Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA.
NYU Langone Health, New York, NY, USA.
J Assist Reprod Genet. 2023 Jun;40(6):1313-1316. doi: 10.1007/s10815-023-02849-1. Epub 2023 Jun 16.
Infertility affects one in four female physicians, yet current availability of fertility benefits within Accreditation Council for Graduate Medical Education (ACGME) accredited residency programs in the United States (US) is unknown. Our objective was to examine publicly available fertility benefits information for residents and fellows.
The top 50 medical schools in the US for research were identified using US News & World Report 2022. In April 2022, we reviewed fertility benefits available to residents and fellows at these medical schools. Websites of their associated graduate medical education (GME) websites were queried for details surrounding fertility benefits. Two investigators collected data from GME and publicly available institutional websites. The primary outcome was fertility coverage and rates are reported as percentages.
Within the top 50 medical schools, 66% of institutional websites included publicly available medical benefits, 40% included any mention of fertility benefits, and 32% had no explicit information on fertility or medical benefits. Fertility benefit coverage included infertility diagnostic workup (40%), intrauterine insemination (32%), prescription coverage (12%), and in vitro fertilization (IVF, 30%). No information on coverage for third party reproduction or LGBT family building was available on public websites. Most programs with fertility benefits were in the South (40%) or Midwest (30%).
To support the reproductive autonomy of physicians in training, it is critical to ensure access to information on fertility care coverage. Given the prevalence of infertility among physicians and the impact of medical training on family planning goals, more programs should offer and publicize coverage for fertility care.
不孕不育影响了四分之一的女医生，但目前在美国（US）经认证理事会认可的研究生医学教育（ACGME）认可的居住项目中，生育福利的可获得性尚不清楚。我们的目标是检查居民和研究员可获得的公开生育福利信息。
使用 2022 年 US News & World Report，确定了美国研究排名前 50 的医学院。2022 年 4 月，我们审查了这些医学院的居民和研究员可获得的生育福利。查询了他们相关的研究生医学教育（GME）网站，以获取有关生育福利的详细信息。两名调查员从 GME 和公开可用的机构网站收集数据。主要结果是生育覆盖范围，以百分比报告。
在排名前 50 的医学院中，66%的机构网站包括公开的医疗福利，40%的网站包括任何生育福利的提及，32%的网站没有关于生育或医疗福利的明确信息。生育福利涵盖范围包括不孕不育诊断检查（40%）、宫内授精（32%）、处方覆盖（12%）和体外受精（IVF，30%）。公共网站上没有关于第三方生殖或 LGBT 家庭建设覆盖范围的信息。大多数提供生育福利的项目位于南部（40%）或中西部（30%）。
为了支持受训医生的生殖自主权，确保获得关于生育护理覆盖范围的信息至关重要。鉴于医生中不孕不育的普遍性以及医学培训对计划生育目标的影响，应该有更多的项目提供并宣传生育护理的覆盖范围。
