Parental leave in medical school: supporting students as parents

Author:

Ortega Sheila R.1,Barnes Jacob M.2,Waller Jacquelyn D.3ORCID

Affiliation:

1. St. Anthony North Family Medicine Residency , Westminster , CO , USA

2. The University of Florida College of Medicine – Jacksonville , Jacksonville , FL , USA

3. Department of Biomedical Sciences , Rocky Vista University , Parker , CO , USA

Abstract

Abstract Context The overlap between medical school, residency, and childbearing potential increases the likelihood a woman will pursue parenthood within her, or her partner’s, medical training. Parental leave benefits mothers, fathers, and infants. Adequate parental leave promotes physical recovery, mental health, infant bonding, improved breastfeeding, appropriate childhood immunization, and familial engagement. Despite the risks and benefits, the United States does not have national paid maternity, paternity, or parental leave requirements. Complicating matters for medical trainees, parental leave policies are not well-defined within the undergraduate (UME) and graduate medical education (GME) realms. Significant policy advancements are on the horizon for GME; however, medical schools are left without evidence to support policy formation. Objectives This study aims to identify the presence and nature of maternal/paternal leave policies and procedures within UME. Given the authors’ close association with osteopathic medical education, only osteopathic medical schools were considered to lay the framework for future study in UME. Methods Investigators searched university websites for student handbooks outlining rules and policies surrounding parental leave. The following terms were utilized to investigate these documents: “parental,” “maternity,” “paternity,” “pregnant,” “pregnancy,” and “leave of absence” (LOA). Administrative personnel were contacted, and subjective data were documented. A parental leave policy was defined as explicitly dedicated to expectant parents or those parents planning on adoption. Medical leave or other short- and long-term LOA policies were not considered a parental leave policy. Results A total of 42 osteopathic medical schools were identified. Investigators established email communication with 17 schools (40.5%). Neither a student handbook nor email contact could be made with one institution. Two (4.9%) osteopathic medical schools overtly described parental leave in their policies. The majority of schools recommended students seeking parental leave follow short- or long-term LOA policies. Conclusions Without protected leave time, students must decide whether to begin a family or delay medical education. As GME begins prioritizing policy change, the authors call on UME to follow suit. Parenthood and medicine must be intertwined.

Publisher

Walter de Gruyter GmbH

Subject

Complementary and alternative medicine,Complementary and Manual Therapy

Reference14 articles.

1. Association of American Medical Colleges (AAMC). Table B-1.2: total enrollment by U.S. medical school and sex, 2016-2017 through 2020-2021. Available from: https://www.aamc.org/media/6101/download?attachment [Accessed 28 Sep 2021].

2. American Association of Colleges of Osteopathic Medicine (AACOM). 2019-20 osteopathic medical college total enrollment by gender and race/ethnicity. Available from: https://www.aacom.org/docs/default-source/data-and-trends/2019-20-total-enrollment-by-gender-race-ethnicity-and-osteopathic-medical-college.pdf?sfvrsn=4def0897_8 [Accessed 10 Jun 2021].

3. Association of American Medical Colleges (AAMC). Table A-6: age of applicants to U.S. medical schools at anticipated matriculation by sex and race/ethnicity, 2014-2015 through 2017-2018. Available from: https://www.aamc.org/system/files/d/1/321468-factstablea6.pdf [Accessed 7 Dec 2020].

4. Martin, JA, Hamilton, BE, Osterman, MJK, Driscoll, AK. Births: final data for 2018. Natl Vital Stat Rep 2019;68:1–47.

5. Ortiz Worthington, R, Feld, LD, Volerman, A. Supporting new physicians and new parents: a call to create a standard parental leave policy for residents. Acad Med 2019;94:1654–7. https://doi.org/10.1097/ACM.0000000000002862.

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. The ACGME’s New Paid Family and Medical Leave Policy: Just the Beginning;The Journal of the American Board of Family Medicine;2023-02-08

2. The Evidence Is In: There Is Work to Be Done for Medical Student Parents;Journal of Women's Health;2022-07-26

3. Medical Student Parental Leave Policies at U.S. Medical Schools;Journal of Women's Health;2022-06-14

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