A Structured Neonatal Parenting Elective: An Approach for Parenting Leave During Residency
Melanie Cree-Green1, Jonathan Cree2, Kathy Urban3
1Division of Pediatric Endocrinology, Department of Pediatrics (M Cree-Green), University of Colorado Anschutz Medical Campus, Aurora, Colo; Department of Family Medicine (M Cree-Green), Idaho State University, Pocatello, Idaho.
Academic Pediatrics
|February 12, 2020
Summary
A new parenting elective improved leave duration for resident mothers and partners, reducing unpaid Family Medical Leave Act (FMLA) use for mothers. This elective supports pediatric residents during parental leave.
Area of Science:
- Medical Education
- Pediatrics
- Family Medicine
Background:
- Pregnancy during residency presents challenges with inadequate paid leave.
- Utilizing unpaid Family Medical Leave Act (FMLA) time incurs financial and professional penalties for residents.
- Pediatric residents require educational opportunities that accommodate parental leave.
Purpose of the Study:
- To evaluate the effectiveness of a novel parenting elective for pediatric residents.
- To assess the impact of the elective on resident parents' financial, academic, and family outcomes.
- To determine if the elective aligns with educational goals for pediatric residents.
Main Methods:
- A 2-4 week paid at-home outpatient neonatal care elective was implemented in 2010.
- Data on leave duration, graduation, postresidency training, and FMLA use were collected from 2002-2018.
- Outcomes were compared before and after elective implementation, stratified by parent type (mothers and partners).
Main Results:
- Mothers' minimum leave increased to 6 weeks, with 96% taking ≥7 weeks (vs. 54% pre-elective).
- Unpaid FMLA use decreased significantly for mothers (38% to 7%).
- Partners' leave duration increased substantially (0.8 to 4.0 weeks), with 79% taking ≥4 weeks.
Conclusions:
- A parenting elective can be integrated into pediatric residency education.
- This elective positively impacts parental leave duration and reduces FMLA use for resident mothers.
- The elective model is generalizable to other residency programs, supporting resident parents.
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