The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement

Background:. Increased focus on wellness and diversity in surgical training has resulted in policy changes to support resident family planning. This study investigated program director (PD) knowledge and perceptions of accommodations for residents with or seeking to start families and their attitude...

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Main Authors: Kassandra Carrion, BA, Shirley Chen, MD, Theresa Webster, MD, Catherine L. Ly, MD, Heather J. Furnas, MD, Dung H. Nguyen, MD, PharmD
Format: Article
Language:English
Published: Wolters Kluwer 2025-05-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006757
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author Kassandra Carrion, BA
Shirley Chen, MD
Theresa Webster, MD
Catherine L. Ly, MD
Heather J. Furnas, MD
Dung H. Nguyen, MD, PharmD
author_facet Kassandra Carrion, BA
Shirley Chen, MD
Theresa Webster, MD
Catherine L. Ly, MD
Heather J. Furnas, MD
Dung H. Nguyen, MD, PharmD
author_sort Kassandra Carrion, BA
collection DOAJ
description Background:. Increased focus on wellness and diversity in surgical training has resulted in policy changes to support resident family planning. This study investigated program director (PD) knowledge and perceptions of accommodations for residents with or seeking to start families and their attitudes toward parenthood’s effect on resident performance. Methods:. A survey was sent to 88 plastic and reconstructive surgery integrated residency PDs in the United States. Results were compared with a 2017 PD survey that surveyed similar topics. Results:. A total of 34 PDs completed the survey (38.6%): 85.3% had children themselves, and 38.2% had children during residency. Most PDs were “unsure” about accommodations for nursing mothers during the in-service examination (64.7%) and written board examinations (76.5%), but 64.7% knew of accommodations for nursing mothers who were actively operating. Less than half (47.1%) were “unsure” about the financial support available for fertility treatment. PDs feel strongly that hospitals should provide childcare and allow 12 weeks of leave for childbearing residents. PDs believe their institution’s resident salary is sufficient to support 1 resident parent and 1 child. PDs from northeast programs disagree that resident unions will effectively advocate for reasonable parental leave and fertility support policies. Overall, PDs did not believe that trainee wellness was affected by having children during training regardless of childbearing status. Conclusions:. Although PDs are supportive of residents becoming parents, discrepancies remain about available services that support trainee parents. Further studies regarding outcomes of different policies for residents who become parents are warranted given the variety of reported accommodations and attitudes.
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spelling doaj-art-1ade8fca2f7b4904a59c8821e1424f7f2025-08-20T03:48:22ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-05-01135e675710.1097/GOX.0000000000006757202505000-00016The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for ImprovementKassandra Carrion, BA0Shirley Chen, MD1Theresa Webster, MD2Catherine L. Ly, MD3Heather J. Furnas, MD4Dung H. Nguyen, MD, PharmD5From the * Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA† Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN‡ Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY§ Division of Plastic and Reconstructive Surgery, Columbia University, New York, NY.From the * Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CAFrom the * Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CABackground:. Increased focus on wellness and diversity in surgical training has resulted in policy changes to support resident family planning. This study investigated program director (PD) knowledge and perceptions of accommodations for residents with or seeking to start families and their attitudes toward parenthood’s effect on resident performance. Methods:. A survey was sent to 88 plastic and reconstructive surgery integrated residency PDs in the United States. Results were compared with a 2017 PD survey that surveyed similar topics. Results:. A total of 34 PDs completed the survey (38.6%): 85.3% had children themselves, and 38.2% had children during residency. Most PDs were “unsure” about accommodations for nursing mothers during the in-service examination (64.7%) and written board examinations (76.5%), but 64.7% knew of accommodations for nursing mothers who were actively operating. Less than half (47.1%) were “unsure” about the financial support available for fertility treatment. PDs feel strongly that hospitals should provide childcare and allow 12 weeks of leave for childbearing residents. PDs believe their institution’s resident salary is sufficient to support 1 resident parent and 1 child. PDs from northeast programs disagree that resident unions will effectively advocate for reasonable parental leave and fertility support policies. Overall, PDs did not believe that trainee wellness was affected by having children during training regardless of childbearing status. Conclusions:. Although PDs are supportive of residents becoming parents, discrepancies remain about available services that support trainee parents. Further studies regarding outcomes of different policies for residents who become parents are warranted given the variety of reported accommodations and attitudes.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006757
spellingShingle Kassandra Carrion, BA
Shirley Chen, MD
Theresa Webster, MD
Catherine L. Ly, MD
Heather J. Furnas, MD
Dung H. Nguyen, MD, PharmD
The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement
Plastic and Reconstructive Surgery, Global Open
title The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement
title_full The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement
title_fullStr The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement
title_full_unstemmed The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement
title_short The Resident Parent: Program Director Attitudes on Childbearing During Residency, Available Resources, and Opportunities for Improvement
title_sort resident parent program director attitudes on childbearing during residency available resources and opportunities for improvement
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006757
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