加拿大普外科住院医师项目中父母政策和福利的透明度

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-06-21 DOI:10.1016/j.jsurg.2025.103577

Stephanie Jiang MD , Gazelle Halajha MD , Justin Barr MD, PhD , Erika Rangel MD, MS, FACS , Kyla Terhune MD, MBA, FACS , Stephanie Mason MD, PhD , Ashlie Nadler MD, MSc, MPH

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引用次数: 0

摘要

目的由于偏见，医学生在外科住院医师面试中避免讨论父母关系，从而依赖于有关父母支持的公开信息。虽然美国外科住院医师项目记录了育婴假政策的差异，但加拿大项目的透明度仍未得到探索。本研究调查了加拿大普通外科住院医师申请人父母福利和支持的透明度。根据之前的研究，确定了28个透明度（IOT）项目，并为加拿大项目量身定制。这些措施包括产假或陪产假、哺乳政策、儿童保育和初级保健保险。从加拿大居民匹配服务（CaRMS）和加拿大皇家内科医生和外科医生学院（RCPSC）的公共平台收集认证项目的信息，并直接与项目主任（PD）联系，以弥补缺失的数据。非参数测试和线性回归评估透明度与PD性别和项目规模之间的关系。结果分析了来自17家机构的23个经认证的普通外科住院医师项目。透明度中位数为19分（IQR: 19-20）。所有项目都披露了产假、陪产假和领养假政策。约71%提供哺乳室，71%提供现场托儿服务。透明度与PD性别或女性居民人数之间无显著关联（p = 0.22,p = 0.48）。每个程序访问的平台中位数为4个以获得物联网（范围：3-6）。结论本研究强调了加拿大外科住院医师存在父母支持政策，但也强调了其可及性的挑战。需要努力集中和简化这些政策的信息，以促进外科培训的公平性和包容性。

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Transparency of Parental Policies and Benefits in Canadian General Surgery Residency Programs

OBJECTIVE

Medical students avoid discussing parenthood during surgical residency interviews due to bias and thus rely on publicly accessible information about parental support. While disparities in parental leave policies are documented in US surgical residency programs, transparency in Canadian programs remains unexplored. This study investigated the transparency of parental benefits and support for general surgery residency applicants in Canada.

DESIGN

Twenty-eight items of transparency (IOT) were identified and tailored for Canadian programs based on previous research. These included maternity or paternity leave, lactation policies, childcare, and primary care coverage. Information was gathered for accredited programs from public platforms of Canadian Resident Matching Service (CaRMS) and Royal College of Physicians and Surgeons of Canada (RCPSC), supplemented by direct contact with program directors (PD) for missing data. Nonparametric tests and linear regression assessed relationships between transparency and PD gender and program size.

RESULTS

Twenty-three accredited general surgery residency programs across 17 institutions were analyzed. Median transparency score was 19 (IQR: 19-20). All programs disclosed maternity, paternity, and adoption leave policies. About 71% provided lactation rooms and 71% provided onsite childcare. No significant associations were found between transparency and PD gender or number of female residents (p = 0.22, p = 0.48, respectively). Median number of platforms accessed per program was 4 to obtain IOT (range: 3-6).

CONCLUSION

This study highlights the existence of parental support policies in Canadian surgical residencies but underscores their accessibility challenges. Efforts are needed to centralize and streamline information on these policies to promote equity and inclusivity in surgical training.

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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.