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Pathak A, Musa A, Johnson SC, Berryhill B, Dillon L, Weinberger JJ, Harb A, Harvill M, Altinok G. Take Your Leave: Our Recommendation for an Inclusive and Equitable Parental Leave Policy in Diagnostic and Interventional Radiology Residency. J Am Coll Radiol 2024:S1546-1440(24)00689-6. [PMID: 39134105 DOI: 10.1016/j.jacr.2024.07.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 07/21/2024] [Accepted: 07/30/2024] [Indexed: 09/02/2024]
Affiliation(s)
- Avani Pathak
- Medical Student, Michigan State University College of Osteopathic Medicine, East Lansing, Michigan.
| | - Arif Musa
- Diagnostic Radiology Resident, Department of Radiology, Detroit Medical Center, Detroit, Michigan. https://twitter.com/ArifMusaMD
| | - Samuel C Johnson
- Department Chair, Department of Radiology, Detroit Medical Center, Detroit, Michigan
| | - Brigitte Berryhill
- Diagnostic Radiology Residency Associate Program Director, Department of Radiology, Detroit Medical Center, Detroit, Michigan. https://twitter.com/brigitte34888
| | - Lisa Dillon
- Assistant Designated Institutional Official, Office of Graduate Medical Education, Detroit Medical Center, Detroit, Michigan
| | - Jarrett J Weinberger
- Designated Institutional Official, Office of Graduate Medical Education, Detroit Medical Center, Detroit, Michigan
| | - Ali Harb
- Early Specialization in Interventional Radiology Program Director and Former Diagnostic Radiology Program Director, Department of Radiology, Detroit Medical Center, Detroit, Michigan
| | - Monte Harvill
- Former Early Specialization in Interventional Radiology Program Director, Department of Radiology, Detroit Medical Center, Detroit, Michigan
| | - Gulcin Altinok
- Diagnostic Radiology Residency Program Director, Department of Radiology, Detroit Medical Center, Detroit, Michigan. https://twitter.com/altinokgulcin
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Moulton KL, Izuno SA, Prendergast N, Battaglioli N, Sebok‐Syer SS. Alleviating stressfeeding in the emergency department: Elucidating the tensions induced by workplace lactation space issues. J Am Coll Emerg Physicians Open 2024; 5:e13226. [PMID: 39045487 PMCID: PMC11264252 DOI: 10.1002/emp2.13226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 05/10/2024] [Accepted: 06/06/2024] [Indexed: 07/25/2024] Open
Abstract
Objectives Women remain underrepresented in the emergency medicine (EM) workforce, academic EM, and institutional leadership. In order to support women physicians in EM, we must explore factors that contribute to attrition and workplace satisfaction. For example, tensions between workplace and familial roles are important to consider as women navigate careers in EM. The logistics and stressors of workplace lactation pose a particular challenge during an already stressful time for a new mother returning to work in a busy emergency department (ED), but limited empirical data exist regarding this experience. We aimed to explore the stressors associated with workplace lactation spaces in order to better inform the creation of lactation spaces for individuals working in EDs. Methods Our team used an exploratory qualitative design to investigate lactation-specific stressors and understand their relationship to individuals' needs when lactating in EM workplace environments. A total of 40 individuals were interviewed, highlighting post-pregnancy return-to-work (RTW) experiences of medical students, residents, advanced practice professionals, nurses, fellows, and faculty. Interviews were coded and analyzed using thematic analysis. Results We identified both tangible and intangible characteristics of lactation spaces that contribute to stress for lactating individuals. Additionally, we discovered that participants frequently noted a desire to work simultaneously while pumping in order to feel they were self-actualizing in their dual roles of parent and clinician. Among tangible items, access to a computer within lactation space was a key driver of ability to fulfill dual roles. Among intangible characteristics, we identified three distinct, yet interrelated, subthemes, including the need for lactation spaces to be respectful of individuals' time, privacy, and general health and well-being. Conclusions This study suggests that meeting basic lactation needs with thoughtfully designed lactation spaces can empower individuals in their roles both as a lactating parent and a clinician. EM leadership can evaluate existing lactation spaces to ensure they meet the tangible and intangible needs of lactating physicians, trainees, advanced practice professionals, and nurses.
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Affiliation(s)
| | - Samantha A. Izuno
- Department of Emergency MedicineStanford UniversityPalo AltoCaliforniaUSA
| | - Nicole Prendergast
- Department of Emergency MedicineWake Forest UniversityWinston‐SalemNorth CarolinaUSA
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Dodelzon K, Milch HS, Mullen LA, Dialani V, Jacobs S, Parikh JR, Grimm LJ. Factors Contributing to Disproportionate Burnout in Women Breast Imaging Radiologists: A Review. JOURNAL OF BREAST IMAGING 2024; 6:124-132. [PMID: 38330442 DOI: 10.1093/jbi/wbad104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Indexed: 02/10/2024]
Abstract
Physician burnout continues to increase in prevalence and disproportionately affects women physicians. Breast imaging is a woman-dominated subspeciality, and therefore, worsening burnout among women physicians may have significant repercussions on the future of the breast imaging profession. Systemic and organizational factors have been shown to be the greatest contributors to burnout beyond individual factors. Based on the Mayo Model, we review the evidence regarding the 7 major organizational contributors to physician burnout and their potential disproportionate impacts on women breast radiologists. The major organizational factors discussed are work-life integration, control and flexibility, workload and job demands, efficiency and resources, finding meaning in work, social support and community at work, and organizational culture and values. We also propose potential strategies for institutions and practices to mitigate burnout in women breast imaging radiologists. Many of these strategies could also benefit men breast imaging radiologists, who are at risk for burnout as well.
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Affiliation(s)
- Katerina Dodelzon
- Department of Radiology, Weill Cornell Medicine at NewYork-Presbyterian, New York, NY, USA
| | - Hannah S Milch
- Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Lisa A Mullen
- Division of Breast Imaging, The Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medicine, Baltimore, MD, USA
| | - Vandana Dialani
- Division of Breast Imaging, Department of Radiology, Beth Israel Lahey Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Sarah Jacobs
- New Ulm Medical Center Radiology, Allina Health, New Ulm, MN, USA
| | - Jay R Parikh
- Department of Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Lars J Grimm
- Department of Radiology, Duke University Medical Center, Durham, NC, USA
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Young PJ, Kagetsu NJ, Tomblinson CM, Snyder EJ, Church AL, Mercado CL, Guzman Perez-Carrillo GJ, Jha P, Guerrero-Calderon JD, Jaswal S, Khosa F, Deitte LA. The Intersection of Diversity and Well-Being. Acad Radiol 2023; 30:2031-2036. [PMID: 36813669 DOI: 10.1016/j.acra.2023.01.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 01/17/2023] [Accepted: 01/21/2023] [Indexed: 02/22/2023]
Affiliation(s)
- Patrick J Young
- Midwestern University-Arizona College of Osteopathic Medicine, 19555 N 59th Avenue, Glendale, AZ 85308.
| | - Nolan J Kagetsu
- Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Courtney M Tomblinson
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Elizabeth J Snyder
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - An L Church
- Department of Radiology, University of Minnesota, Minneapolis, MN
| | - Cecilia L Mercado
- Department of Radiology, New York University School of Medicine, New York, NY
| | | | - Priyanka Jha
- Department of Radiology and the Division of Body Imaging, Stanford University School of Medicine, Palo Alto, CA
| | | | - Shama Jaswal
- New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY
| | - Faisal Khosa
- Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada
| | - Lori A Deitte
- Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN
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Bass RZ, Woodard SA, Colvin SD, Zarzour JG, Porter KK, Canon CL. Childbearing in radiology training and early career: Challenges, opportunities, and finding the best time for you. Clin Imaging 2022; 86:67-70. [PMID: 35344778 DOI: 10.1016/j.clinimag.2022.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/06/2022] [Accepted: 03/15/2022] [Indexed: 11/26/2022]
Abstract
For many women, radiology residency occurs during the childbearing years and they often question when is the best time to have children. Anxiety regarding fertility and pregnancy-related complications contribute to early career burnout in women physicians and many have fertility regrets. Supporting radiologists in training and early in their career as they navigate pregnancy and childbearing is critical to achieving a diverse workforce and leadership. Herein, we explore career-related challenges of childbearing and highlight opportunities for radiologists in residency, fellowship, and early in their career, so that they can make an informed childbearing decision.
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Affiliation(s)
- Rachel Z Bass
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Stefanie A Woodard
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Stephanie D Colvin
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Jessica G Zarzour
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Kristin K Porter
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
| | - Cheri L Canon
- Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, USA.
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Dodelzon K. Protecting a Gender Diverse Future by Supporting Breastfeeding Radiologists. Acad Radiol 2022; 29:181-182. [PMID: 34794882 DOI: 10.1016/j.acra.2021.09.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 09/28/2021] [Indexed: 01/29/2023]
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Equal pay for equal work in radiology: Expired excuses and solutions for change. Clin Imaging 2022; 83:93-98. [PMID: 35030407 DOI: 10.1016/j.clinimag.2021.12.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Accepted: 12/22/2021] [Indexed: 11/24/2022]
Abstract
The gender pay gap is not a problem of the past. Women continue to receive less pay for equal work and radiology is one of four medical specialties with the largest gender pay gap. Numerous social factors contribute to the gender pay gap; however, radiology can close the gender pay gap through intentional strategies, including acknowledging the gender pay gap, eliminating bias and minority taxes through progressive compensation and parental leave models, devaluing overwork, developing longitudinal mentorship and sponsorship, and demanding transparent institutional policies. Patient care and overall organizational success will improve when the barriers resulting in the gender pay gap are eliminated.
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Johnson HM, Torres MB, Tatebe LC, Altieri MS. Every ounce counts: A call for comprehensive support for breastfeeding surgeons by the Association of Women Surgeons. Am J Surg 2022; 223:1226-1227. [DOI: 10.1016/j.amjsurg.2021.12.037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/14/2021] [Accepted: 12/31/2021] [Indexed: 11/16/2022]
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