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Reproductive Planning Among Fellowship-Trained Minimally Invasive Gynecologic Surgeons.

Lulu Yu1, Chloe Matovina2, Linda C Yang2

  • 1Department of Obstetrics and Gynecology (Dr Yu), Saint Louis University School of Medicine, Saint Louis, Missouri.

Journal of Minimally Invasive Gynecology
|July 1, 2025
PubMed
Summary

Minimally invasive gynecologic surgery (MIGS) fellowship training impacts family-building decisions for trainees. Key barriers include career focus, childcare, and time flexibility, with 12 weeks of paid parental leave ideal.

Keywords:
Family-buildingGynecologic surgeonsReproductive planningTraining

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Area of Science:

  • Medical Education
  • Gynecologic Surgery
  • Reproductive Health

Background:

  • The American Association of Gynecologic Laparoscopists (AAGL) Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS) program aims to train future leaders in the field.
  • Family-building decisions are critical for physicians, yet training demands can pose significant challenges.
  • Understanding the impact of fellowship policies on trainees' reproductive planning is essential for program development.

Purpose of the Study:

  • To assess the influence of the AAGL FMIGS parental leave policy on trainees' family-building timelines.
  • To identify factors affecting family-building decisions among current and past FMIGS fellows.
  • To gather insights into ideal parental leave durations for surgical trainees.

Main Methods:

  • An electronic survey was distributed to past and current FMIGS fellows.
  • The survey collected data on demographics, reproductive history, and family-building considerations.
  • Human subjects research exemption was obtained from the Institutional Review Board.

Main Results:

  • 86.1% of respondents reported that their training/career path impacted family-building plans.
  • Over 80% delayed family-building due to fellowship demands.
  • Top barriers included career focus, childcare availability, and lack of schedule flexibility.

Conclusions:

  • Surgical fellowship training significantly delays family-building for trainees.
  • Lack of time, schedule flexibility, and childcare access are primary perceived barriers.
  • Trainees ideally desire 12 weeks of paid parental leave to support family-building goals.