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Parenthood During Graduate Medical Education: A Scoping Review

Title: Parenthood During Graduate Medical Education: A Scoping Review
Authors: Stack, Shobha W.; Eurich, Katrin E.; Kaplan, Elizabeth A.; Ball, Andrea L.; Mookherjee, Somnath; Best, Jennifer A.
Source: Academic Medicine ; volume 94, issue 11, page 1814-1824 ; ISSN 1040-2446
Publisher Information: Oxford University Press (OUP)
Publication Year: 2019
Description: Purpose To conduct a scoping review of the literature on parenthood during graduate medical education (GME) and to develop a conceptual framework to inform policy and guide research. Method The authors searched PubMed and Embase for articles published from January 1993 through August 7, 2017, using a query framework that combined the concepts of “person” (e.g., “trainee”) and “parenthood” (e.g., “breastfeeding”). They included studies describing parenthood or pregnancy of trainees in U.S. GME training programs. Two authors independently screened citations and abstracts and performed kappa coefficient tests to evaluate interreviewer reliability. Two authors performed a full-text review of and extracted data from each included article, and 4 authors coded data for all articles. The authors used descriptive statistics and qualitative synthesis to analyze data. Results Ninety articles met inclusion criteria, and nearly half (43/90; 48%) were published between 2010 and 2017. The authors developed 6 themes that surround resident parenthood: well-being, maternal health, others’ perceptions, relationships, program preparation, and policy. They mapped these themes by relationship of stakeholders (e.g., infant and family, institutions) to the resident-parent to create a conceptual framework describing parenthood during GME. Conclusions The findings from this scoping review have implications for policy and research. Those authoring parental leave policies could collaborate with national board leaders to develop consistent standards and include nontraditional families. Gaps in the literature include the effect of resident parenthood on patient care, postpartum health, and policy execution. Research in these areas would advance the literature on parenthood during residency.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1097/acm.0000000000002948
DOI: 10.1097/ACM.0000000000002948
Availability: https://doi.org/10.1097/acm.0000000000002948; https://journals.lww.com/10.1097/ACM.0000000000002948
Accession Number: edsbas.185EADC3
Database: BASE