师徒制
非概率抽样
主题分析
心理学
焦点小组
定性研究
医学教育
医学
护理部
公共关系
政治学
人口
社会学
人类学
社会科学
环境卫生
作者
Nardin Samuel,Sydney McQueen,Randaline Barnett,Megan C. Everson,Clare Fiala,Ruth Lau,Gelareh Zadeh
标识
DOI:10.1016/j.jsurg.2023.01.004
摘要
Despite growing interest in family planning alongside surgical training, significant barriers exist including time constraints, stigma, and lack of paid leave and formal policies. We currently lack a deep understanding of the challenges residents face and how practice cultures may prohibit successful policy enactment. To investigate residents’ perspectives surrounding parenting and childbearing during neurosurgical residency in the United States and Canada. A cross-sectional, qualitative study methodology was used, including focus groups with neurosurgical residents. Purposive sampling was employed to capture a broad range of perspectives including stage of training, geographical location, and gender. Data collection and analysis occurred in parallel, using a thematic analysis approach. Data collection continued until no new themes relating to the research questions were identified. Notable challenges included lack of formal family leave policies, time constraints, insufficient clinical human resources, physical health concerns, lack of lactation accommodations, and lack of mentorship. A subset of barriers were uncovered that stem specifically from workplace cultures, including gender norms, difficulty in asking for help, concerns for inconveniencing others, and pressures to time parental leave during research blocks. Several positive changes were identified including growing awareness and female representation, and benefits of the dual surgeon-parent identity. While parenting during neurosurgery residency is becoming increasingly common, significant practical and cultural barriers persist including a marked absence of formal policies. Culture shifts are essential in ensuring opportunities for life outside of medicine for all residents, irrespective of family status.
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