Abstract
BACKGROUND: Studies of career and parenting satisfaction have focused separately on medical students, residents and practising physicians. The objective of this study was to compare satisfaction across a spectrum of stages of medical career. METHODS: A survey of incoming medical students, current medical students, residents and physician teachers at the University of Saskatchewan was conducted in the spring of 1997. Response rates were 77% (43/56), 81% (177/218), 65% (134/206) and 39% (215/554) respectively. Factors assessed in the stepwise regression analysis were the effect of sex, parenting and level of training on the likelihood of recommending parenting to medical students or residents, and on parenting dissatisfaction, job dissatisfaction, career dissatisfaction and the importance of flexibility within the college program to accommodate family obligations. RESULTS: More male than female physician teachers had partners (92% v. 81%, p < 0.01) and were parents (94% v. 72%, p < 0.01). Female physician teachers spent equal hours per week at work compared with their male counterparts (mean 52 and 58 hours respectively) and more than double the weekly time on family and household work (36 v. 14 hours, p < 0.01). Physician teachers were the most likely respondents to recommend parenting to residents and their peers. Residents were the most dissatisfied with their parenting time. At all career stages women were less likely than men to recommend parenting, were more dissatisfied with the amount of time spent as parents and were more likely to regard flexibility within the college program as beneficial. There were no sex-related differences in job dissatisfaction and career dissatisfaction. However, married women were more dissatisfied with their jobs than were married men. Job dissatisfaction was greatest among medical students, and career dissatisfaction was greatest among residents. INTERPRETATION: The optimal timing of parenthood appears to be upon completion of medical training. Women were less likely to recommend parenting, less satisfied with the time available for parenting and more likely to value flexibility within the college program to accommodate family needs. These differences did not translate into women experiencing more job or career dissatisfaction.
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- Auchincloss E. L. Conflict among psychiatric residents in response to pregnancy. Am J Psychiatry. 1982 Jun;139(6):818–821. doi: 10.1176/ajp.139.6.818. [DOI] [PubMed] [Google Scholar]
- Brown J. B. Female family doctors: their work and well-being. Fam Med. 1992 Nov-Dec;24(8):591–595. [PubMed] [Google Scholar]
- Butterfield P. S. The stress of residency. A review of the literature. Arch Intern Med. 1988 Jun;148(6):1428–1435. [PubMed] [Google Scholar]
- Carr P. L., Ash A. S., Friedman R. H., Scaramucci A., Barnett R. C., Szalacha L., Palepu A., Moskowitz M. A. Relation of family responsibilities and gender to the productivity and career satisfaction of medical faculty. Ann Intern Med. 1998 Oct 1;129(7):532–538. doi: 10.7326/0003-4819-129-7-199810010-00004. [DOI] [PubMed] [Google Scholar]
- Ducker D. Research on women physicians with multiple roles: a feminist perspective. J Am Med Womens Assoc. 1994 May-Jun;49(3):78–84. [PubMed] [Google Scholar]
- Engel G. L. The need for a new medical model: a challenge for biomedicine. Science. 1977 Apr 8;196(4286):129–136. doi: 10.1126/science.847460. [DOI] [PubMed] [Google Scholar]
- Etzkowitz H., Kemelgor C., Neuschatz M., Uzzi B., Alonzo J. The paradox of critical mass for women in science. Science. 1994 Oct 7;266(5182):51–54. doi: 10.1126/science.7939644. [DOI] [PubMed] [Google Scholar]
- Franco K., Evans C. L., Best A. P., Zrull J. P., Pizza G. A. Conflicts associated with physicians' pregnancies. Am J Psychiatry. 1983 Jul;140(7):902–904. doi: 10.1176/ajp.140.7.902. [DOI] [PubMed] [Google Scholar]
- Gabram S. G., Allen L. W., Deckers P. J. Surgical residents in the 1990s. Issues and concerns for men and women. Arch Surg. 1995 Jan;130(1):24–28. doi: 10.1001/archsurg.1995.01430010026005. [DOI] [PubMed] [Google Scholar]
- Girard D. E., Hickam D. H., Gordon G. H., Robison R. O. A prospective study of internal medicine residents' emotions and attitudes throughout their training. Acad Med. 1991 Feb;66(2):111–114. doi: 10.1097/00001888-199102000-00014. [DOI] [PubMed] [Google Scholar]
- Heathcote J., Cauch-Dudek K., Rhyne D. The professional lives of women in gastroenterology: a Canadian comparison study with men. Gastroenterology. 1997 Aug;113(2):669–674. doi: 10.1053/gast.1997.v113.pm9247490. [DOI] [PubMed] [Google Scholar]
- Hojat M., Gonnella J. S., Xu G. Gender comparisons of young physicians' perceptions of their medical education, professional life, and practice: a follow-up study of Jefferson Medical College graduates. Acad Med. 1995 Apr;70(4):305–312. doi: 10.1097/00001888-199504000-00014. [DOI] [PubMed] [Google Scholar]
- Kay J. Traumatic deidealization and the future of medicine. JAMA. 1990 Jan 26;263(4):572–573. [PubMed] [Google Scholar]
- Laine C. On being Dr. Mom. Ann Intern Med. 1998 Oct 1;129(7):579–580. doi: 10.7326/0003-4819-129-7-199810010-00013. [DOI] [PubMed] [Google Scholar]
- Levinson W., Tolle S. W., Lewis C. Women in academic medicine. Combining career and family. N Engl J Med. 1989 Nov 30;321(22):1511–1517. doi: 10.1056/NEJM198911303212205. [DOI] [PubMed] [Google Scholar]
- Linn L. S., Yager J., Cope D., Leake B. Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty. JAMA. 1985 Nov 15;254(19):2775–2782. [PubMed] [Google Scholar]
- Richardsen A. M., Burke R. J. Occupational stress and job satisfaction among physicians: sex differences. Soc Sci Med. 1991;33(10):1179–1187. doi: 10.1016/0277-9536(91)90234-4. [DOI] [PubMed] [Google Scholar]
- Richardsen A. M., Burke R. J. Occupational stress and work satisfaction among Canadian women physicians. Psychol Rep. 1993 Jun;72(3 Pt 1):811–821. doi: 10.2466/pr0.1993.72.3.811. [DOI] [PubMed] [Google Scholar]
- Sheehan K. H., Sheehan D. V., White K., Leibowitz A., Baldwin D. C., Jr A pilot study of medical student 'abuse'. Student perceptions of mistreatment and misconduct in medical school. JAMA. 1990 Jan 26;263(4):533–537. [PubMed] [Google Scholar]
- Silver H. K., Glicken A. D. Medical student abuse. Incidence, severity, and significance. JAMA. 1990 Jan 26;263(4):527–532. [PubMed] [Google Scholar]