![]() ![]() A landmark 2000 study 2 found that female US medical school graduates were less likely to be promoted to upper faculty ranks, with a 2020 follow-up study 3 finding no narrowing of this gap over time. While women are increasingly represented within medicine, 1 pervasive gender disparities exist. These findings suggest that fertility and family building concerns among women in medicine may contribute to ongoing gender disparities and attrition and represent a potentially critical area for policy reform and future change. Additionally, 30 women with children (4.3%) had left medicine entirely.Ĭonclusions and Relevance In this survey study, women physicians reported that career-related pressures influenced the timing of childbearing and led to marked alterations to career trajectories to accommodate family building and parenthood. Concerning measures taken to accommodate childbearing or parenthood, 199 women (28.8%) said they had taken extended leave, 171 women (24.8%) said they had chosen a different specialty, 325 women (47.1%) said they had reduced their work hours, 171women (24.8%) said they had changed their practice setting, and 326 women (47.2%) said they had passed up opportunities for career advancement among those with children. While 824 physicians (78.0%) correctly identified the age of precipitous fertility decline, 798 individuals (75.6%) reported delaying family building and 389 individuals (36.8%) had experienced infertility. Overall, 910 respondents (86.2%) were married or partnered and 690 respondents (65.3%) had children. Among respondents, 1036 individuals resided in the US. Results A total of 1056 cisgender women (mean age, 38.3 years) were surveyed across level of training (714 attending physicians and 283 residents or fellows ), specialty (408 surgical and 638 nonsurgical specialties), and practice setting (323 academic, 263 private, and 222 community settings). Group differences in fertility knowledge, delayed childbearing, infertility, and family building regret were evaluated using χ 2 analyses. Factors associated with timing of pregnancy and family building regret were assessed using Likert-type scales. Descriptive data on delayed childbearing, infertility, use of assisted reproductive technology, and career alterations to accommodate parenthood were collected. Main Outcomes and Measures Baseline demographic information and fertility knowledge were assessed. Objective To evaluate delayed childbearing and infertility among women in medicine and investigate the extent to which women physicians may alter career trajectories to accommodate family building and parenthood.ĭesign, Setting, and Participants This survey study was conducted among women physicians, with surveys distributed through medical society electronic mailing lists (listserves) and social media from March to August 2022. ![]() Career-specific fertility and family building challenges among women physicians may contribute to ongoing disparities and academic attrition. Importance Although women are increasingly represented within medicine, gender disparities persist in time to promotion, achievement of academic rank, and appointment to leadership positions, with no narrowing of this gap over time. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.I was very impressed with how well it was made My daughter was given this for Christmas and she abosolutely loves it.
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