住院医师规范化培训学员的家长健康：住院医师对现行政策的满意度和对创新的兴趣。
Parental health in fellowship trainees: Fellows' satisfaction with current policies and interest in innovation.
机构信息
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
出版信息
Womens Health (Lond). 2020 Jan-Dec;16:1745506520949417. doi: 10.1177/1745506520949417.
BACKGROUND
Parenthood during medical training is common and impacts trainee well-being. However, current graduate medical education parental health policies are often limited in scope. We explored current fellowship trainees' knowledge of/satisfaction with current policies as well as interest in potential changes/additions to existing policies.
METHODS
Fellowship program directors/coordinators at a three-site academic institution were surveyed and information was collected from 2015 to 2019 regarding fellow demographics and parental health policies. We distributed an electronic survey to fellows containing Likert-type-scale questions rating knowledge/level of satisfaction with current parental health policies and interest in potential additions/modifications to current policies.
RESULTS
Thirty-five of 47 (74%) fellowship programs responded. An average of 11% of female fellows and 15% of male fellows took parental leave during the study period. Three (9%) of the programs had at least one additional parental health policy beyond institutional graduate medical education policies. In the fellow survey, 175 of 609 fellows responded (28.7%), of which 84 (48.6%) were female. Although 89.1% agreed/strongly agreed that parental health is an important part of health and well-being for fellows, only 32% were satisfied/very satisfied with current policies (no significant sex-related differences). Fellows reported the following potential interventions as important/very important: 79.2% increased (paid) maternity leave (72.7% male, 86.7% female, = 0.02), 78% increased (paid) paternity leave (76.4% male, 81.9% female, = 0.37), 72.3% part-time return to work (60.2% male, 84.3% female, = 0.0005), 63% coverage for workup/management of infertility (52.3% male, 74.7% female, = 0.002), and 79.9% on-site day care (70.7% male, 89.2% female, = 0.003).
CONCLUSIONS
Parental health includes multiple domains, not all of which are covered by current policies. Fellows feel that parental health is an important part of overall health and well-being, but most are not satisfied with current policies. Expanded access to parental leave and new policies (part-time return to work, infertility management, and on-site day care) are opportunities for innovation.
背景
在医学培训期间成为父母是很常见的，这会影响培训生的幸福感。然而，目前的研究生医学教育父母健康政策往往范围有限。我们探讨了目前研究员对当前政策的了解/满意度，以及对现有政策的潜在变化/增加的兴趣。
方法
对一个三站点学术机构的研究员计划主任/协调员进行了调查，并在 2015 年至 2019 年期间收集了研究员的人口统计数据和父母健康政策信息。我们向研究员分发了一份电子调查问卷，其中包含对当前父母健康政策的了解/满意度的李克特量表问题以及对当前政策的潜在增加/修改的兴趣。
结果
47 个研究员计划中有 35 个（74%）做出了回应。在研究期间，平均有 11%的女性研究员和 15%的男性研究员休了育儿假。其中 3 个（9%）项目除了机构研究生医学教育政策外，还有至少一项额外的父母健康政策。在研究员调查中，609 名研究员中有 175 名（28.7%）做出了回应，其中 84 名（48.6%）是女性。尽管 89.1%的人同意/强烈同意父母健康是研究员健康和幸福感的重要组成部分，但只有 32%的人对当前政策感到满意/非常满意（无显著性别差异）。研究员报告了以下潜在干预措施作为重要/非常重要的措施：79.2%增加（带薪）产假（72.7%男性，86.7%女性，=0.02），78%增加（带薪）陪产假（76.4%男性，81.9%女性，=0.37），72.3%兼职返回工作岗位（60.2%男性，84.3%女性，=0.0005），63%报销生育检查/管理费用（52.3%男性，74.7%女性，=0.002），79.9%提供现场日托（70.7%男性，89.2%女性，=0.003）。
结论
父母健康包括多个领域，而目前的政策并未涵盖所有领域。研究员认为父母健康是整体健康和幸福感的重要组成部分，但大多数人对当前政策不满意。扩大育儿假和新政策（兼职返回工作、生育管理和现场日托）的机会，为创新提供了机会。
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