*Department of Surgery, Brigham and Women's Hospital, Boston, MA †Department of Surgery, University of Massachusetts Medical School, Worcester, MA.
Ann Surg. 2017 Aug;266(2):210-217. doi: 10.1097/SLA.0000000000002196.
The aim of this study was to perform a large-scale, national survey of physician mothers to define the personal, professional, and financial impact of maternity leave and its relationship to career satisfaction for female physicians in procedural and nonprocedural fields.
Little is known about the impact of maternity leave on early career female physicians or how childbearing affects career satisfaction.
A nationwide sample of physician mothers completed a 45-question anonymous, secure, online questionnaire regarding the impact of pregnancy and childbearing.
One thousand five hundred forty-one respondents were attending physicians during their most recent pregnancy and 393 (25.5%) practiced in a procedural field. Overall, 609 (52.9%) reported losing over $10,000 in income during leave with no significant difference between procedural and nonprocedural fields. Maternity leave was included in only 28.9% of female physicians' most recent contracts. Proceduralists were more likely to report negative impact on referrals by maternity leave [odds ratio (OR) 1.78, 95% confidence interval (95% CI) 1.28-2.47, P = 0.001], a requirement to complete missed shifts (OR 3.04, 95% CI 2.12-4.36, P < 0.001), and owing money to their practice (OR 2.71, 95% CI 1.34-5.50, P = 0.006). Proceduralists were also significantly more likely to report desire to have chosen a less demanding specialty (OR 2.33, 95% CI 1.80-3.02, P < 0.001).
Female physicians lose significant income during maternity leave and report high rates of career dissatisfaction, particularly those in procedural specialties. Given these findings, improved family leave policies may help improve career satisfaction for female physicians.
本研究的目的是对医师母亲进行大规模的全国性调查，以确定产假对女性医师个人、职业和经济的影响，以及其与程序和非程序领域女性医师职业满意度的关系。
对于产假对早期职业女性医师的影响，以及生育如何影响职业满意度，我们知之甚少。
对参加妊娠和生育的全国性医师母亲样本进行了 45 个问题的匿名、安全、在线问卷调查。
1541 名受访者在最近一次怀孕时为主治医生，393 名（25.5%）在程序领域工作。总体而言，609 名（52.9%）报告休假期间收入损失超过 10000 美元，程序领域和非程序领域之间没有显著差异。最近的合同中只有 28.9%的女性医师包含产假。程序专家更有可能报告产假对转诊的负面影响[比值比（OR）1.78，95%置信区间（95%CI）1.28-2.47，P = 0.001]、完成错过的轮班的要求（OR 3.04，95%CI 2.12-4.36，P < 0.001）和欠实践的钱（OR 2.71，95%CI 1.34-5.50，P = 0.006）。程序专家也更有可能报告希望选择一个要求不那么高的专业（OR 2.33，95%CI 1.80-3.02，P < 0.001）。
女性医师在产假期间收入大幅减少，并报告职业满意度低，特别是在程序专业。鉴于这些发现，改善家庭休假政策可能有助于提高女性医师的职业满意度。
