Abstract:
OBJECTIVE:Pregnancy is common during residency, yet the duration of allowed paid leave is inadequate and utilizing unpaid family medical leave act (FMLA) time has financial and professional consequences. We evaluated the effectiveness of a novel parenting elective, consistent with educational goals for pediatric residents, on resident parents' financial, academic, and family outcomes. METHODS:In 2010, a 2-4 week structured at-home elective of outpatient neonatal care with full pay was implemented. Data were collected from all new parents in a large academic pediatric residency from 2002 to 2018, including duration of leave, on-time graduation, choice to pursue postresidency training, and unpaid FMLA leave. Data were compared from before/after implementation and by parent type (mothers or resident partners of mothers). RESULTS:Twenty-two pregnancies occurred prior to implementation and 42 afterward. In mothers, leave duration was similar (7.9 ± 3.5 weeks before, 8.0 ± 0.3 after, P = .50) but the minimum time increased from 2 to 6 weeks and those taking ≥7 weeks increased (54% vs 96%, P = .002). Mothers using unpaid FMLA time decreased (38% vs 7%, P = .04) although on-time graduation (69% vs 93%, P = .13) and postresidency training rates were similar. Among partners, leave duration increased (0.8 ± 0.4 weeks vs 4.0 ± 1.7, P < .001) and 79% took ≥4 weeks, compared to 0% pre-elective (P < .001). In partners, postresidency training, FMLA, or on-time graduation rates did not change. CONCLUSIONS:Parenting a neonate provides learning opportunities for pediatric residents that can be encompassed in an elective consistent with training requirements. This elective improved outcomes for mothers and partners and is generalizable to any training program.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Cree-Green M,Cree J,Urban K,Bunik M,Sass AE,Rosenberg Adoi
10.1016/j.acap.2020.02.008subject
Has Abstractpub_date
2020-07-01 00:00:00pages
595-599issue
5eissn
1876-2859issn
1876-2867pii
S1876-2859(20)30062-0journal_volume
20pub_type
杂志文章abstract::Population health is associated with the socioeconomic characteristics of neighborhoods. There is considerable scientific and policy interest in community-level interventions to alleviate child poverty. Intergenerational poverty is associated with inequitable access to opportunities. Improving opportunity structures w...
journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2016.01.013
更新日期:2016-04-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.12.001
更新日期:2014-03-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.11.005
更新日期:2018-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2017.04.015
更新日期:2017-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.09.003
更新日期:2019-04-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.04.004
更新日期:2016-09-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.12.001
更新日期:2013-03-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.09.005
更新日期:2017-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.05.031
更新日期:2020-06-15 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.12.011
更新日期:2016-04-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.08.007
更新日期:2010-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.09.004
更新日期:2019-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.06.009
更新日期:2020-06-17 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2015.03.008
更新日期:2015-07-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.03.003
更新日期:2016-07-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.06.011
更新日期:2018-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.06.005
更新日期:2015-09-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.05.016
更新日期:2020-05-31 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.08.006
更新日期:2015-03-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2020.07.005
更新日期:2020-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.05.003
更新日期:2019-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.01.007
更新日期:2013-03-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.003
更新日期:2020-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.04.025
更新日期:2010-07-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.10.003
更新日期:2011-05-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.04.038
更新日期:2016-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
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更新日期:2018-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.03.003
更新日期:2010-07-01 00:00:00