2023;105:1214-1219.
Scerpella TA, Spiker AM, Lee CA, Mulcahey MK, Carnes ML: Next steps: Advocating for women in orthopaedic surgery. J Am Acad Orthop Surg 2022;30:377-386.
Rama E, Ekhtiari S, Thevendran G, Green J, Weber K, Khanduja V: Overcoming the barriers to diversity in orthopaedic surgery: A global perspective. J Bone Joint Surg Am 2023;105:1910-1919.
Randall ZD, Ganapathy A, Kuhn AW, Silverman RM, Inclan PM, Aleem AW: Orthopaedic surgery training and education during COVID-19: A systematic review. JBJS Open Access 2023;8:e23.