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生殖规划与不孕不育:培养下一代外科医生。

Reproductive planning and infertility: Training the next generation of surgeons.

机构信息

Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA.

Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA.

出版信息

Am J Surg. 2024 Dec;238:115886. doi: 10.1016/j.amjsurg.2024.115886. Epub 2024 Aug 3.

DOI:10.1016/j.amjsurg.2024.115886
PMID:39128441
Abstract

BACKGROUND

Female surgeons face increased rates of fertility challenges compared to the general population. We aim to understand surgical trainees' understanding and perspectives on family planning.

METHODS

A 35-question survey was emailed to program directors at all US surgical residency programs for distribution to residents. Descriptive analyses were performed to evaluate resident understanding and perspectives on family planning and fertility treatments.

RESULTS

A total of 121 residents responded to the survey. Most were female (n ​= ​78; 65 ​%). Responders indicated the need to postpone pregnancy during training (female: n ​= ​48, 64 ​% vs male n ​= ​18, 45 ​%; p ​= ​0.09). Potential negative career consequences (n ​= ​50; 42 ​%), limited leave benefits (n ​= ​47; 39 ​%), and lack of childcare (n ​= ​45; 38 ​%) were primary reasons for postponing pregnancy. Only nine responders (8 ​%) received fertility-preservation education.

CONCLUSION

Surgical trainees delay pregnancy for career and social support concerns and are interested in reproductive preservation. Fertility education could provide needed support for trainees.

摘要

背景

与普通人群相比,女性外科医生面临更高的生育挑战率。我们旨在了解外科培训生对计划生育的理解和看法。

方法

向所有美国外科住院医师项目的项目主任发送了一份包含 35 个问题的调查,以便分发给住院医师。进行描述性分析,以评估住院医师对计划生育和生育治疗的理解和看法。

结果

共有 121 名住院医师对调查做出了回应。大多数是女性(n=78;65%)。应答者表示需要在培训期间推迟怀孕(女性:n=48,64% vs 男性 n=18,45%;p=0.09)。潜在的负面职业后果(n=50;42%)、有限的休假福利(n=47;39%)和缺乏儿童保育(n=45;38%)是推迟怀孕的主要原因。只有 9 名应答者(8%)接受了生育保护教育。

结论

外科培训生因职业和社会支持问题而推迟怀孕,并对生殖保护感兴趣。生育教育可以为培训生提供必要的支持。

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