Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study

Krause, Megan L.; Elrashidi, Muhamad Y.; Halvorsen, Andrew J.; McDonald, Furman S.; Oxentenko, Amy S.

doi:10.1007/s11606-017-4010-5

Cited by 59 publications

(38 citation statements)

References 21 publications

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“…Similarly, a retrospective cohort study of internal medicine residents revealed that performance evaluation scores of female residents decreased following pregnancy. 9 The same trend was not seen for male residents with pregnant partners. This trend is particularly salient given that women comprise a growing number of medical school graduates and resident physicians.…”

Section: Resultsmentioning

confidence: 85%

“…In a previous singleinstitution report, internal medicine residents rated the performance of female peers in the postpartum period lower compared to their male peers who also became parents during residency. 9 Family medicine PDs also perceive a differential impact of parenting on performance in male and female residents (79.6% stated parenting had no impact on male residents compared to 70.4% reporting no effect on female residents; P=.006). Growing evidence suggests this trend exists across specialties.…”

Section: Discussionmentioning

confidence: 99%

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Perceptions of Parenting Residents Among Family Medicine Residency Directors

Morris

Lindbloom

Kruse

et al. 2018

Fam Med

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Background and Objectives: Parenting during residency is increasingly common, and resident parents face unique demands on their time and emotional and cognitive resources. Physicians at all levels of training perceive negative impacts of parenting on career and family life. Surveys of program directors (PDs) in other specialties reveal concern about performance and quality of life of parenting residents. The primary aims of this study were to examine family medicine PDs’ perceptions of parenting residents’ performance and the adequacy of parenting support structures. Methods: Data were collected from the 2017 Council of Academic Family Medicine (CAFM) Educational Research Alliance (CERA) Family Medicine Residency Program Directors survey. Directors provided the number and status of parenting residents and rated adequacy of parenting resources, resident performance, and impact of parenting on residents using a Likert scale. Results were compared between male/female PDs and male/female residents. Results: Response rate was 57.1%. Less than half of PDs reported adequate parenting support structures in their program (46%). Over 40% of PDs reported that 81%-100% of female residents who take parental leave end up extending their residency training, the most common response category. PDs did not report gender-based differences in performance of parenting residents. PDs most often reported significantly worse well-being for female parenting residents but perceived improved well-being of male parents. Conclusions: Less than half of family medicine PDs feel their program has adequate parenting resources. Female parenting residents commonly extend residency training. PDs perceive parenting negatively impacts well-being of female residents, but not male residents.

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Section: Resultsmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Perceptions of Parenting Residents Among Family Medicine Residency Directors

Morris

Lindbloom

Kruse

et al. 2018

Fam Med

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“…Each of the eight articles used in the PW workforce gender equity chat focused on a different topic (Table 1), including the core macroinequities of financial compensation (Compensation), 23 academic rank and leadership role promotion (Promotion), 2 and recognition awards (Awards). 24 Microinequity articles included in the chat focused on internal medicine attending and peer evaluations of residents who became new parents while in training (Pregnancy), 15 and gender differences in attending physician feedback to residents (Evaluation). 25 Three additional articles were included that focused on sexual harassment (Me Too), 26 metrics that can be used by medical societies to analyze gender equity (Metrics), 4 and well-being among trainees who feel judged on the basis of gender identity ( Judged).…”

Section: Resultsmentioning

confidence: 99%

“…14 Five days after meeting, summit attendees participated in a proof-of-concept study of the impact of social media postings on research dissemination. During this preliminary study, attendees posted comments and information about a pregnancyrelated workforce gender equity article by Krause et al titled ''Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study'' 15 on Twitter and Facebook. AS Oxentenko, the senior author of that article and coauthor of this study, looked at the effects of gender and pregnancy on the evaluation scores given to internal medicine residents between July 1, 2004 and June 30, 2014.…”

Section: Introductionmentioning

confidence: 99%

Use of a Coordinated Social Media Strategy to Improve Dissemination of Research and Collect Solutions Related to Workforce Gender Equity

Cawcutt

Erdahl

Englander

et al. 2019

Journal of Women's Health

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Background: To increase awareness, search for solutions, and drive change, disparity-related research needs to be strategically disseminated. This study aimed to quantify whether a social media strategy could: (1) amplify dissemination of gender equity-related articles and (2) collect proposed solutions to gender equity issues. Methods: In April 2018, eight published journal articles covering separate gender equity issues were presented in a 1-hour Twitter chat hosted by Physician's Weekly. Metrics data were collected before, during, and after the chat. During the chat, one question related to each article was tweeted at a time. Qualitative data were extracted from responses and evaluated for thematic content. Results: In the 16-hour period during and following the chat, we tallied 1500 tweets from 294 participants and 8.6 million impressions (potential views). The Altmetric Attention Score of each article increased (average, 126.5 points; range, 91-208 points). Within the respective journal, the Altmetric Rank of seven articles improved (range, 3 to ‡19), while the eighth maintained its #1 rank. The one article for which share and download data were available experienced a 729% increase in shares following prechat posts and another 113% bump after the chat, a 1667% increase overall (n = 45-795). Similarly, downloads, and presumably reads, increased 712% following prechat posts and another 47% bump after the chat, a 1093% increase overall (n = 394-4700). We tallied 181 potential solutions to the eight gender equity-related questions. Conclusion: Our results demonstrate that social media can be used strategically to increase the dissemination of research articles and collect solution-focused feedback.

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“…1 The impact of pregnancy in residency extends beyond the female resident. This article mentions a study from 1983 in which resident colleagues were surveyed regarding their feelings toward their pregnant colleagues.…”

mentioning

confidence: 99%

Pregnancy in Residency

Oller

2017

J GEN INTERN MED

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Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study

Cited by 59 publications

References 21 publications

Perceptions of Parenting Residents Among Family Medicine Residency Directors

Perceptions of Parenting Residents Among Family Medicine Residency Directors

Use of a Coordinated Social Media Strategy to Improve Dissemination of Research and Collect Solutions Related to Workforce Gender Equity

Pregnancy in Residency

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