| Autor: |
Beltrán Ponce S; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Jagsi R; Department of Radiation Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia, USA., Florez N; Lowe Center for Thoracic Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA.; The Cancer Care Equity Program, Dana Farber Cancer Institute, Boston, Massachusetts, USA., Thomas CR Jr; Department of Radiation Oncology, Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA., Banerjee A; Department of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Jasti S; Department of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Bailey MM; University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA., Lawton CAF; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Johnstone C; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Clarke CN; Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Bedi M; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Jovanovic M; Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Saeed H; Baptist Health Medical Group, Boca Raton, Florida, USA. |
| Abstrakt: |
Purpose: Peak fertility commonly occurs during medical training, and delaying parenthood can complicate pregnancies. Trainee parental leave policies are varied and lack transparency. Research on the impacts of parenthood on trainee education is limited. Methods: A Qualtrics-based survey was distributed via e-mail/social media to program directors (PDs) within oncologic specialties with a request to forward a parallel survey to trainees. Questions assessed awareness of parental leave policies, supportiveness of parenthood, and impacts on trainee education. Statistical analyses included descriptive frequencies and bivariable comparisons by key groups. Results: A total of 195 PDs and 286 trainees responded. Twelve percent and 29% of PDs were unsure of maternity/paternity leave options, respectively. PDs felt they were more supportive of trainee parenthood than trainees perceived they were. Thirty-nine percent of nonparent trainees (NPTs) would have children already if not in medicine, and >80% of women trainees were concerned about declining fertility. Perceived impacts of parenthood on trainee overall education and academic productivity were more negative for women trainees when rated by PDs and NPTs; however, men/women parents self-reported equal impacts. Leave burden was perceived as higher for women trainees. Conclusions: A significant portion of PDs lack awareness of parental leave policies, highlighting needs for increased transparency. Trainees' perception of PD support for parenthood is less than PD self-reported support. Alongside significant rates of delayed parenthood and fertility concerns, this poses a problem for trainees seeking to start a family, particularly women who are perceived more negatively. Further work is needed to create a supportive culture for trainee parenthood. |
