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To leave or not to leave: American Association for the Surgery of Trauma (AAST) panel discussion on personal, parental, and family leave. Trauma Surg Acute Care Open 2023;8(1):e001104

Date

11/29/2023

Pubmed ID

38020861

Pubmed Central ID

PMC10649785

DOI

10.1136/tsaco-2023-001104

Scopus ID

2-s2.0-85177842083 (requires institutional sign-in at Scopus site)

Abstract

Navigating planned and emergent leave during medical practice is very confusing to most physicians. This is especially challenging to the trauma and acute care surgeon, whose practice is unique due to overnight in-hospital call, alternating coverage of different services, and trauma center's staffing challenges. This is further compounded by a surgical culture that promotes the image of a 'tough' surgeon and forgoing one's personal needs on behalf of patients and colleagues. Frequently, surgeons find themselves having to make a choice at the crossroads of personal and family needs with work obligations: to leave or not to leave. Often, surgeons prioritize their professional commitment over personal wellness and family support. Extensive research has been conducted on the topic of maternity leave and inequality towards female surgeons, primarily focused on trainees. The value of paternity leave has been increasingly recognized recently. Consequently, significant policy changes have been implemented to support trainees. Practicing surgeon, however, often lack such policy support, and thus may default to local culture or contractual agreement. A panel session at the American Association for the Surgery of Trauma 2022 annual meeting was held to discuss the current status of planned or unanticipated leave for practicing surgeons. Experiences, perspectives, and propositions for change were discussed, and are presented here.

Author List

Kheirbek T, Hashmi DL, Bankhead BK, Holena DN, Winfield RD, Zarzaur BL, Hartwell J, Stassen NA, Foster SM

Author

Daniel N. Holena MD Professor in the Surgery department at Medical College of Wisconsin