A Comparative Analysis of Ophthalmology Resident Physician Performance Based on Use of Parental LeaveFunding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Background Taking parental leave during ophthalmology residency may be perceived to negatively affect resident surgical volume and educational outcomes. However, limited data exist on whether taking parental leave is associated with objective measures of resident performance. The objective of the present study was to determine the association between taking parental leave and key measures of resident performance.
Methods Educational records of ophthalmology resident physicians who graduated from 2015 to 2019 at the Johns Hopkins University School of Medicine Wilmer Eye Institute were reviewed. Measures of resident performance assessed were Ophthalmic Knowledge Assessment Program scores, number of publications during residency, Accreditation Council for Graduate Medical Education milestones scores, and surgical volumes. These outcomes were compared for residents who took parental leave compared with their peers who did not take parental leave.
Results Twenty-five residents were included in the study. Four female residents (16%) took parental leave 8 weeks in duration. There were no significant differences between residents who did and did not take parental leave when considering mean Ophthalmic Knowledge Assessment Program scores (p = 0.27), number of publications during residency (p = 0.19), milestone scores (p-value range 0.09–0.40), and surgical volume by subspecialty category (p-value range 0.11–0.45).
Conclusion Parental leave did not negatively influence any of the studied measures of resident performance.
Keywordsparental leave - resident education - ACGME milestones - surgical volume - ophthalmology - ophthalmology residency
D.S. is a consultant for Alcon and receives NIH grant support.
The remaining authors have no funding or conflict of interest to report.
Received: 18 August 2020
Accepted: 12 October 2020
25 January 2021 (online)
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
- 1 Magudia K, Bick A, Cohen J. et al. Childbearing and family leave policies for resident physicians at top training institutions. JAMA 2018; 320 (22) 2372-2374
- 2 Sandler BJ, Tackett JJ, Longo WE, Yoo PS. Pregnancy and parenthood among surgery residents: results of the first nationwide survey of general surgery residency program directors. J Am Coll Surg 2016; 222 (06) 1090-1096
- 3 Kuehn BM. Fixing the parent trap for resident physicians. JAMA 2020; 323 (12) 1119-1121
- 4 Altieri MS, Salles A, Bevilacqua LA. et al. Perceptions of surgery residents about parental leave during training. JAMA Surg 2019; 154 (10) 952-958
- 5 Nemeth C, Roll E, Mulcahey MK. Program directors' perception of pregnancy and parenthood in orthopedic surgery residency. Orthopedics 2020; 43 (02) e109-e113
- 6 Sandler BJ, Tackett JJ, Longo WE, Yoo PS. Pregnancy and parenthood among surgery residents: Results of the first nationwide survey of general surgery residency program directors. J Am Coll Surg 2016; 222 (06) 1090-1096
- 7 Rangel EL, Lyu H, Haider AH, Castillo-Angeles M, Doherty GM, Smink DS. Factors associated with residency and career dissatisfaction in childbearing surgical residents. JAMA Surg 2018; 153 (11) 1004-1011
- 8 Magudia K, Ng TSC, Bick AG. et al. Parenting while in training: a comprehensive needs assessment of residents and fellows. J Grad Med Educ 2020; 12 (02) 162-167
- 9 Onesti JK, Elliott DR, Chung MH, Schlatter MG, Van Spronsen CR, Koehler TJ. Can pregnant surgery residents make the cut?. J Am Coll Surg 2013; 217: S124 . Doi: 10.1016/j.jamcollsurg.2013.07.285
- 10 Wang KM, Lee B, Woreta FA. et al. Parental leave policy for ophthalmology residents: results of a nationwide cross-sectional study of program directors. J Surg Educ 2020; 1-10 (e-pub ahead of print). Doi: 10.1016/j.jsurg.2020.08.034
- 11 Johns Hopkins University, New Child Accommodations for Full-Time Graduate Students and Postdoctoral Trainees. . Accessed September 18, 2020 at: https://www.jhu.edu/assets/uploads/2017/06/newchildaccommgradandpostdoc.pdf
- 12 Varda BK, Glover IV M. Specialty board leave policies for resident physicians requesting parental leave. JAMA 2018; 320 (22) 2374-2377
- 13 Gong D, Winn BJ, Beal CJ. et al. Gender differences in case volume among ophthalmology residents. JAMA Ophthalmol 2019; 137 (09) 1015-1020
- 14 Lee AG, Oetting TA, Blomquist PH. et al. A multicenter analysis of the ophthalmic knowledge assessment program and American Board of Ophthalmology written qualifying examination performance. Ophthalmology 2012; 119 (10) 1949-1953
- 15 Dayal A, O'Connor DM, Qadri U, Arora VM. Comparison of male vs female resident milestone evaluations by faculty during emergency medicine residency training. JAMA Intern Med 2017; 177 (05) 651-657
- 16 Stack SW, Jagsi R, Biermann JS. et al. Maternity leave in residency: a multicenter study of determinants and wellness outcomes. Acad Med 2019; 94 (11) 1738-1745
- 17 Requirements for Certification, American Board of Ophthalmology. Accessed May 1, 2020 at: https://abop.org/become-certified/requirements/
- 18 Ophthalmology Times, Bascom Palmer tops in annual program survey. 4 October 2019. Accessed September 18, 2020 at: https://www.ophthalmologytimes.com/view/bascom-palmer-tops-annual-program-survey