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Parenthood During Graduate Medical Education: A Scoping Review.

Shobha W Stack1, Katrin E Eurich, Elizabeth A Kaplan

  • 1S.W. Stack is assistant professor, Department of Medicine, associate director, Medicine Student Programs, and director, Medical Student Scholarship, University of Washington School of Medicine, Seattle, Washington; ORCID: https://orcid.org/0000-0001-6586-9266. K.E. Eurich is a resident, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington. E.A. Kaplan is assistant professor, Department of Medicine, University of Washington School of Medicine, Seattle, Washington; ORCID: https://orcid.org/0000-0001-6036-4402. A.L. Ball is care management and population health librarian, University of Washington School of Medicine, Seattle, Washington; ORCID: https://orcid.org/0000-0003-1880-9628. S. Mookherjee is associate professor, Department of Medicine, director, General Internal Medicine Faculty Development Program, and director, Academic Hospitalist Fellowship, University of Washington School of Medicine, Seattle, Washington. J.A. Best is associate professor of medicine, associate program director, Internal Medicine Residency Program, and associate dean, Graduate Medical Education, University of Washington School of Medicine, Seattle, Washington.

Academic Medicine : Journal of the Association of American Medical Colleges
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Summary
This summary is machine-generated.

Parenthood during graduate medical education (GME) presents challenges and opportunities for resident-physicians and their families. This review identifies key themes and proposes a framework to improve policies and guide future research on resident parenthood.

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Area of Science:

  • Medical Education
  • Public Health
  • Sociology

Background:

  • Parenthood during graduate medical education (GME) is an increasingly recognized aspect of physician training.
  • Existing literature lacks a synthesized understanding of the multifaceted experiences of resident-parents.

Purpose of the Study:

  • To conduct a scoping review of literature on parenthood during GME.
  • To develop a conceptual framework to inform policy and guide research on resident parenthood.

Main Methods:

  • Searched PubMed and Embase (1993-2017) for studies on trainee parenthood in U.S. GME programs.
  • Independent screening, data extraction, and qualitative synthesis of 90 included articles.
  • Developed 6 key themes and mapped stakeholder relationships to create a conceptual framework.

Main Results:

  • Ninety articles met inclusion criteria, with a surge in publications from 2010-2017.
  • Identified 6 themes: well-being, maternal health, perceptions, relationships, program preparation, and policy.
  • Developed a conceptual framework illustrating the resident-parent's experience within the GME context.

Conclusions:

  • Findings highlight implications for policy development, emphasizing consistent standards and inclusivity for nontraditional families.
  • Identified research gaps concerning patient care impact, postpartum health, and policy implementation.
  • Further research is crucial to advance understanding and support for resident-parents.