Compatibility of procreation, pregnancy, and early parenthood in female and male surgeons during surgical training in Switzerland: national survey study.

IF 8.8 1区 医学 Q1 SURGERY British Journal of Surgery Pub Date : 2025-02-01 DOI:10.1093/bjs/znae314
Joana Ferreirinha, Markus Weber, Nicolas Attigah, Seraina Faes
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Abstract

Background: Lengthy training and stressful work schedules can cause surgeons to renounce part-time work and delay pregnancy. The aim of this survey study was to evaluate constraints of part-time work, procreation, pregnancy, and early parenthood among young surgeons in Switzerland.

Methods: An anonymous survey on different aspects of private life and surgical training was distributed to young board-certified general surgeons in Switzerland.

Results: Out of the 680 surveys sent, a total of 375 were completed (response rate of 55.1%), with 308 included for further analysis (157 from female participants and 151 from male participants). There was no difference between male and female participants in the time required for board and sub-specialty certification. Female participants had a higher rate (59 of 157 (37.6%) versus 28 of 151 (18.5%), P < 0.001) and longer duration (mean(s.d.) of 5.5(4.0) versus 1.8(1.1) years, P < 0.001) of part-time employment. Female participants less frequently had children (70 of 157 (44.6%) versus 106 of 151 (70.2%), P < 0.001). They were older (median age of 35 (interquartile range 33-37.5) years) than male participants (median age of 33.5 (interquartile range 31.75-35) years) (P < 0.001) and female partners of male participants (median age of 32 (interquartile range 30-33) years) (P < 0.001) at first childbirth. Female participants more frequently delayed pregnancy due to training (94 of 127 (74.0%) versus 28 of 138 (20.3%), P < 0.001) and had higher rates of infertility (16 of 70 (23%) versus 11 of 106 (10.4%), P = 0.032) and use of assisted reproductive technology (18 of 127 (14.2%) versus 6 of 138 (4.3%), P = 0.009). Female participants more frequently perceived their gender as a negative career influence (105 of 157 (66.9%) versus 9 of 151 (6.0%), P < 0.001).

Conclusion: Combining procreation, pregnancy, and early parenthood with surgical training is challenging for young surgeons in Switzerland. Providing equal opportunities for all genders and promoting changes in working conditions will be necessary to ensure optimal surgical training for future generations.

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瑞士外科培训期间男女外科医生生殖、妊娠和早期生育的相容性:全国调查研究。
背景:长时间的培训和紧张的工作日程可能导致外科医生放弃兼职工作和延迟怀孕。本调查研究的目的是评估瑞士年轻外科医生兼职工作、生育、怀孕和早期生育的限制。方法:对瑞士年轻的经委员会认证的普通外科医生进行了一项关于私人生活和外科培训的不同方面的匿名调查。结果:在发送的680份调查中,共完成375份(回复率为55.1%),其中308份用于进一步分析(157份来自女性参与者,151份来自男性参与者)。在获得委员会和亚专业认证所需的时间上,男性和女性参与者之间没有差异。女性参与者的兼职率更高(157人中有59人(37.6%)比151人中有28人(18.5%),P < 0.001),持续时间更长(平均(s.d)为5.5(4.0)比1.8(1.1)年,P < 0.001)。女性参与者生孩子的频率较低(157人中有70人(44.6%),151人中有106人(70.2%),P < 0.001)。她们首次分娩时的年龄(中位年龄35岁(四分位数范围33-37.5))大于男性(中位年龄33.5岁(四分位数范围31.75-35)岁)(P < 0.001)和男性伴侣(中位年龄32岁(四分位数范围30-33)岁)(P < 0.001)。女性参与者更频繁地因训练而延迟怀孕(127人中有94人(74.0%)对138人中有28人(20.3%),P < 0.001),不孕症(70人中有16人(23%)对106人中有11人(10.4%),P = 0.032)和使用辅助生殖技术(127人中有18人(14.2%)对138人中有6人(4.3%),P = 0.009)。女性参与者更频繁地认为自己的性别对职业有负面影响(157人中有105人(66.9%)对151人中有9人(6.0%),P < 0.001)。结论:将生殖、妊娠和早期生育与外科培训相结合对瑞士的年轻外科医生来说是一个挑战。为所有性别提供平等的机会,促进工作条件的改变,将是确保为后代提供最佳外科培训的必要条件。
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来源期刊
CiteScore
12.70
自引率
7.30%
发文量
1102
审稿时长
1.5 months
期刊介绍: The British Journal of Surgery (BJS), incorporating the European Journal of Surgery, stands as Europe's leading peer-reviewed surgical journal. It serves as an invaluable platform for presenting high-quality clinical and laboratory-based research across a wide range of surgical topics. In addition to providing a comprehensive coverage of traditional surgical practices, BJS also showcases emerging areas in the field, such as minimally invasive therapy and interventional radiology. While the journal appeals to general surgeons, it also holds relevance for specialty surgeons and professionals working in closely related fields. By presenting cutting-edge research and advancements, BJS aims to revolutionize the way surgical knowledge is shared and contribute to the ongoing progress of the surgical community.
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