Factors affecting family planning among general surgery trainees

Abstract Introduction Surgical trainees spend key years of their reproductive potential in training. However, their family planning needs are seldom addressed and remain poorly understood. This study was designed to understand the current landscape of family planning among General Surgery (GS) train...

Full description

Saved in:
Bibliographic Details
Main Authors: Caiwei Zheng, Parker Bussies, Luccie Wo, Sarah Eidelson, Chi Zhang, Joelle Mouhanna, Mecker G. Möller
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-024-06435-6
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849713339543846912
author Caiwei Zheng
Parker Bussies
Luccie Wo
Sarah Eidelson
Chi Zhang
Joelle Mouhanna
Mecker G. Möller
author_facet Caiwei Zheng
Parker Bussies
Luccie Wo
Sarah Eidelson
Chi Zhang
Joelle Mouhanna
Mecker G. Möller
author_sort Caiwei Zheng
collection DOAJ
description Abstract Introduction Surgical trainees spend key years of their reproductive potential in training. However, their family planning needs are seldom addressed and remain poorly understood. This study was designed to understand the current landscape of family planning among General Surgery (GS) trainees and to identify the career-specific barriers they face. Methods We created a 26-question survey to assess GS trainee experiences surrounding family planning. The survey was distributed to residency and fellowship program directors nationwide. Outcome measures were evaluated using Pearson’s Chi-Square test and Fisher’s exact test. Results Two hundred thirty-four US GS surgical trainees completed the survey (male = 32.1%, female 66.2%, unreported = 1.7%). Work hours (p = 0.007) and female gender (p = 0.002) were associated with delayed childbirth. Time (93.2%), career/education goals (63%), and cost (59.5%) were most reported to prohibit childbearing. Females were significantly more impacted by time (p = 0.021) and career/education goals (p = 0.001) and more frequently considered fertility preservation (p < 0.001). Conclusion Time constraints and career goals are disproportionally more prohibitive to female surgeons when considering childbearing. Institutional resources should be tailored to gender-specific needs and address barriers to family planning.
format Article
id doaj-art-397e4fa2b8db428998ebc836e58e6b48
institution DOAJ
issn 1472-6920
language English
publishDate 2025-04-01
publisher BMC
record_format Article
series BMC Medical Education
spelling doaj-art-397e4fa2b8db428998ebc836e58e6b482025-08-20T03:13:58ZengBMCBMC Medical Education1472-69202025-04-012511610.1186/s12909-024-06435-6Factors affecting family planning among general surgery traineesCaiwei Zheng0Parker Bussies1Luccie Wo2Sarah Eidelson3Chi Zhang4Joelle Mouhanna5Mecker G. Möller6Department of Surgery, University of Chicago Pritzker School of MedicineCleveland Clinic Foundation, Women’s Health InstituteDepartment of Surgery, University of Miami Miller School of MedicineDepartment of Surgery, University of Southern CaliforniaUniversity of Miami Miller School of MedicineUniversity of Miami Miller School of MedicineDepartment of Surgery, University of Chicago Pritzker School of MedicineAbstract Introduction Surgical trainees spend key years of their reproductive potential in training. However, their family planning needs are seldom addressed and remain poorly understood. This study was designed to understand the current landscape of family planning among General Surgery (GS) trainees and to identify the career-specific barriers they face. Methods We created a 26-question survey to assess GS trainee experiences surrounding family planning. The survey was distributed to residency and fellowship program directors nationwide. Outcome measures were evaluated using Pearson’s Chi-Square test and Fisher’s exact test. Results Two hundred thirty-four US GS surgical trainees completed the survey (male = 32.1%, female 66.2%, unreported = 1.7%). Work hours (p = 0.007) and female gender (p = 0.002) were associated with delayed childbirth. Time (93.2%), career/education goals (63%), and cost (59.5%) were most reported to prohibit childbearing. Females were significantly more impacted by time (p = 0.021) and career/education goals (p = 0.001) and more frequently considered fertility preservation (p < 0.001). Conclusion Time constraints and career goals are disproportionally more prohibitive to female surgeons when considering childbearing. Institutional resources should be tailored to gender-specific needs and address barriers to family planning.https://doi.org/10.1186/s12909-024-06435-6Surgical trainingGeneral surgeryFamily planningFertility preservationGender differencesInstitutional support
spellingShingle Caiwei Zheng
Parker Bussies
Luccie Wo
Sarah Eidelson
Chi Zhang
Joelle Mouhanna
Mecker G. Möller
Factors affecting family planning among general surgery trainees
BMC Medical Education
Surgical training
General surgery
Family planning
Fertility preservation
Gender differences
Institutional support
title Factors affecting family planning among general surgery trainees
title_full Factors affecting family planning among general surgery trainees
title_fullStr Factors affecting family planning among general surgery trainees
title_full_unstemmed Factors affecting family planning among general surgery trainees
title_short Factors affecting family planning among general surgery trainees
title_sort factors affecting family planning among general surgery trainees
topic Surgical training
General surgery
Family planning
Fertility preservation
Gender differences
Institutional support
url https://doi.org/10.1186/s12909-024-06435-6
work_keys_str_mv AT caiweizheng factorsaffectingfamilyplanningamonggeneralsurgerytrainees
AT parkerbussies factorsaffectingfamilyplanningamonggeneralsurgerytrainees
AT lucciewo factorsaffectingfamilyplanningamonggeneralsurgerytrainees
AT saraheidelson factorsaffectingfamilyplanningamonggeneralsurgerytrainees
AT chizhang factorsaffectingfamilyplanningamonggeneralsurgerytrainees
AT joellemouhanna factorsaffectingfamilyplanningamonggeneralsurgerytrainees
AT meckergmoller factorsaffectingfamilyplanningamonggeneralsurgerytrainees