Assessing the Importance and Availability of Family Planning Policies for Surgical Residency Programs: A Review.

IF 6.4 1区医学 Q1 SURGERY

Annals of surgery Pub Date : 2025-09-12 DOI:10.1097/sla.0000000000006937

Kathleen S Botterbush,Logan Muzyka,Jenna K Koenig,MaKayla F Cox,Regan M Shanahan,Martina Mustroph,Anna R Kimata,Karen Malacon,Rachel S F Moor,Hannah Weiss,Nora Kim,Maryam Rahman,Sharona Ben-Haim,

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引用次数: 0

Abstract

OBJECTIVE To assess the availability and quality of family-planning resources available to surgical trainees. SUMMARY BACKGROUND DATA The overlap of residency with reproductive years creates significant challenges for those who wish to build a family. Trainees in the three longest residencies - neurosurgery, plastic surgery, and cardiothoracic surgery - report increased rates of infertility, complications, and challenges with childrearing. Despite recent recommendations surrounding parental leave, there remains a paucity of widely accepted guidelines related to fertility and family planning, leaving critical gaps for trainees. METHODS A cross-sectional study was conducted to query the GME offices of all institutions with a categorical neurosurgery, integrated cardiothoracic, or plastic surgery residency for policies related to family-planning, fertility, or child-bearing. Analyses were performed to assess the relative availability and quality of these resources in general, and among institutions. RESULTS Of 115 institutions, Western programs consistently outperformed the rest of the US, offering the most comprehensive resources, including robust insurance plans (P=0.025), lactation and adoption policies (P<0.001), and radiation exposure policies for pregnant residents (P=0.041). High-performing institutions showed superior availability of information on insurance benefits; guidelines for paid parental leave; guides for childrearing; and generous childcare programs. CONCLUSIONS Despite recent guidelines, there remains marked variability in the availability and quality of policies and resources related to family planning for physician trainees. It is imperative that governing bodies and institutions take steps toward creating more consistent training environments through improvement through such initiatives as the development of publicly accessible institutional resources, advocacy for fair access to fertility preservation, and expansion of institutional services and programming.

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评估外科住院医师计划生育政策的重要性和有效性：综述。

目的评价外科培训生计划生育资源的可得性和质量。背景数据居住年龄与生育年龄的重叠给那些希望建立家庭的人带来了巨大的挑战。在三个最长的住院医师——神经外科、整形外科和心胸外科——实习医生报告不孕症、并发症和育儿挑战的发生率增加。尽管最近提出了关于育儿假的建议，但在生育和计划生育方面仍然缺乏广泛接受的指导方针，给受训人员留下了严重的空白。方法采用横断面研究的方法，向所有分类神经外科、心胸综合外科或整形外科住院医师机构的GME办公室询问与计划生育、生育或生育相关的政策。进行了分析，以评估这些资源的总体可用性和质量，并在机构之间进行了分析。结果在115个机构中，西方项目的表现一直优于美国其他地区，提供最全面的资源，包括健全的保险计划（P=0.025），哺乳和收养政策（P<0.001），以及怀孕居民的辐射暴露政策（P=0.041）。表现良好的机构在保险福利信息的可得性方面更胜一筹；带薪育儿假指引；育儿指南；以及慷慨的儿童保育计划。结论：尽管有了最新的指导方针，但在培训医师计划生育相关政策和资源的可得性和质量方面仍存在显著差异。理事机构和机构必须采取步骤，通过诸如开发可公开获得的机构资源、倡导公平获得生育保护、扩大机构服务和方案编制等举措来改进，从而创造更加一致的培训环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of surgery 医学-外科

CiteScore

14.40

自引率

4.40%

发文量

687

审稿时长

4 months

期刊介绍： The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.