Compatibility of family and clinical-scientific career for German gynecologists in different workplaces: a sub-analysis of the systematic trinational FARBEN survey.

Abstract

Introduction: The trinational survey project conducted by the young forums of the German, Austrian, and Swiss societies for gynecology and obstetrics aims to evaluate the preferences of prospective and practicing gynecologists regarding various working time models, training systems, career pathways, and the reconciliation of professional and family life.

Materials and methods: Between October 2023 and May 2024, 1364 participants completed the FARBEN survey. The questionnaire comprised 62 items addressing aspects such as general workplace conditions, working time models, training priorities, team structures, and professional aspirations. Participation was voluntary and anonymous. The present analysis constitutes a national sub-analysis focusing on the preferences of German respondents, stratified by their current workplace setting (university hospitals, non-university hospitals, or outpatient care facilities).

Results: Among the 1008 German respondents, 26.3% were employed in university hospitals, 55.4% in non-university hospitals, and 10.8% in outpatient care. Respondents working in university hospitals were significantly more likely to pursue an academic career (68.0% held a doctoral degree, and 7.5% held a habilitation-the highest academic qualification in German-speaking countries-or a professorship; 38.5% aspired to a habilitation, compared to 6.6% in non-university hospitals). Female respondents employed in university hospitals tended to have children at a later stage and returned to work earlier following parental leave. Institutional childcare was reported to be more accessible and flexible at university hospitals (20.4%) compared to non-university hospitals (9.6%) and outpatient care (8.4%). Furthermore, 34.1% of university hospital respondents indicated that their department head was female, in contrast to 19.2% in non-university hospitals (p < 0.001).

Conclusions: Work-life balance and the compatibility of family life with a medical career are essential for most gynecologists in training, irrespective of their workplace setting. Respondents employed in academic institutions were more inclined to pursue scientific careers and reported greater flexibility and better childcare support. In light of the growing shortage of medical professionals, employment policies should prioritize these aspects. Initiatives such as the guideline "Safe Surgery During Pregnancy" can support the alignment of clinical training with family planning and help prevent career disadvantages related to parenthood.