Advertisement
Original Research Article| Volume 223, ISSUE 5, P900-904, May 2022

Do surgeons adjust clinical productivity after maternity leave?

  • Ya-Wen Chen
    Affiliations
    Department of Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA

    Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA
    Search for articles by this author
  • Maggie L. Westfal
    Affiliations
    Department of Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA
    Search for articles by this author
  • Christy E. Cauley
    Affiliations
    Department of Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA
    Search for articles by this author
  • Author Footnotes
    1 David C. Chang and Cassandra M. Kelleher contributed equally.
    David C. Chang
    Footnotes
    1 David C. Chang and Cassandra M. Kelleher contributed equally.
    Affiliations
    Department of Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA

    Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA
    Search for articles by this author
  • Author Footnotes
    1 David C. Chang and Cassandra M. Kelleher contributed equally.
    Cassandra M. Kelleher
    Correspondence
    Corresponding author. Department of Pediatric Surgery, Massachusetts General Hospital, 55 Fruit Street, Warren Building 11th Floor, Boston, MA, 02114, USA.
    Footnotes
    1 David C. Chang and Cassandra M. Kelleher contributed equally.
    Affiliations
    Department of Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA
    Search for articles by this author
  • Author Footnotes
    1 David C. Chang and Cassandra M. Kelleher contributed equally.
Published:September 27, 2021DOI:https://doi.org/10.1016/j.amjsurg.2021.09.032

      Highlights

      • No significant difference between post and pre leave productivity for maternity leave or other types of leave.
      • No significant difference in the post/pre productivity ratio between maternity leave and other types of leave.
      • Our study suggests that speculation that women forfeit clinical productivity after maternity leaves is not supported by data.

      Abstract

      Background

      It has been speculated that women's productivity decreases after maternity leave. In this study, we measured if surgeon clinical productivity decreases after a maternity leave or other types of leave.

      Methods

      Data from a large medical center was used to measure surgeon productivity before (pre) and after (post) a leave of absence. Post-to-pre productivity ratios were calculated for each leave based on operative volumes and Relative Value Units (RVUs). Multivariate linear regression analysis was performed for the post/pre productivity ratios, adjusting for surgeon characteristics.

      Results

      Fifty leaves of absence, from 30 surgeons, were analyzed. There was no significant difference between post and pre leave productivity for maternity leave or other types of leave. There was also no significant difference when comparing post/pre productivity ratios between maternity leaves versus other types of leave (volume: 0.06, p = 0.52; RVU: 0.08, p = 0.58).

      Conclusion

      Surgeons do not significantly reduce clinical productivity after maternity or other types of leaves.

      Keywords

      Abbreviation:

      RVU (relative value unit)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Correll S.J.
        • Benard S.
        • Paik I.
        Getting a job: is there a motherhood penalty?.
        Am J Sociol. 2007; 112: 1297-1338https://doi.org/10.1086/511799
        • Budig M.J.
        • England P.
        The wage penalty for motherhood.
        Am Socio Rev. 2001; 66: 204https://doi.org/10.2307/2657415
        • Scully R.E.
        • Davids J.S.
        • Melnitchouk N.
        Impact of procedural specialty on maternity leave and career satisfaction among female physicians.
        Ann Surg. 2017; 266: 210-217https://doi.org/10.1097/SLA.0000000000002196
        • Juengst S.B.
        • Royston A.
        • Huang I.
        • Wright B.
        Family leave and return-to-work experiences of physician mothers.
        JAMA Netw Open. 2019; 2e1913054https://doi.org/10.1001/jamanetworkopen.2019.13054
        • Hodges M.J.
        • Budig M.J.
        Who gets the daddy bonus?: organizational hegemonic masculinity and the impact of fatherhood on earnings.
        Gend Soc. 2010; 24: 717-745https://doi.org/10.1177/0891243210386729
        • Ganguli I.
        • Sheridan B.
        • Gray J.
        • Chernew M.
        • Rosenthal M.B.
        • Neprash H.
        Physician work hours and the gender pay gap — evidence from primary care.
        N Engl J Med. 2020; 383: 1349-1357https://doi.org/10.1056/NEJMsa2013804
        • Chen Y.-W.
        • Westfal M.L.
        • Chang D.C.
        • Kelleher C.M.
        Underemployment of female surgeons?.
        Ann Surg. 2021; 273: 197-201https://doi.org/10.1097/SLA.0000000000004497
        • Phelps E.S.
        The statistical theory of racism and sexism.
        Am Econ Rev. 1972; 62 (Accessed April 21, 2021): 659-661
        • Goldberg E.
        When the Surgeon Is a Mom. The New York Times.
        2020 (Accessed November 24)
        • Lumpkin S.T.
        • Klein M.K.
        • Battarbee A.N.
        • Strassle P.D.
        • Scarlet S.
        • Duke M.C.
        Fellowship or family? A comparison of residency leave policies with the family and medical leave Act.
        J Surg Res. 2019; 241: 302-307https://doi.org/10.1016/j.jss.2019.03.004
      1. Asai Y. This is how parental leave policies impact the gender gap. World Economic Forum. Accessed April 13, 2021. https://www.weforum.org/agenda/2019/09/how-parental-leave-policies-impact-gender-gap-war/.

      2. The family and medical leave Act of 1993 | U.S. Department of labor.
        • Watson A.
        Society and Legal Change.
        second ed. Temple University Press, 2001
        https://www.jstor.org/stable/j.ctt14bszw6
        Date accessed: November 24, 2020
        • Rosen J.
        RBG's life, in her own words.
        Atlantic. 2020; (Accessed November 24)