A Comparative Analysis of Ophthalmology Resident Physician Performance Based on Use of Parental Leave

Abstract

Background Taking parental leave during ophthalmology residency may be perceived to negatively affect resident surgical volume and educational outcomes. However, limited data exist on whether taking parental leave is associated with objective measures of resident performance. The objective of the present study was to determine the association between taking parental leave and key measures of resident performance. Methods Educational records of ophthalmology resident physicians who graduated from 2015 to 2019 at the Johns Hopkins University School of Medicine Wilmer Eye Institute were reviewed. Measures of resident performance assessed were Ophthalmic Knowledge Assessment Program scores, number of publications during residency, Accreditation Council for Graduate Medical Education milestones scores, and surgical volumes. These outcomes were compared for residents who took parental leave compared with their peers who did not take parental leave. Results Twenty-five residents were included in the study. Four female residents (16%) took parental leave 8 weeks in duration. There were no significant differences between residents who did and did not take parental leave when considering mean Ophthalmic Knowledge Assessment Program scores ( p = 0.27), number of publications during residency ( p = 0.19), milestone scores ( p -value range 0.09-0.40), and surgical volume by subspecialty category ( p -value range 0.11-0.45). Conclusion Parental leave did not negatively influence any of the studied measures of resident performance.

Keywords: ACGME milestones; ophthalmology; ophthalmology residency; parental leave; resident education; surgical volume.