关注生育、生育和哺乳经历：加拿大眼科医生和实习生调查。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-10-04 DOI:10.1016/j.jsurg.2024.09.005

Gayathri K. Sivakumar MD, MSc , Daiana R. Pur MSc , Lulu L.C.D. Bursztyn MD, FRCSC

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引用次数: 0

摘要

目的综合加拿大眼科医生和实习生的生育、生育和哺乳经历：设计：在线横断面调查：在 2022 年 4 月至 8 月期间向加拿大眼科医生和受训人员发放了调查问卷。采用李克特量表测量受访者对每个调查项目的同意程度。采用费雪精确检验来确定性别上的显著差异：共有 137 名调查对象（46% 为女性）提供了数据。与男性相比，更多女性表示培训和临床实践影响了她们选择生育的孩子数量（p = 0.002）以及受孕能力（p < 0.001）。与男性相比，更多的女性对未来的生育能力（p = 0.040）和育儿假（p = 0.037）表示担忧。在影响育儿假的因素中，来自同事的压力（p = 0.046）和临床实践中的困难（p = 0.022）在统计学上对女性的影响比男性更大。与男性相比，更多女性在医学院、住院实习和临床实践期间休育儿假（p < 0.001）。生育（p = 0.005）和育儿假（p = 0.031）对女性担任领导职务和职业发展机会的影响大于男性。在有哺乳经历的女性中，有三分之一的女性认为她们没有足够的空间或储藏室来帮助她们在工作场所实现母乳喂养的目标：结论：在职业生涯中，女性眼科医生和实习生面临着前所未有的挑战，她们需要承担生育和养育子女的责任，应对不孕不育和产科风险、污名化、育儿假不足、哺乳和育儿支持不足等问题，同时还要平衡她们的职业要求和愿望。了解性别不平等对于在外科文化中促进工作与家庭的融合以及解决为女外科医生设置玻璃天花板的系统性和结构性障碍至关重要。

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An Eye on Childbearing, Fertility, and Lactation Experiences: A Survey of Canadian Ophthalmologists and Trainees

Objective

To synthesize the experiences of childbearing, fertility, and lactation among Canadian ophthalmologists and trainees.

Design

Online, cross-sectional survey.

Methods

A survey was distributed to Canadian ophthalmologists and trainees between April and August 2022. Likert-type scales were used to measure respondents' agreement with each survey item. Fisher's exact test was used to identify significant differences based on gender.

Results

Data were obtained from a total of 137 survey respondents (46% females). Women more than men reported that training and clinical practice influenced the number of children they chose to have (p = 0.002), as well as their ability to conceive (p < 0.001). Compared to their male counterparts, more women had concerns about future fertility (p = 0.040) and parental leave (p = 0.037). Among factors affecting parental leave, pressure from colleagues (p = 0.046) and difficulty finding coverage for clinical practice (p = 0.022) were statistically significant among women more than men. More women reported taking parental leave during medical school, residency, and clinical practice than men (p < 0.001). Childbearing (p = 0.005) and parental leave (p = 0.031) influenced pursuit of leadership roles and opportunities for career advancement among women more than men. Of those with lactation experiences, one-third of women felt they did not have adequate space or storage to facilitate their breastfeeding goals in the workplace.

Conclusions

Over the span of their careers, female ophthalmologists and trainees face unparalleled challenges related to childbearing and parenthood duties, coping with infertility and obstetric risks, stigma, inadequate parental leaves, and poor supports for lactation and childcare, while balancing their career demands and aspirations. Garnering an understanding of gender inequities is essential to promote work-family integration within the surgical culture and address the systemic and structural barriers which impose a glass ceiling for female surgeons.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.