Gender Differences in Domestic Responsibilities of Otolaryngologists—A Mixed‐Methods Analysis

M. Elise Graham · Emily Aleksa · Agnieszka Dzioba · Edward Madou · Tanya Chen · Julie E. Strychowsky +3 more

12 citations0/0 files storedThe Laryngoscope

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Diversity and Career in Medicine Work-Family Balance Challenges Healthcare professionals’ stress and burnout

Abstract

OBJECTIVES: Female otolaryngologist-head and neck surgeons (OHNS) confront unique barriers. This study examines the influence of home life, especially gendered division of household labor, on leadership, productivity, and burnout. METHODS: A survey was distributed through social media and national society list-serv. Demographics, responsibility for household roles, and Maslach Burnout Inventory for Medical Personnel were included. Participants were invited to participate in semi-structured interviews, employing purposive sampling, with qualitative thematic analysis. RESULTS: Response rate was 26.4% (145 of 550 of eligible participants; 38.7% women, 60.7% men). Significantly fewer women were married (64.3% vs. 92% of men, p < 0.001), and significantly more were childless (21.4% of women vs. 9.1% of men, p = 0.037). More men reported exclusive/major responsibility for five duties, including yard work and home maintenance (all p < 0.03). More women reported exclusive/major responsibility for 15 duties, including meal planning and coordinating childcare (all p < 0.03). Women had higher Emotional Exhaustion on univariate analysis (p = 0.015). Across 27 interviews, two main themes were identified, each with three associated subthemes: Theme one, "division of duties," with subthemes (1) the way household duties were divided, (2) traditional gender norms, and 3. changing duties over time/unexpected circumstances. Theme two, "impact of domestic duties," with subthemes (1) professional, (2) financial, and (3) burnout/life satisfaction. CONCLUSIONS: Women OHNS disproportionately manage domestic responsibilities, possibly altering career trajectory for some OHNS. Burnout, especially emotional exhaustion, may be elevated due to inequitable labor. Future research should focus on identifying ways to improve equity for this group. LEVEL OF EVIDENCE: N/A Laryngoscope, 134:S1-S12, 2024.

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2014Gender Differences in Time Spent on Parenting and Domestic Responsibilities by High-Achieving Young Physician-Researchers 2010The impact of gender and parenthood on physicians' careers - professional and personal situation seven years after graduation 2004Keys to career satisfaction: insights from a survey of women pediatric surgeons 2019Sex-Based Disparities in the Hourly Earnings of Surgeons in the Fee-for-Service System in Ontario, Canada 2018Sex Differences in Time Spent on Household Activities and Care of Children Among US Physicians, 2003-2016 2004The Gender Gap in a Surgical Subspecialty 2004A force to contend with: The gender gap closes in Canadian medical schools 2021Gender differences in faculty rank among academic physicians: a systematic review and meta-analysis

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