Willoughby Karen, Julien Marie, Zendel Benjamin Rich, Curran Vernon
Faculty of Medicine, Memorial University, Newfoundland and Labrador, Canada.
Université Laval, Quebec, Canada.
Can Med Educ J. 2020 Sep 23;11(5):e16-e30. doi: 10.36834/cmej.68486. eCollection 2020 Sep.
Despite the advantages of having a child as a medical resident, the transition back to residency after parental leave can be challenging. This study is the first to investigate this issue using a nation-wide Canadian sample of both residents and program directors.
A questionnaire was developed and made available online. Respondents included 437 female residents, 33 male residents, and 172 residency program directors. The mean length of parental leave was nine months for female residents and six weeks for male residents. Almost all female residents (97.5%) breastfed with an average duration of 12 months. The top challenges reported by residents were feeling guilty for being away from their family, long and unpredictable work hours, sleep deprivation, and finding time to study. When female residents and program directors were matched to both school and program ( = 99 pairs), there was no difference in the total number of challenges reported, but program directors reported offering significantly more accommodations than female residents reported being offered, = 13.06, < .001.
Our data indicate there is a need for better communication between resident parents and program directors, as well as clear program-specific parental leave policies, particularly for supporting breastfeeding mothers as they return to work.
尽管身为住院医师生育子女有诸多益处，但休完产假后重新回归住院医师岗位可能颇具挑战。本研究首次使用加拿大全国范围内住院医师和项目主任的样本对此问题展开调查。
设计了一份问卷并在线提供。受访者包括437名女性住院医师、33名男性住院医师以及172名住院医师项目主任。女性住院医师的平均产假时长为9个月，男性住院医师为6周。几乎所有女性住院医师（97.5%）进行母乳喂养，平均时长为12个月。住院医师报告的主要挑战包括因离开家人而感到内疚、工作时间长且不可预测、睡眠不足以及难以抽出时间学习。当将女性住院医师和项目主任按学校和项目进行匹配（共99对）时，报告的挑战总数并无差异，但项目主任报告提供的便利措施显著多于女性住院医师所报告获得的便利措施，χ² = 13.06，P <.001。
我们的数据表明，住院医师父母与项目主任之间需要更好地沟通，以及制定明确的特定项目产假政策，尤其是在支持母乳喂养的母亲重返工作岗位方面。
