Parental Leave Policies in Residency: A National Survey of Internal Medicine Program Directors.

Autor:	Stack SW; S.W. Stack is assistant professor of medicine and associate director, Medicine Student Programs, University of Washington School of Medicine, Seattle, Washington; ORCID: https://orcid.org/0000-0001-6586-9266 ., Finn KM; K.M. Finn is assistant professor of medicine and senior associate program director, Resident Development, Massachusetts General Hospital Internal Medicine Residency Program, Harvard Medical School, Boston, Massachusetts., Kisielewski M; M. Kisielewski is assistant director, Surveys and Research, Alliance for Academic Internal Medicine, Alexandria, Virginia., Law KL; K.L. Law is associate professor of medicine, program director, Internal Medicine Residency Program, and associate vice chair of education, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia., Milne CK; C.K. Milne is professor of medicine, program director, Internal Medicine Residency Program, and vice chair for education, University of Utah School of Medicine, Salt Lake City, Utah; ORCID: https://orcid.org/0000-0002-4782-1901 ., Best JA; J.A. Best is associate professor of medicine, associate program director, Internal Medicine Residency Program, and associate dean, Graduate Medical Education, University of Washington School of Medicine, Seattle, Washington.
Jazyk:	angličtina
Zdroj:	Academic medicine : journal of the Association of American Medical Colleges [Acad Med] 2022 Jul 01; Vol. 97 (7), pp. 1021-1028. Date of Electronic Publication: 2022 Jun 23.
DOI:	10.1097/ACM.0000000000004593
Abstrakt:	Purpose: To characterize the existence, accessibility, and content of parental leave policies, as well as barriers to program-level policy implementation among internal medicine (IM) program directors (PDs) and to assess the willingness of PDs to implement a national standardized policy. Method: In 2019, the Association of Program Directors in Internal Medicine conducted a survey of 422 IM PDs. Along with other content, 38 questions addressed 4 primary outcomes: parental leave policy existence, accessibility, content, and barriers. The authors compared programs with and without a program-level policy and applied qualitative content analysis to open-ended questions about barriers to policy implementation and openness to a national standard. Results: The response rate was 69.4% (293/422). Of responding programs, 86% (250/290) reported a written parental leave policy with 43% (97/225) of these originating at the program level. Program-level policies, compared with policies at other levels, were more likely to address scheduling during pregnancy (38%, 36/95 vs 22%, 27/124; P = .018); peer coverage (24%, 21/89 vs 15%, 16/109; P = .037), how the duration of extended training is determined (81%, 72/89 vs 44%, 48/109; P < .001), and associated pay and benefits 61%, 54/89 vs 44%, 48/109; P = .009). PDs without program-level policy reported lacking guidance to develop policy, deferring upward to institutional policies, and wishing to retain flexibility. More than half of PDs (60%, 170/282) expressed agreement that a national standard for a residency program-level parental leave policy should exist. Those not in favor cited organization equity, lack of resources, implementation challenges, loss of flexibility, and potentially disadvantaging recruitment. Conclusions: While existing program-level policies included important content, most PDs reported not having them. A national standard to guide the development of program-level parental leave policies could be embraced if it provided flexibility for programs with limited resources. (Copyright © 2022 by the Association of American Medical Colleges.)
Databáze:	MEDLINE
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