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工作场所支持外科医生父母的重要性:对挑战的混合方法分析及其对外科工作人员的影响
Ekaterina L Koelliker1, Atziri Rubio-Chavez1, Manuel Castillo-Angeles2
1Department of Surgery, Massachusetts General Hospital, Mass General Brigham, Boston, MA.
Journal of the American College of Surgeons
|November 13, 2025
概括
外科医生父母面临着影响计划生育和职业发展的重大工作场所挑战. 解决这些差距需要机构政策和文化转变,以便在外科手术中更好地整合工作和生活.
科学领域:
- 医学教育 医学教育
- 在外科手术实践中.
- 工作与生活平衡工作与生活平衡
背景情况:
- 平衡外科职业与家庭生活带来了诸如怀孕风险,虐待和磨损等挑战.
- 机构对外科医生家庭需求的支持,尽管有国家建议,但仍然不一致.
研究的目的:
- 调查外科医生父母中缺乏工作场所支持 (LOWS) 的患病率和相关因素.
- 了解工作场所的支持如何影响外科医生的生殖决策和工作与家庭融合.
主要方法:
- 一种混合方法的方法,结合了多变量逻辑回归和对美国外科医生协会成员调查答案的主题分析.
- 主要结果指标是缺乏工作场所支持 (LOWS),评估生育不充分的住宿或文化支持.
主要成果:
- LOWS与女性的性别有关,在培训或练习期间生孩子,在第三个三个月 (女性) 中长时间工作,并在怀孕期间减少工作量.
- 定性主题强调,工作场所的支持减轻了围产期的挑战,塑造了生殖决策,对于工作与家庭的融合至关重要.
- 对于男性和女性外科医生父母来说,LOWS的风险因素是相似的,在第三个三个月的工作时间中有显著的例外.
结论:
- 男性和女性外科医生父母都经历了工作场所的支持差距,而LOWS在女性中更为普遍.
- 可持续的变化需要机构支持政策和文化转变,以使外科医生能够更好地融入工作和生活.
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