Resident-Reported Barriers to Utilizing Lactation and Parental Leave Policies in a Family Medicine Residency Program
Ruth OBAYEMI, Tina ARDON and Amy SEEGMILLER
The US is the only high-income country without national paid parental leave (PPL) laws.The national average for PPL is about 6-8 weeks, compared with the global standard of 18 weeks. In 2018, the ACGME added lactation support provisions to their basic requirements for training programs; however, awareness of PPL and lactation policies remains limited and is not routinely incorporated into professional training, including family medicine residency which impacts policy uptake.We developed a 12-question survey exploring themes such as awareness of institutional policies, access to resources, barriers to utilization, and perceived confidence in navigating available supports. Sixteen residents (67%) responded out of the twenty-four who received the survey.The policies at our institution provide allowances for PPL and lactation support that meet or exceed national averages. As part of it aims to facilitate a supportive training environment for parent-residents and better understand gaps affecting resident well-being, this group sought to investigate persistent barriers to PPL and lactation resource utilization despite the presence of robust institutional policies.Half the respondents (50%) reported that they felt very familiar with the institution’s PPL policy. Nonetheless, the survey revealed a lack of information and resources as the most frequently reported barrier faced when requesting PPL, while the most reported barrier to breastfeeding was scheduling conflicts.Graduate medical education often overlaps with childbearing years. Formal leave and lactation policies when they exist, facilitate smooth transition for residents between their roles as parent and trainee, and support re-integration into clinical duties. However, even when documented, knowledge of and access to these policies are often lacking. In addition, perceptions reinforced by the hidden curriculum in medicine, along with logistical constraints pose barriers to breastfeeding and by extension parent and child wellbeing.Our findings indicate that highlighting available lactation and PPL policies, for instance through formal curricula, orientation sessions, or discussion panels, can increase understanding and utilization of current parental leave and lactation support resources during medical training. Additionally, innovative solutions to scheduling-related barriers are needed to better support lactating parents during family medicine residency.
