Wiemer Laura, Knipper Sophie, Herlemann Annika, Welte Maria-Noemi, Siech Carolin, Greiser Eva-Maria, Müller Karina, Bellut Laura, Schönburg Sandra, Walach Margarete, Pompe Raisa, Weinberger Sarah
Klinik für Urologie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Klinik für Urologie, Vivantes Klinikum am Urban, Berlin, Deutschland.
Urologie. 2025 Feb;64(2):157-164. doi: 10.1007/s00120-024-02439-8. Epub 2024 Sep 16.
The shortage of skilled labor in medicine is one of the most pressing challenges in healthcare. The increasing number of women in medicine, particularly in the field of urology, raises questions about the compatibility of family and career, especially concerning the work environment and working time models.
The aim of this study is to capture the impact of motherhood on the professional lives of female physicians and scientists in the field of urology in Germany. Specific challenges in this surgical specialty and the compatibility of family and career will be highlighted.
The working group "Female Physicians and Scientists in Urology" of the German Society of Urology (DGU) surveyed its 1343 female members regarding demographic data, professional status, and aspects of work-life balance.
Among 487 female urologists in Germany, 53.4% had children. Mothers tended to be older, less frequently in training, less often in inpatient settings, and less frequently engaged in surgical activities. Notably, the proportion of full-time working mothers (36.2%) was significantly lower compared to female urologists without children (92.4%). Among female urologists with children, 32.3% reported having changed their workplace because of their children, while 10.7% indicated that their responsibilities had changed at least once after pregnancy. Additionally, 76.9% of mothers had reduced their weekly working hours due to family commitments. Multivariate analysis showed an influence of motherhood on professional status and parttime work.
The fact that starting a family for women in urology in Germany is associated with a reduction in working hours and the end of clinical careers suggests a need for optimizing the compatibility of family and career in Germany. The increasing feminization of the medical profession exacerbates the existing shortage of skilled workers due to the exit of mothers from professional life. To meet the needs of working parents, particularly mothers, urgent adjustments in the work environment are necessary. Promoting flexible working time models and creating supportive conditions are crucial to preventing the loss of skilled professionals and maintaining job satisfaction in this field.
医学领域熟练劳动力短缺是医疗保健领域最紧迫的挑战之一。医学领域女性人数的增加，尤其是在泌尿外科领域，引发了关于家庭与职业兼容性的问题，特别是在工作环境和工作时间模式方面。
本研究旨在了解为人母对德国泌尿外科领域女性医生和科学家职业生涯的影响。将突出该外科专业的具体挑战以及家庭与职业的兼容性。
德国泌尿外科学会（DGU）的“泌尿外科女性医生和科学家”工作组就人口统计学数据、职业状况以及工作与生活平衡方面对其1343名女性成员进行了调查。
在德国的487名女性泌尿外科医生中，53.4%育有子女。有孩子的母亲往往年龄较大，接受培训的频率较低，在住院环境中的工作频率较低，从事外科手术活动的频率也较低。值得注意的是，全职工作的母亲比例（36.2%）明显低于没有孩子的女性泌尿外科医生（92.4%）。在有孩子的女性泌尿外科医生中，32.3%报告因孩子而更换了工作场所，而10.7%表示怀孕后其职责至少改变过一次。此外，76.9%的母亲因家庭事务减少了每周工作时间。多变量分析显示为人母对职业状况和兼职工作有影响。
在德国，泌尿外科领域的女性组建家庭与工作时间减少和临床职业生涯结束相关，这一事实表明德国需要优化家庭与职业的兼容性。医学专业女性化程度的提高加剧了现有熟练工人短缺的问题，因为母亲们退出了职业生活。为满足在职父母尤其是母亲的需求，迫切需要对工作环境进行调整。推广灵活的工作时间模式并创造支持性条件对于防止熟练专业人员流失和维持该领域的工作满意度至关重要。
