Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.

<h4>Introduction</h4>Determine the consistency, accessibility, and adequacy of parental leave policies for adult and pediatric medicine fellowship programs.<h4>Methods</h4>We administered a 40-question survey to fellowship program directors (PDs) and trainees in adult and ped...

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Autores principales: Daniel Sabido Jamorabo, Amrin Khander, Vasilios Koulouris, Jeremy Eli Feith, William Matthew Briggs, Benjamin Dwight Renelus
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:ca6b1666e5414815b2a313e324b64a8b2021-12-02T20:12:55ZFellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.1932-620310.1371/journal.pone.0260057https://doaj.org/article/ca6b1666e5414815b2a313e324b64a8b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0260057https://doaj.org/toc/1932-6203<h4>Introduction</h4>Determine the consistency, accessibility, and adequacy of parental leave policies for adult and pediatric medicine fellowship programs.<h4>Methods</h4>We administered a 40-question survey to fellowship program directors (PDs) and trainees in adult and pediatric cardiology, hematology/oncology, gastroenterology, and pulmonology/critical care fellowship programs in the United States. We used Chi-square tests to compare proportions for categorical variables and t-tests to compare means for continuous variables.<h4>Results</h4>A total of 190 PDs from 500 programs (38.0%) and 236 trainees from 142 programs (28.4%) responded. Most respondents did not believe that parental leave policies were accessible publicly (322/426; 75.6%), on password-protected intranet (343/426; 80.5%), or upon request (240/426; 56.3%). The PDs and trainees broadly felt that parental leave for fellows should be 5-10 weeks (156/426; 36.6%) or 11-15 weeks (165/426; 38.7%). A majority of PDs felt that there was no increased burden upon other fellows (122/190; 64.2%) or change in overall well-being (110/190; 57.9%). When asked about the biggest barrier to parental leave support, most PDs noted time constrains of fellowship (101/190; 53.1%) and the limited number of fellows (43/190; 22.6%). Trainees similarly selected the time constraints of training (88/236; 37.3%), but nearly one-fifth chose the culture in medicine (44/236; 18.6%). There were no statistically significant differences in answers based on the respondents' sex, specialty, or subspecialty.<h4>Discussion</h4>Parental leave policies are broadly in place, but did not feel these were readily accessible, standardized, or of optimum length. PDs and trainees noted several barriers that undermine support for better parental leave policies, including time constraints of fellowship, the limited number of fellows for coverage, and workplace culture. Standardization of parental leave policies is advisable to allow trainees to pursue fellowship training and care for their newborns without undermining their educational experiences.Daniel Sabido JamoraboAmrin KhanderVasilios KoulourisJeremy Eli FeithWilliam Matthew BriggsBenjamin Dwight RenelusPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0260057 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daniel Sabido Jamorabo
Amrin Khander
Vasilios Koulouris
Jeremy Eli Feith
William Matthew Briggs
Benjamin Dwight Renelus
Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.
description <h4>Introduction</h4>Determine the consistency, accessibility, and adequacy of parental leave policies for adult and pediatric medicine fellowship programs.<h4>Methods</h4>We administered a 40-question survey to fellowship program directors (PDs) and trainees in adult and pediatric cardiology, hematology/oncology, gastroenterology, and pulmonology/critical care fellowship programs in the United States. We used Chi-square tests to compare proportions for categorical variables and t-tests to compare means for continuous variables.<h4>Results</h4>A total of 190 PDs from 500 programs (38.0%) and 236 trainees from 142 programs (28.4%) responded. Most respondents did not believe that parental leave policies were accessible publicly (322/426; 75.6%), on password-protected intranet (343/426; 80.5%), or upon request (240/426; 56.3%). The PDs and trainees broadly felt that parental leave for fellows should be 5-10 weeks (156/426; 36.6%) or 11-15 weeks (165/426; 38.7%). A majority of PDs felt that there was no increased burden upon other fellows (122/190; 64.2%) or change in overall well-being (110/190; 57.9%). When asked about the biggest barrier to parental leave support, most PDs noted time constrains of fellowship (101/190; 53.1%) and the limited number of fellows (43/190; 22.6%). Trainees similarly selected the time constraints of training (88/236; 37.3%), but nearly one-fifth chose the culture in medicine (44/236; 18.6%). There were no statistically significant differences in answers based on the respondents' sex, specialty, or subspecialty.<h4>Discussion</h4>Parental leave policies are broadly in place, but did not feel these were readily accessible, standardized, or of optimum length. PDs and trainees noted several barriers that undermine support for better parental leave policies, including time constraints of fellowship, the limited number of fellows for coverage, and workplace culture. Standardization of parental leave policies is advisable to allow trainees to pursue fellowship training and care for their newborns without undermining their educational experiences.
format article
author Daniel Sabido Jamorabo
Amrin Khander
Vasilios Koulouris
Jeremy Eli Feith
William Matthew Briggs
Benjamin Dwight Renelus
author_facet Daniel Sabido Jamorabo
Amrin Khander
Vasilios Koulouris
Jeremy Eli Feith
William Matthew Briggs
Benjamin Dwight Renelus
author_sort Daniel Sabido Jamorabo
title Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.
title_short Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.
title_full Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.
title_fullStr Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.
title_full_unstemmed Fellowship program directors and trainees across the United States find parental leave policies to be inconsistent, inaccessible, and inadequate.
title_sort fellowship program directors and trainees across the united states find parental leave policies to be inconsistent, inaccessible, and inadequate.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/ca6b1666e5414815b2a313e324b64a8b
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