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基于育儿假使用情况的眼科住院医师表现比较分析

A Comparative Analysis of Ophthalmology Resident Physician Performance Based on Use of Parental Leave.

作者信息

Fliotsos Michael J, Zafar Sidra, Woreta Fasika A, Ugoh Peter M, Srikumaran Divya

机构信息

Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD.

School of Medicine, Baylor College of Medicine, Houston, TX.

出版信息

J Acad Ophthalmol (2017). 2021 Jan 25;13(1):e1-e4. doi: 10.1055/s-0040-1721465. eCollection 2021 Jan.

DOI:10.1055/s-0040-1721465
PMID:37389166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9927955/
Abstract

Taking parental leave during ophthalmology residency may be perceived to negatively affect resident surgical volume and educational outcomes. However, limited data exist on whether taking parental leave is associated with objective measures of resident performance. The objective of the present study was to determine the association between taking parental leave and key measures of resident performance.  Educational records of ophthalmology resident physicians who graduated from 2015 to 2019 at the Johns Hopkins University School of Medicine Wilmer Eye Institute were reviewed. Measures of resident performance assessed were Ophthalmic Knowledge Assessment Program scores, number of publications during residency, Accreditation Council for Graduate Medical Education milestones scores, and surgical volumes. These outcomes were compared for residents who took parental leave compared with their peers who did not take parental leave.  Twenty-five residents were included in the study. Four female residents (16%) took parental leave 8 weeks in duration. There were no significant differences between residents who did and did not take parental leave when considering mean Ophthalmic Knowledge Assessment Program scores (  = 0.27), number of publications during residency (  = 0.19), milestone scores ( -value range 0.09-0.40), and surgical volume by subspecialty category ( -value range 0.11-0.45).  Parental leave did not negatively influence any of the studied measures of resident performance.

摘要

在眼科住院医师培训期间休育儿假可能会被认为对住院医师的手术量和教育成果产生负面影响。然而,关于休育儿假是否与住院医师表现的客观指标相关的数据有限。本研究的目的是确定休育儿假与住院医师表现的关键指标之间的关联。 对2015年至2019年在约翰霍普金斯大学医学院威尔默眼科研究所毕业的眼科住院医师的教育记录进行了审查。评估的住院医师表现指标包括眼科知识评估计划分数、住院期间的发表文章数量、毕业后医学教育认证委员会的里程碑分数以及手术量。将休育儿假的住院医师与未休育儿假的同行在这些结果方面进行了比较。 25名住院医师被纳入研究。4名女性住院医师(16%)休了为期8周的育儿假。在考虑平均眼科知识评估计划分数(P = 0.27)、住院期间的发表文章数量(P = 0.19)、里程碑分数(P值范围为0.09 - 0.40)以及按亚专业类别划分的手术量(P值范围为0.11 - 0.45)时,休育儿假和未休育儿假的住院医师之间没有显著差异。 育儿假并未对所研究的任何住院医师表现指标产生负面影响。

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本文引用的文献

1
Parental Leave Policy for Ophthalmology Residents: Results of a Nationwide Cross-Sectional Study of Program Directors.眼科住院医师的育儿假政策:一项针对项目主任的全国性横断面研究结果
J Surg Educ. 2021 May-Jun;78(3):785-794. doi: 10.1016/j.jsurg.2020.08.034. Epub 2020 Sep 16.
2
Parenting While in Training: A Comprehensive Needs Assessment of Residents and Fellows.培训期间为人父母:住院医师和研究员的综合需求评估
J Grad Med Educ. 2020 Apr;12(2):162-167. doi: 10.4300/JGME-D-19-00563.1.
3
Fixing the Parent Trap for Resident Physicians.解决住院医师的“父母陷阱”问题。
JAMA. 2020 Mar 24;323(12):1119-1121. doi: 10.1001/jama.2020.1084.
4
Program Directors' Perception of Pregnancy and Parenthood in Orthopedic Surgery Residency.项目主任对骨科住院医师培训中怀孕和为人父母的看法。
Orthopedics. 2020 Mar 1;43(2):e109-e113. doi: 10.3928/01477447-20191212-02. Epub 2019 Dec 16.
5
Perceptions of Surgery Residents About Parental Leave During Training.外科住院医师对培训期间育儿假的看法。
JAMA Surg. 2019 Oct 1;154(10):952-958. doi: 10.1001/jamasurg.2019.2985.
6
Gender Differences in Case Volume Among Ophthalmology Residents.眼科住院医师病例数量的性别差异。
JAMA Ophthalmol. 2019 Sep 1;137(9):1015-1020. doi: 10.1001/jamaophthalmol.2019.2427.
7
Maternity Leave in Residency: A Multicenter Study of Determinants and Wellness Outcomes.住院医师的产假:一项关于决定因素和健康结果的多中心研究。
Acad Med. 2019 Nov;94(11):1738-1745. doi: 10.1097/ACM.0000000000002780.
8
Specialty Board Leave Policies for Resident Physicians Requesting Parental Leave.专科住院医师申请育儿假的特别休假政策。
JAMA. 2018 Dec 11;320(22):2374-2377. doi: 10.1001/jama.2018.15889.
9
Childbearing and Family Leave Policies for Resident Physicians at Top Training Institutions.顶级培训机构住院医师的生育和家庭休假政策。
JAMA. 2018 Dec 11;320(22):2372-2374. doi: 10.1001/jama.2018.14414.
10
Factors Associated With Residency and Career Dissatisfaction in Childbearing Surgical Residents.与生育外科住院医师的住院和职业不满相关的因素。
JAMA Surg. 2018 Nov 1;153(11):1004-1011. doi: 10.1001/jamasurg.2018.2571.