Description

Although women aspiring to a hard job in medicine are the ones who are most frequently evaluated in this regard, the fact that many female doctors' spouses or partners are male doctors is not taken into consideration. This professional resemblance makes it impossible to make a valid case against equitable child care sharing. But this appears to present a unique issue for medical professionals preparing for lengthy and legally demanding specialties like surgery. In this book, I discuss the short and long-term implications on the career of the parents as well as the child's well-being of my experience as a father taking a one-year parental leave from clinical practice during surgical training in Germany in 2002. Nonalcoholic fatty liver disease is becoming more common as a result of an increase in the number of people with metabolic syndrome, which is altering the epidemiology of chronic liver disease.

Liver transplantation

NAFLD is addressed by a wide range of conditions going from greasy liver to nonalcoholic steatohepatitis. As an outcome, the quantities of Liver Transplantation (LT) embraced in patients with cirrhosis because of NASH have been expanding around the world. Heftiness is known to be a free gamble factor related with the movement of liver illness in patients with cirrhosis from all causes [1]. The conflict between career and family is a common theme in industrialized nations' medical literature. By the end of 2001, when our daughter was a year old, my wife and I were in the same stage of our careers second year in separate medical subjects [2]. For a period of 14 months, my wife's clinical job had been halted due to pregnancy and postpartum. In the nursery or kindergarten where we were living at the time, there were no choices for child fostering [3]. We looked for and could not find arguments in favor of typical models of child care being provided by women alone, rather than distributing the load evenly among couples who are equally qualified. In 2002, male surgeons were remarkably rare in taking maternity leave, particularly in university hospitals. On maternity leave, the gender ratio in the medical field was 96% female to 4% male. In the meantime, plans for maternity leave for women and men in all professions in Germany are strongly supported by law, and the proportion of men leaving their jobs to care for children is rising relative to the workforce as a whole. In the medical industry, however, the percentage of male doctors taking parental leave has actually decreased: The BAK's most recent poll from 2016 shows that the female to male ratio is 97.5% vs. 2.5%. It may be feasible to use the year of parental leave for in-depth reading of medical literature and for formal didactic educational needs if time is managed well.

Surgical experience

Prior to the last year of further instruction, the training level met the benchmark. Comparing this group of patients to their counterparts who did not take time away from their clinical practice revealed no differences in surgical experience or time required to graduate. In summary, having an equal duty for child care does not always have a detrimental impact on a candidate's ability to train for surgery or pursue a long-term career as a highly skilled consultant [4]. As a secondary objective, I made an effort to share with the German surgical community this positive experience of sharing child care equally throughout a surgical career by writing about it on several occasions at the German Society of Surgery annual meeting, in the top German surgical journal, in the German journal of female medical doctors, in a top German weekly quality paper [5]. Nevertheless, current data imply no trend towards a relevant proportion of male doctors following my example, even though my colleagues' and supervisors' reactions to my decision to share family work on equal terms for at least a while were at least not overtly critical. Moreover, my own good experience stands in stark contrast to the findings of an observational study and survey conducted in 2015 which showed significant limitations on career prospects in the medical sector following parental leave. However, it is puzzling and still unsolved why these job impediments are primarily accepted by women and only by a clearly declining percentage of 12 males.

References

1. Engelmann C, Grote G, Miemietz B, Vaske B, Geyer S (2015) Career perspectives of hospital health workers after maternity and paternity leave: Survey and observational study in Germany. Dtsch Med Wochenschr 140: e28-35.

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2. Weizblit N, Noble J, Baerlocher MO (2009) The feminization of Canadian medicine and its impact upon doctor productivity. Med Educ 43: 442-448.

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3. Acai A,  Steyn C, Reid SE, Sonnadara RR (2018) A solution to gender inequity in surgery? Better caregiving policies. Can J Surg 61: 6-7.

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4. Seemann NM, Webster F, Holden HA, Moulton CA, Baxter N, et al. (2016) Women in academic surgery: Why is he playing field still not level? Am J Surg 211: 343-349.

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5. Weber T, Reidel M, Graf S, Hinz U, Keller M, et al. (2005) Careers of women in academic surgery. Chirurg 76: 703-711.

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