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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.

Academic Medicine : Journal of the Association of American Medical Colleges

|April 5, 2019

Summary

Parental leave policies for medical trainees are inadequate and lack standardization, hindering work-life balance. Addressing stigma, financial concerns, and rigid training timelines is crucial for implementing effective solutions.

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Area of Science:

Medical Education
Public Health Policy

Background:

Medical training programs face challenges with existing leave of absence policies.
Burnout prevention and shifting demographics necessitate a review of these policies.
Parental leave for medical students and residents remains a critical, yet unresolved, issue.

Purpose of the Study:

To reexamine current structures and policies for medical training leaves of absence.
To address the specific issue of parental leave for medical students and residents.
To identify barriers and propose solutions for standardizing parental leave.

Main Methods:

This is an Invited Commentary, synthesizing existing discussions and expert opinion.
Analysis of barriers to parental leave implementation in medical education.
Identification of potential solutions and policy recommendations.

Main Results:

Current parental leave policies are ill-defined, inadequate, and lack standardization.
Significant barriers include stigma, financial concerns, duty hour challenges, and rigid training timelines.
Potential solutions involve curricular innovation, competency-based education, disability insurance, and flexible graduation requirements.

Conclusions:

Standardizing parental leave across medical education requires addressing cultural and practical challenges.
A national-level approach is needed for flexible graduation and board examination eligibility.
Implementing parent-friendly policies is essential for trainee well-being and a sustainable medical workforce.