Literature DB >> 28834844

Barriers to Career Flexibility in Academic Medicine: A Qualitative Analysis of Reasons for the Underutilization of Family-Friendly Policies, and Implications for Institutional Change and Department Chair Leadership.

Kimberlee Shauman1, Lydia P Howell, Debora A Paterniti, Laurel A Beckett, Amparo C Villablanca.   

Abstract

PURPOSE: Academic medical and biomedical professionals need workplace flexibility to manage the demands of work and family roles and meet their commitments to both, but often fail to use the very programs and benefits that provide flexibility. This study investigated the reasons for faculty underutilization of work-life programs.
METHOD: As part of a National Institutes of Health-funded study, in 2010 the authors investigated attitudes of clinical and/or research biomedical faculty at the University of California, Davis, toward work-life policies, and the rationale behind their individual decisions regarding use of flexibility policies. The analysis used verbatim responses from 213 of 472 faculty (448 unstructured comments) to a series of open-ended survey questions. Questions elicited faculty members' self-reports of policy use, attitudes, and evaluations of the policies, and their perceptions of barriers that limited full benefit utilization. Data were coded and analyzed using a grounded theory approach.
RESULTS: Faculty described how their utilization of workplace flexibility benefits was inhibited by organizational influences: the absence of reliable information about program eligibility and benefits, workplace norms and cultures that stigmatized program participation, influence of uninformed/unsupportive department heads, and concerns about how participation might burden coworkers, damage collegial relationships, or adversely affect workflow and grant funding.
CONCLUSIONS: Understanding underuse of work-life programs is essential to maximize employee productivity and satisfaction, minimize turnover, and provide equal opportunities for career advancement to all faculty. The findings are discussed in relation to specific policy recommendations, implications for institutional change, and department chair leadership.

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Mesh:

Year:  2018        PMID: 28834844      PMCID: PMC5788717          DOI: 10.1097/ACM.0000000000001877

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


  9 in total

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2.  The nature of work and the stress of higher status.

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3.  Changing Work and Work-Family Conflict: Evidence from the Work, Family, and Health Network*

Authors:  Erin L Kelly; Phyllis Moen; J Michael Oakes; Wen Fan; Cassandra Okechukwu; Kelly D Davis; Leslie Hammer; Ellen Kossek; Rosalind Berkowitz King; Ginger Hanson; Frank Mierzwa; Lynne Casper
Journal:  Am Sociol Rev       Date:  2014-06-01

4.  Workplace Flexibility and Daily Stress Processes in Hotel Employees and their Children.

Authors:  David M Almeida; Kelly D Davis
Journal:  Ann Am Acad Pol Soc Sci       Date:  2011-11

5.  Getting There from Here: Research on the Effects of Work-Family Initiatives on Work-Family Conflict and Business Outcomes.

Authors:  Erin L Kelly; Ellen Ernst Kossek; Leslie B Hammer; Mary Durham; Jeremy Bray; Kelly Chermack; Lauren A Murphy; Dan Kaskubar
Journal:  Acad Manag Ann       Date:  2008-08

6.  Career flexibility and family-friendly policies: an NIH-funded study to enhance women's careers in biomedical sciences.

Authors:  Amparo C Villablanca; Laurel Beckett; Jasmine Nettiksimmons; Lydia P Howell
Journal:  J Womens Health (Larchmt)       Date:  2011-08-22       Impact factor: 2.681

7.  Does Enhancing Work-Time Control and Flexibility Reduce Turnover? A Naturally Occurring Experiment.

Authors:  Phyllis Moen; Erin L Kelly; Rachelle Hill
Journal:  Soc Probl       Date:  2011-02-01

8.  Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers.

Authors:  Shruti Jolly; Kent A Griffith; Rochelle DeCastro; Abigail Stewart; Peter Ubel; Reshma Jagsi
Journal:  Ann Intern Med       Date:  2014-03-04       Impact factor: 25.391

9.  Time Work by Overworked Professionals: Strategies in Response to the Stress of Higher Status.

Authors:  Phyllis Moen; Jack Lam; Samantha Ammons; Erin L Kelly
Journal:  Work Occup       Date:  2013-05-01
  9 in total
  8 in total

1.  From Stigma to Validation: A Qualitative Assessment of a Novel National Program to Improve Retention of Physician-Scientists with Caregiving Responsibilities.

Authors:  Rochelle D Jones; Jacquelyn Miller; C Ann Vitous; Chris Krenz; Kathleen T Brady; Ann J Brown; Gail L Daumit; Amelia F Drake; Victoria J Fraser; Katherine E Hartmann; Judith S Hochman; Susan Girdler; Adina L Kalet; Anne M Libby; Christina Mangurian; Judith G Regensteiner; Kimberly Yonkers; Reshma Jagsi
Journal:  J Womens Health (Larchmt)       Date:  2020-04-15       Impact factor: 2.681

2.  Meeting expectations: An exploration of academic emergency medicine faculty experiences and preferences in the virtual meeting environment by age, gender and parental status.

Authors:  Katja Goldflam; Ian C Crichton; Ryan F Coughlin; Jessica Bod; Pooja Agrawal; Cassandra Bradby; Alina Tsyrulnik
Journal:  AEM Educ Train       Date:  2022-04-01

3.  Factors Related to Faculty Work Life Balance as a Reason to Leave a School of Medicine.

Authors:  N Greenberg; E Lawrence; O Myers; A Sood
Journal:  Chron Mentor Coach       Date:  2021-12

4.  Family Supportive Supervisor Behaviors Moderate Associations between Work Stress and Exhaustion: Testing the Job Demands-Resources Model in Academic Staff at an Austrian Medical University.

Authors:  Nikola Komlenac; Lisa Stockinger; Margarethe Hochleitner
Journal:  Int J Environ Res Public Health       Date:  2022-05-09       Impact factor: 4.614

5.  The Challenges, Joys, and Career Satisfaction of Women Graduates of the Robert Wood Johnson Clinical Scholars Program 1973-2011.

Authors:  Adina Kalet; Penelope Lusk; Jennifer Rockfeld; Kate Schwartz; Kathlyn E Fletcher; Rebecca Deng; Nina A Bickell
Journal:  J Gen Intern Med       Date:  2020-02-24       Impact factor: 5.128

6.  A Summary Report from the Research Partnership on Women in Science Careers.

Authors:  Phyllis L Carr; Deborah Helitzer; Karen Freund; Alyssa Westring; Richard McGee; Patricia B Campbell; Christine V Wood; Amparo Villablanca
Journal:  J Gen Intern Med       Date:  2018-07-12       Impact factor: 5.128

7.  Organizational factors affecting physician well-being.

Authors:  Daniel S Tawfik; Jochen Profit; Sarah Webber; Tait D Shanafelt
Journal:  Curr Treat Options Pediatr       Date:  2019-02-09

8.  Flexibility in Faculty Work-Life Policies at Medical Schools in the Big Ten Conference: A Ten-Year Follow-up Study.

Authors:  Emily A Wagner; Jaclyn H Jansen; Hannah DeLuna; Katherine Anderson; Marla C Doehring; Julie L Welch
Journal:  Womens Health Rep (New Rochelle)       Date:  2022-01-31
  8 in total

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