从ACGME认可的培训课程中对皮肤病学住院医生的计划生育影响和看法:基于调查的研究
Victoria S Humphrey1,2, W Austin Wyant3, Katherine O Brag4,5
1Harvard Medical School, Boston, MA, USA.
Archives of dermatological research
|May 11, 2024
概括
皮肤科医生经常因为职业担忧而推迟怀孕,并且在培训期间对生育孩子感到耻辱. 不孕不育的担忧和高成本的生育保护是重要的问题,突出需要改善计划生育在住院计划的支持.
科学领域:
- 医学教育 医学教育
- 皮肤病学 皮肤病学
- 生殖健康 生殖健康
背景情况:
- 皮肤病学中女性代表人数的增加需要调整住院培训结构.
- 现有的计划生育,生育保护和育儿假政策可能无法充分支持皮肤病专科医生.
研究的目的:
- 调查皮肤病患者可能怀孕的感知障碍和对计划生育的态度.
- 评估当前关于家庭假,生育保护和哺乳的居住计划政策.
主要方法:
- 使用基于证据的原则开发了一个40个问题的调查.
- 进行了一项试点研究,随后进行了一项全国电子调查,从2023年4月到6月分发给ACGME认可计划中的皮肤病学住院医生.
- 95名符合条件的居民完成了调查.
主要成果:
- 77.9%的居民因职业而推迟生育,73.7%的人认为在居住期间怀孕受到耻辱.
- 75.3%的尚未试图怀孕的人担心未来的不孕;60%考虑了生育保护,84.6%提到成本问题.
- 育儿假政策差异很大 (4-11周以上),其中53.5%需要使用假期/病假;哺乳政策和儿童保育不一致.
结论:
- 皮肤科医生在计划生育,生育和父母支持方面面临重大挑战.
- 居住计划需要更新,标准化的政策和资源,以有效地支持学员的计划生育需求和生育问题.
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