Resident Leave in Plastic Surgery Training

Humphries, Laura S.; Park, Julie E.

doi:10.1097/gox.0000000000000788

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…In 2019, female plastic surgery residents constituted 39% of all integrated plastic surgery residents, which has increased from 37% in 2015. 18,27 The number of women residents entering an integrated plastic surgery residency program has increased by 2.2% over the last 7 years. 28 In addition, between 2006 and 2016, there was an increase in female representation within plastic surgery faculty, from 15% to 22%.…”

Section: Discussionmentioning

confidence: 99%

A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States

et al. 2022

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Background: The role sex plays in surgical leadership positions is heavily discussed in the literature; however, there is an absence of research looking at plastic surgery program director (PD) demographics and the differences between male and female PDs. Methods: A cross sectional study of publicly available online resources of all integrated plastic surgery residency programs was performed. Demographic and academic data of integrated plastic surgery PDs was analyzed focusing on the differences in PDs based on sex. Results: Eighty-two integrated plastic surgery residencies were analyzed. Fifteen PDs (18.3%) were female. Fifty-six (68%) PDs completed general surgery residencies, whereas 24 (29%) completed an integrated plastics residency. All female PDs were fellowship trained, whereas only 46 (68%) male PDs pursued additional training after residency ( P = 0.02). Research output among male PDs was greater with 49.9 publications and a higher average H-index, at 13.3, compared with women with an average of 27.5 publications ( P = 0.008) and an Hindex of 8.7 ( P = 0.02). When comparing male to female PDs, there was no difference between age at PD appointment ( P = 0.15), or in the amount of time between completion of plastic surgery training to PD appointment ( P = 0.29). Male PDs were older (52.2) compared with female PDs (46.5) ( P = 0.02). Male PDs served longer terms (4.98 years) than female PDs (2.87 years) ( P = 0.003). Conclusions:The majority of integrated plastic surgery PDs are men with a Doctor of Medicine degree who completed a general surgery residency and a plastic surgery fellowship. Most PDs also completed fellowship in a plastic subspecialty. Male PDs had higher research output, which may be attributed to their older age on average. Although women make up only 18.3% of plastic surgery PDs, this percentage is similar to the 17.2% of active female plastic surgeons in the United States. As more women train in plastic surgery, it is possible that the percentage of women serving academic leadership roles will increase. By gaining a better understanding of the demographics and diversity in plastic surgery residency program leadership, efforts can be made to increase the representation of minority groups in academic leadership roles.

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Section: Discussionmentioning

confidence: 99%

A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States

et al. 2022

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“…[4][5][6] Women now represent one-third of plastic surgery residents and 19% of active and candidate members of the American Society of Plastic Surgeons (ASPS). 1,7 As more women enter the field, the importance of understanding and addressing the impact of a career in plastic surgery on childbearing, breastfeeding, childcare, and fertility is becoming more recognized.A 1995 survey of female plastic surgery trainees and ASPS members aptly described the Background: Women now represent approximately one-third of plastic surgery residents. The impact of a career in plastic surgery on family planning is unknown.…”

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confidence: 99%

Fertility & Childbearing Outcomes of Practicing Female Plastic Surgeons

Hemal

Chen

Bourne

2022

Plastic &Amp; Reconstructive Surgery

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Background: Women now represent approximately one-third of plastic surgery residents. The impact of a career in plastic surgery on family planning is unknown. The aim of this study was to report the current status of fertility and childbearing outcomes of practicing female plastic surgeons. Methods: Following institutional review board approval, an anonymous online survey was distributed to all female active and candidate members of the American Society of Plastic Surgeons. Data collected included demographics, number and outcomes of pregnancies, obstetric complications, infertility, maternity leave, and breastfeeding. Results: The response rate was 20%. Female plastic surgeons were less likely to have children and gave birth to their first child at an older age compared with the U.S. population. Plastic surgeons had seven times higher odds of having difficulty conceiving or carrying a pregnancy than American women. The rate of miscarriage was twice that of the U.S. population. Furthermore, the rates of obstetric complications and congenital malformations were higher than the U.S. population (47% versus 20%, and 8% versus 4%, respectively). Women took a mean of 6.6 weeks for maternity leave. Forty-three percent were dissatisfied with leave, and longer leave correlated with higher satisfaction. The mean length of breastfeeding was 7.6 months. Women who breastfed for a longer duration were more likely to feel satisfied with the amount of time they breastfed. Conclusions: Plastic surgeons are at high risk for infertility, miscarriage, congenital malformations, and obstetric complications. The data in this article provide a groundwork for identifying areas of concern and potential solutions.

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