Division of Trauma, Burn and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, United States; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School & Harvard T.H. Chan School of Public Health, 1620 Tremont St, Boston, MA, 02120, United States.
Division of General and Gastrointestinal Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, United States.
Am J Surg. 2018 Oct;216(4):754-759. doi: 10.1016/j.amjsurg.2018.07.036. Epub 2018 Jul 24.
Prior work shows pregnancy during surgical residency may negatively impact career satisfaction and increase risk of attrition. We sought to gain deeper insight into the experience of childbearing trainees.
An electronic survey with three open-ended questions was sent to surgeons who had ≥1 pregnancy during a US general surgery training program. Transcripts were analyzed using directed content analysis and the constant comparative approach.
Six themes characterized the pregnancy experience of 219 surgeons in residency.
1)desired work modifications during the late stages of pregnancy due to health concerns; 2)regarded maternity leave as too short; 3)perceived stigma related to pregnancy; 4)expressed need for greater lactation and childcare support; 5)desired mentorship on work-family integration; 6)placed value on supportive colleagues and faculty.
Pregnancy is challenging during surgical residency. These findings may inform policy changes to improve retention and recruitment of women trainees who wish to begin families during residency.
先前的研究表明，在外科住院医师培训期间怀孕可能会对职业满意度产生负面影响，并增加离职风险。我们试图更深入地了解生育受训者的经历。
我们向在美国普通外科培训项目中至少有 1 次怀孕经历的外科医生发送了一份带有 3 个开放式问题的电子调查问卷。使用定向内容分析和恒定性比较方法对转录本进行分析。
219 名住院医师的妊娠经历有 6 个主题特征。
1）由于健康问题，希望在妊娠晚期进行工作调整；2）认为产假太短；3）对与怀孕有关的耻辱感；4）表示需要更多的哺乳和儿童保育支持；5）希望在工作-家庭融合方面得到指导；6）重视支持性的同事和教师。
在外科住院医师培训期间怀孕是具有挑战性的。这些发现可能会为政策变革提供信息，以改善希望在住院医师培训期间组建家庭的女性受训者的留用和招募。
