Stewart D E, Robinson G E
Can J Psychiatry. 1985 Feb;30(1):28-34. doi: 10.1177/070674378403000106.
Psychiatric residency or practice is difficult to combine with motherhood. The experiences of 82 women psychiatrists surveyed in the last year (47 residents and 35 staff doctors) are reviewed in a number of related areas--the difficulties of pregnancy, maternity leave, child rearing and the conflicts between motherhood and practicing psychiatry. Part-time residency is explored from both the resident's and hospital's perspective. Suggestions to make practice or residency more compatible with child rearing are discussed. Other issues such as work-based day care, realistic tax credit for child care expenses, and the difficulties of obtaining reliable and good home help and child care are reviewed. There are numerous conflicts for women psychiatrists who work while their children are young and these problems need to be acknowledged and addressed by the profession. It is noteworthy that as well as a supportive spouse and good child care, the attitudes of colleagues and supervisors and the need for good role models were frequently cited as being critical to the success of combining a psychiatric career with motherhood. As more women enter the profession (approximately 50% of psychiatric residents in Canada are now female, and more than 50% of them plan to combine children with their profession at some stage of their career) the need to find creative and workable solutions to these problems becomes more pressing.
精神科住院医师培训或工作很难与为人母的角色兼顾。本文回顾了去年接受调查的82位女精神科医生（47位住院医师和35位在职医生）在多个相关领域的经历——怀孕的困难、产假、育儿以及为人母与从事精神科工作之间的冲突。从住院医师和医院的角度探讨了兼职住院医师培训。讨论了使工作或住院医师培训与育儿更兼容的建议。还回顾了其他问题，如基于工作场所的日托、儿童保育费用切实可行的税收抵免，以及获得可靠且优质的家庭帮助和儿童保育的困难。对于孩子尚幼时仍在工作的女精神科医生来说，存在诸多冲突，这些问题需要该行业予以承认并加以解决。值得注意的是，除了有支持自己的配偶和优质的儿童保育外，同事和上级的态度以及对优秀榜样的需求也经常被认为对于将精神科职业与为人母的角色兼顾成功至关重要。随着越来越多的女性进入该行业（目前加拿大约50%的精神科住院医师为女性，其中超过50%的人计划在职业生涯的某个阶段将育儿与职业结合起来），找到这些问题的创造性且可行的解决方案的需求变得更加紧迫。
