Annals of Surgery ( IF 9 ) Pub Date : 2022-07-15 , DOI: 10.1097/sla.0000000000005566 Erika L Rangel 1, 2 , Manuel Castillo-Angeles 2, 3 , Paula Marincola Smith 4 , Kyla P Terhune 4, 5
Objective:
This study aimed to investigate the transparency of parental benefits available to US surgical residency applicants.
Background:
Medical students prioritize work-family balance in specialty selection. Those applying to surgical residency programs also place a significant value on parental leave policies when deciding where to train. However, little is known about the amount of information that surgical training programs publicly offer to potential applicants regarding family support policies.
Methods:
Publicly available websites for 264 general surgery training programs were accessed to determine the availability of information on parental benefits. Twenty-six “items of transparency” included types of leave, contract flexibility, salary, lactation, and childcare support. Programs with fewer than the median items of transparency were contacted to inquire about additional public resources. Academic programs were stratified by their associated medical school rankings in the US News & World Report.
Results:
A total of 144 (54%) programs were academic and 214 (81.4%) had male program directors. The median number of items of transparency was 8 (29.6%). Of the 131 programs contacted, 33 (25.9%) replied, and 2 (6.1%) improved their transparency score. Academic programs associated with medical schools in the upper third of the rankings were more likely to have ≥8 items of transparency (70.8% vs. 45.6%; P=0.002). In the adjusted analysis, academic programs [odds ratio (OR): 3.44, 95% confidence interval (95% CI): 1.87–6.34], those with female program directors (OR: 2.09, 95% CI: 1.01–4.33), and those located in the Western (OR: 3.13, 95% CI: 1.31–7.45) and Southern (OR: 2.45, 95% CI: 1.21–4.98) regions of the country were more likely to have ≥8 items of transparency.
Conclusions:
There are significant deficits in publicly available information related to parental benefits for many surgical training programs, which may impact applicants’ decision making. Attracting the most talented candidates requires programs to create and share policies that support the integration of professional and personal success.
中文翻译:
家长支持政策和福利:手术培训计划透明度报告卡
客观的:
本研究旨在调查美国外科住院医师申请者可获得的父母福利的透明度。
背景:
医学生在专业选择时优先考虑工作与家庭的平衡。那些申请外科住院医师计划的人在决定去哪里接受培训时也非常重视育儿假政策。然而,人们对外科培训项目向潜在申请人公开提供的有关家庭支持政策的信息量知之甚少。
方法:
访问了 264 个普通外科培训项目的公开网站,以确定是否可以获得有关父母福利的信息。二十六个“透明度项目”包括休假类型、合同灵活性、工资、哺乳和儿童保育支持。我们联系了透明度低于中位数的项目,询问是否有额外的公共资源。学术项目根据《美国新闻与世界报道》中相关医学院的排名进行分层。
结果:
共有 144 个(54%)项目为学术项目,其中 214 个项目(81.4%)有男性项目主任。透明度项目的中位数为 8 项(29.6%)。在联系的 131 个项目中,有 33 个(25.9%)做出了回复,2 个(6.1%)提高了透明度得分。与排名前三分之一的医学院相关的学术项目更有可能具有 ≥8 项透明度(70.8% vs. 45.6%;P = 0.002)。在调整后的分析中,学术项目[比值比 (OR):3.44,95% 置信区间 (95% CI):1.87–6.34],有女性项目主任的学术项目(OR:2.09,95% CI:1.01–4.33),位于西部地区(OR:3.13,95% CI:1.31–7.45)和南部地区(OR:2.45,95% CI:1.21–4.98)的地区更有可能拥有≥8项透明度。
结论:
许多外科培训项目中与父母福利相关的公开信息存在重大缺陷,这可能会影响申请人的决策。吸引最有才华的候选人需要制定和分享支持职业和个人成功相结合的政策的计划。