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Pregnancy and the Plastic Surgery Resident.

Rebecca M Garza1,2, Jane S Weston1,2, Heather J Furnas1,2

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Plastic surgery residency programs are improving support for pregnant residents, though challenges remain. Most programs now accommodate maternity leave, but formal policies are not universal, highlighting a need for standardized support.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Women's Health

Background:

  • Historically, plastic surgery residency presented significant barriers to pregnancy.
  • Past data indicated discouraging attitudes towards pregnancy and high rates of infertility and abortion among trainees.
  • Increasing female participation necessitates addressing historical lack of support for pregnant residents.

Purpose of the Study:

  • To investigate current accommodations for pregnant residents in plastic surgery programs.
  • To identify challenges faced by program directors in supporting pregnant trainees.

Main Methods:

  • An electronic survey was distributed to 88 plastic surgery program directors in the United States.
  • Fifty-four program directors responded, yielding a 61.36% response rate.

Main Results:

  • On average, programs trained approximately 8 women residents over 8 years, with about 1.4 experiencing pregnancy and taking maternity leave.
  • Paternity leave was also utilized by male residents.
  • Only 36.54% of programs had formal maternity/paternity leave policies, often detailing leave duration and remuneration.

Conclusions:

  • This survey represents an initial step in understanding the difficulties of supporting pregnant residents in plastic surgery.
  • Program directors cited challenges with resident scheduling in small programs and meeting American Board of Plastic Surgery training requirements.
  • The study highlights the need for discussion and solutions to better support pregnant trainees.