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A Timely Problem: Parental Leave During Medical Training
Allison M B Webb1, Brittany N Hasty, Kathryn M Andolsek
1A.M.B. Webb is an internal medicine-psychiatry resident, Walter Reed National Military Medical Center, Bethesda, Maryland. B.N. Hasty is a postdoctoral research fellow, Stanford University School of Medicine, Stanford, California. K.M. Andolsek is assistant dean for premedical education and professor of family medicine and community health, Duke University School of Medicine, Durham, North Carolina. H.F. Mechaber is associate dean for student services and associate professor of clinical medicine, University of Miami Miller School of Medicine, Miami, Florida. T.B. Harris is associate provost for institutional diversity, inclusion, and equity, and student services, and professor of psychiatry, pediatrics, and family and community medicine, Baylor College of Medicine, Houston, Texas. A. Chatterjee is chair, Department of Pediatrics, and senior associate dean for faculty development, University of South Dakota Sanford School of Medicine, and chief pediatric medical officer, Sanford Health, Sioux Falls, South Dakota. D.M. Lautenberger is director, Faculty and Staff Studies and Services, Women in Medicine and Science, Association of American Medical Colleges, Washington, D.C. A.S. Gottlieb is associate dean for faculty affairs and professor of medicine and obstetrics and gynecology, University of Massachusetts Medical School-Baystate, and chief faculty development officer, Baystate Health, Springfield, Massachusetts.
Abstract:
Shifting demographics and concerns about burnout prevention merit a reexamination of existing structures and policies related to leaves of absence that may be necessary during medical training. In this Invited Commentary, the authors address the issue of parental leave for medical students and residents. Discussion about parental leave for these trainees is not new. Despite decades of dialogue, leave policies throughout the undergraduate and graduate medical education continuum lack standardization and are currently ill defined and inadequate. There are a number of barriers to implementation. These include stigma, financial concerns, workforce and duty hours challenges, and the historically rigid timeline for progression from one stage of medical training to the next. Potential solutions include parent-friendly curricular innovations, competency-based medical education, and provision of short-term disability insurance. Most important, adopting more flexible approaches to graduation requirements and specialty board examination eligibility must be addressed at the national level. The authors identify cultural and practical challenges to standardizing parental leave options across the medical education continuum and issue a call to action for implementing potential solutions.
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