M.B. Kraus is assistant professor, Department of Anesthesiology, Mayo Clinic, Phoenix, Arizona.
J.M.V. Talbott is a fourth-year medical student, Mayo Clinic Alix School of Medicine, Phoenix, Arizona.
Acad Med. 2021 Sep 1;96(9):1315-1318. doi: 10.1097/ACM.0000000000004074.
Parental leave for new parents is essential as they adjust to the physical and psychological changes that accompany childbirth and caring for a newborn. This study sought to determine the current state of parental leave policies for medical students at medical schools in the United States.
From November to December 2019, 2 researchers independently reviewed the websites of 199 U.S. MD-granting and DO-granting medical schools (including in U.S. territories). Online student handbooks and school webpages were searched for the following keywords: "pregnant" OR "pregnancy" OR "maternity" OR "parent" OR "family" OR "child" OR "birth." Data were analyzed using descriptive statistics. Fisher's exact tests evaluated differences in proportion by group.
Of 199 schools, 65 (32.66%) had parental leave policies available online or in the handbook: 39 of 155 (25.16%) MD-granting and 26 of 44 (59.09%) DO-granting schools. Of those policies, 59 (90.77%) were included in the student handbook. Most policies (28, 43.08%) were included as an option within the school's general leave of absence policy. Both parents were included in 38 (58.46%) policies; 23 (35.38%) policies mentioned only mothers; and 4 (6.15%) were unknown. An option to maintain original graduation date was offered in 21 (32.1%) schools' policies. Three schools (4.62%) included adoption as qualifying for parental leave. When comparing MD and DO programs, DO programs were statistically more likely to have a parental leave policy: 39 (25.16%) vs 26 (59.09%); P < .001.
Balancing medical school with pregnancy and childbirth necessitates administrative support to address the inherent scheduling challenges. Currently, many schools lack parental leave policies for medical students that are easily accessible, are separate from formal leaves of absence, allow for at least 12 weeks, and are tailored to the student academic year to ensure on-time completion of medical education.
新父母的育儿假至关重要,因为他们需要适应伴随分娩和照顾新生儿而来的身体和心理变化。本研究旨在确定美国医学院校医学生目前的育儿假政策现状。
2019 年 11 月至 12 月,2 名研究人员独立查阅了美国 199 所 MD 和 DO 授予医学学位的医学院校(包括美国领土)的网站。在线学生手册和学校网页上搜索了以下关键词:“怀孕”或“妊娠”或“产妇”或“父母”或“家庭”或“儿童”或“分娩”。使用描述性统计分析数据。Fisher 确切检验评估了按组划分的比例差异。
在 199 所学校中,有 65 所(32.66%)在线或在手册中提供了育儿假政策:155 所 MD 授予学校中有 39 所(25.16%),44 所 DO 授予学校中有 26 所(59.09%)。在这些政策中,有 59 项(90.77%)包含在学生手册中。大多数政策(28 项,43.08%)作为学校一般休假政策的一个选项包含在内。有 38 项政策(58.46%)同时涵盖了父母双方;有 23 项政策(35.38%)仅提到了母亲;有 4 项政策(6.15%)不详。有 21 所(32.1%)学校的政策提供了保持原毕业日期的选择。有 3 所学校(4.62%)将领养作为获得育儿假的条件。比较 MD 和 DO 项目后发现,DO 项目更有可能制定医学生育儿假政策:39 项(25.16%)比 26 项(59.09%);P<.001。
平衡医学院校与妊娠和分娩需要行政支持,以解决固有的日程安排挑战。目前,许多学校缺乏易于获取、独立于正式休假、至少 12 周、并根据学生学年量身定制以确保医学教育按时完成的医学生育儿假政策。