Keck School of Medicine at the University of Southern California, Department of Orthopaedic Surgery, USA.
Yale University School of Medicine, Department of Orthopaedics and Rehabilitation, USA.
Am J Surg. 2022 Oct;224(4):1109-1114. doi: 10.1016/j.amjsurg.2022.05.028. Epub 2022 Jun 20.
More women are choosing a career in surgery, many of whom plan to have children during their residency and fellowship training. However, women still face perceived physical and psychological barriers to childbearing during training. In this article we review the risks of surgical exposures such as bloodborne disease, radiation, bone cement, physical labor and fatigue, and emotional stressors for the pregnant resident. Cultural barriers for pregnant residents persist, including biased comments or resentment from colleagues or attendings. Parental leave policies are inconsistent among programs and specialties. This article is intended to empower female residents and program faculty to make informed decisions and policies to support trainees, encourage diversity, and keep surgical programs competitive among top applicants.
越来越多的女性选择从事外科相关工作,其中许多人计划在住院医师和专科培训期间生育孩子。然而,女性在培训期间仍然面临着生育方面的身体和心理障碍。本文回顾了外科暴露的风险,如血源性疾病、辐射、骨水泥、体力劳动和疲劳以及情绪应激对孕妇住院医师的影响。孕妇住院医师仍面临文化障碍,包括同事或主治医生的偏见言论或怨恨。不同项目和专业之间的育儿假政策也不一致。本文旨在赋予女性住院医师和项目教师权力,以便他们做出明智的决策和政策,以支持培训生,鼓励多样性,并使外科项目在顶级申请者中保持竞争力。