Pregnancy-Related Attrition in General Surgery

Brown, Erin G.; Galante, Joseph M.; Keller, B; Braxton, Juanita; Farmer, Diana L.

doi:10.1001/jamasurg.2014.1227

Cited by 52 publications

(43 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pregnancy during obstetrics–gynecology residency did not impact the number of major procedures residents performed . In general surgery, women who had children born during training did not differ from their male counterparts in total case numbers or board pass rates …”

Section: Discussionmentioning

confidence: 85%

“…11 In general surgery, women who had children born during training did not differ from their male counterparts in total case numbers or board pass rates. 12 A survey of plastic and reconstructive surgery PDs found that 36% of respondents discourage pregnancy due to the burden on coworkers, on the resident's training, or on the function of the department as a whole. 4 It is not surprising then that many PDs in our survey advised residents to plan pregnancy during research or elective rotations to lessen the strain on the program.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Maternity and paternity leave in otolaryngology residency training in the United States

Tang

Miller

Hauff³

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

Objectives/Hypothesis This study evaluates the existence and nature of maternity and paternity leave policies for residents during otolaryngology training. The study sought to survey program directors (PDs) on the impact of parental leave. Study Design Cross‐sectional survey. Methods An electronic survey was sent to 103 otolaryngology residency PDs. A link to a 10‐page, 30‐question survey was provided. Descriptive statistics and comments were collected. Results Forty‐one respondents (39.8%) completed the survey, all of whom were from university‐based programs. Programs from the Midwest (n = 11, 26.8%), Northeast (n = 12, 29.3%), South (n = 12, 29.3%) and West (n = 6, 14.6%) were represented. Sixteen (42%) programs reported having a written formal maternity leave policy for trainees, and 13 (32%) programs had a paternity‐specific policy. Four programs reported using short‐term disability, whereas 11 programs reported using the Family Medical Leave Act to accommodate parental leave. Policies primarily followed the Accreditation Council for Graduate Medical Education and American Board of Otolaryngology guidelines, with factors such as clinical duties and call schedules left to the programs' discretion. Although the majority of PDs (56%) reported support of residents who planned to become pregnant during training, many expressed concerns regarding the burden on co‐residents and the difficulty of fulfilling training obligations for the resident taking leave. Conclusions Many institutions do not have parental leave policies and logistics regarding leave are left to the discretion of individual programs. Surveyed PDs addressed the challenges of becoming a parent during training and the potential burden placed on the program when trainees take leave. Level of Evidence 4 Laryngoscope, 129:1093–1099, 2019

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Maternity and paternity leave in otolaryngology residency training in the United States

Tang

Miller

Hauff³

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…One common concern is that pregnant residents may fail to gain clinical experience due to maternity leave and other parenting duties or may drop out of residency (26). However, a recent study of general surgery residents demonstrated no negative impact on attrition rates, case numbers, or board pass rates for women or men who had children born during residency (27).…”

Section: Concerns Of Pregnant Radiation Oncology Traineesmentioning

confidence: 95%

Pregnancy and Parenthood in Radiation Oncology, Views and Experiences Survey (PROVES): Results of a Blinded Prospective Trainee Parenting and Career Development Assessment

Holliday

Ahmed

Jagsi

et al. 2015

International Journal of Radiation Oncology*Biology*Physics

View full text Add to dashboard Cite

“…Work by prior authors has shown that female residents with children do not look forward to work and are more likely to feel overwhelmed (20, 21). However, recent work has demonstrated that attrition rates were not influenced by child rearing regardless of gender (13). Training programs should consider implementing additional support systems for trainees or spouses who are pregnant, or doing a better job of advertising existing infrastructure, so that trainees feel they are adequately supported during such a stressful time period.…”

Section: Discussionmentioning

confidence: 99%

“…There was a time when a resident was expected to live at the hospital, and put the rest of his or her life on hold for the sake of professional immersion (5). With changes in GME expectations over the last century, punctuated by duty hour reforms in 2003 (6) and generational differences, trainees now may be less willing to postpone controllable life events (7–13). …”

mentioning

confidence: 99%

Survey of the incidence and effect of major life events on graduate medical education trainees

Grimm

Nagler

Maxfield

2015

Medical Education Online

View full text Add to dashboard Cite

PurposeThis study aims to assess the incidence of major life events during graduate medical education (GME) training and to establish any associations with modifiable activities and career planning.MethodsThe authors surveyed graduating GME trainees from their parent institution in June 2013. Demographic information (clinical department, gender, training duration) and major life events (marriage, children, death/illness, home purchase, legal troubles, property loss) were surveyed. Respondents were queried about the relationship between life events and career planning. A multivariable logistic regression model tested for associations.ResultsA total of 53.2% (166/312) of graduates responded to the survey. 50% (83/166) of respondents were female. Major life events occurred in 96.4% (160/166) of respondents. Male trainees were more likely (56.1% [46/82] vs. 30.1% [25/83]) to have a child during training (p=0.01). A total of 41.6% (69/166) of responders consciously engaged or avoided activities during GME training, while 31.9% (53/166) of responders reported that life events influenced their career plans. Trainees in lifestyle residencies (p=0.02), those who experienced the death or illness of a close associate (p=0.01), and those with legal troubles (p=0.04) were significantly more likely to consciously control life events.ConclusionMajor life events are very common and changed career plans in nearly a third of GME trainees. Furthermore, many trainees consciously avoided activities due to their responsibilities during training. GME training programs should closely assess the institutional support systems available to trainees during this difficult time.

show abstract

Pregnancy-Related Attrition in General Surgery

Cited by 52 publications

References 17 publications

Maternity and paternity leave in otolaryngology residency training in the United States

Maternity and paternity leave in otolaryngology residency training in the United States

Pregnancy and Parenthood in Radiation Oncology, Views and Experiences Survey (PROVES): Results of a Blinded Prospective Trainee Parenting and Career Development Assessment

Survey of the incidence and effect of major life events on graduate medical education trainees

Contact Info

Product

Resources

About