Surgeon Experience with Parental Leave Policies Varies Based on Practice Setting

  • PDF / 1,929,429 Bytes
  • 18 Pages / 595.276 x 790.866 pts Page_size
  • 93 Downloads / 144 Views

DOWNLOAD

REPORT


ORIGINAL SCIENTIFIC REPORT

Surgeon Experience with Parental Leave Policies Varies Based on Practice Setting Katherine Bingmer1,5 Sharon L. Stein1,5



Danielle S. Walsh2,5 • Nancy L. Gantt3,5 • Hilary A. Sanfey4,5



Ó Socie´te´ Internationale de Chirurgie 2020

Abstract Background The increase in female surgeons has resulted in scrutiny of widely variable parental leave policies. We hypothesized that academic and private practice surgeons have different experiences based on difference in workplace expectations. Methods A 25-question survey was disseminated via social media and through the Association of Women Surgeons social media platforms from June 1 to September 15, 2017. An analysis of attending surgeons working in the USA in an academic or private practice setting was performed. Results Of 1115 total respondents, 477 were attending surgeons practicing in the USA. Practice distribution was 34% private and 47% academic. There was no difference in marital status, work status, or the number who report having been pregnant between the groups. Compared to academic surgeons, private practice surgeons were statistically less likely to have paid leave (p \ 0.001) and were more likely to continue to pay benefits while on leave (p \ 0.001). Private practitioners were more likely to return to work sooner than desired due to financial (p = 0.022) and supervisor (p = 0.004) pressures and were more likely to leave a job (p = 0.01). Academic surgeons were more likely to experience a delay in job advancement (p = 0.031). On multivariate analysis, more than two pregnancies were associated with an increased risk of perception of a bias and discrimination against pregnancy in the workplace. Conclusions Parental leave policies and attitudes vary between academic and private practice, creating unique challenges for female surgeons and different issues for family planning depending on employment model.

Introduction

Meeting Presentation This project will be presented at American College of Surgeons Clinical Congress in San Diego, California, October, 2019. & Sharon L. Stein [email protected] 1

2

Department of Surgery, University Hospitals Research in Surgical Outcomes and Effectiveness Center (UH-RISES), University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, LKS 5047, Cleveland, OH 44106, USA

The issue of parental leave, particularly maternity leave, continues to garner attention with the rising number of practicing female surgeons. More women are entering 3

Department of Surgery, Northeast Ohio Medical University, Mercy St. Elizabeth Youngstown Hospital, Youngstown, OH, USA

4

Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA

5

Association of Women Surgeons, Chicago, IL, USA

Department of Surgery, East Carolina University, Greenville, NC, USA

123

World J Surg

procedural fields such that the proportion of female residents and fellows dwarfs that of practicing physicians. In 2017, 20.6% of practicing general surgeons were female, compared to 40% of tr