Variability in accessibility of residency parental leave policies across surgical specialties.

IF 2 3区 医学 Q2 UROLOGY & NEPHROLOGY
Avani Desai, Taylor Stivali, Cordelia Muir, Emma Bethel, Katharine Michel, Angela Smith
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引用次数: 0

Abstract

Objective: To compare the public availability of residency parental leave policies across surgical specialties and identify factors associated with policy availability.

Methods: All ACGME-accredited, non-military residency programs in the United States across ten surgical specialties were examined. Parental leave policies and program characteristics were collected from program and institutional websites. Fisher's exact and Chi-square tests assessed differences in availability of program-specific and of any parental leave policies, respectively. Multivariable logistic regression examined associations between program characteristics and policy availability.

Results: Program-specific parental leave policies were rarely publicly available (0-11%), with the highest availability in urology. Institutional policies were more frequently available (58-83%), but 14-38% of programs lacked any identifiable policy (on either program or institutional websites). Policy availability varied significantly by specialty (p<0.001). Across all specialties, larger program size, a higher proportion of female faculty, and unionization were significantly associated with the presence of any parental leave policy (on either program or institutional websites). Program-specific policy availability was independently associated with location in the South and larger program size. No significant associations were observed specific to urology.

Conclusions: Though urology programs offer better accessibility to residency parental leave policies as compared to other surgical specialties, specific policies remain difficult to identify online. While our findings reflect publicly available information and not actual policy presence, they highlight an important opportunity for programs to improve transparency, thereby promoting equity in residency training and trainee well-being.

外科专科住院医师产假政策可及性的可变性。
目的:比较各外科专科住院育儿假政策的公共可用性,并确定与政策可用性相关的因素。方法:对美国所有经acgme认证的非军人住院医师项目进行了调查,涉及10个外科专业。从项目和机构网站上收集了育儿假政策和项目特征。Fisher的精确检验和卡方检验分别评估了特定项目和任何育儿假政策的可用性差异。多变量逻辑回归检验了项目特征和政策可用性之间的关系。结果:特定项目的育儿假政策很少公开(0-11%),其中泌尿外科的可获得性最高。机构政策更常见(58-83%),但14-38%的项目缺乏任何可识别的政策(在项目或机构网站上)。政策的可用性因专业而异(结论:尽管泌尿外科项目比其他外科专业更容易获得住院父母假政策,但具体政策仍然难以在网上确定。虽然我们的研究结果反映的是公开可用的信息,而不是实际的政策存在,但它们强调了项目提高透明度的重要机会,从而促进住院医师培训的公平性和受训人员的福祉。
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来源期刊
Urology
Urology 医学-泌尿学与肾脏学
CiteScore
3.30
自引率
9.50%
发文量
716
审稿时长
59 days
期刊介绍: Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.
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