Published online February 5, 2007
PEDIATRICS Vol. 119 No. 3 March 2007, pp. e596-e602 (doi:10.1542/peds.2006-2397)

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ARTICLE

Toward Creating Family-Friendly Work Environments in Pediatrics: Baseline Data From Pediatric Department Chairs and Pediatric Program Directors

Heather A. McPhillips, MD, MPH^a, Ann E. Burke, MD^b, Kate Sheppard, MPH^c, Adam Pallant, MD^d, F. Bruder Stapleton, MD^a and Bonita Stanton, MD^c

^a Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington
^b Department of Pediatrics, Wright State University School of Medicine, Dayton, Ohio
^c Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan
^d Pediatric Residency Program, Brown Medical School, Providence, Rhode Island

OBJECTIVE. The objective was to determine baseline characteristics of pediatric residency training programs and academic departments in regard to family-friendly work environments as outlined in the Report of the Task Force on Women in Pediatrics.

METHODS. We conducted Web-based anonymous surveys of 147 pediatric department chairs and 203 pediatric program directors. The chair's questionnaire asked about child care, lactation facilities, family leave policies, work-life balance, and tenure and promotion policies. The program director's questionnaire asked about family leave, parenting, work-life balance, and perceptions of "family-friendliness."

RESULTS. The response rate was 52% for program directors and 51% for chairs. Nearly 60% of chairs reported some access to child care or provided assistance locating child care; however, in half of these departments, demand almost always exceeded supply. Lactation facilities were available to breastfeeding faculty in 74% of departments, although only 57% provided access to breast pumps. A total of 78% of chairs and 90% of program directors reported written maternity leave policies with slightly fewer reporting paternity leave policies. The majority (83%) of chairs reported availability of part-time employment, whereas only 27% of program directors offered part-time residency options. Most departments offered some flexibility in promotion and tenure.

CONCLUSIONS. Although progress has been made, change still is needed in many areas in pediatric departments and training programs, including better accessibility to quality child care; improved lactation facilities for breastfeeding mothers; clear, written parental leave policies; and flexible work schedules to accommodate changing demands of family life.

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Key Words: residency • faculty • education

Abbreviations: FOPO—Federation of Pediatric Organizations • PPD—pediatric program directors • RTFWP—Report of the Task Force on Women in Pediatrics • AMSPDC—Association of Medical School Pediatric Department Chairs • APPD—Association of Pediatric Program Directors • ABP—American Board of Pediatrics

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Accepted Oct 4, 2006.

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