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  • #16
    The PD can say what they want and try to instill fear, but certainly there is a leave policy in place, what does it say?

    The acgme also has graduation requirements. Do they have a minimum hour requirement in your specialty?

    If you have to extend, it's the programs responsibility to figure out your schedule, and that should be a big if.

    After 5 years of trying and tens of thousands of dollars later, we had our first child 9 months ago, and she is amazing. No way I would voluntarily delay parenthood, or let some PD scare me out of it.

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    • #17
      Originally posted by tylerjw12 View Post
      We had our first in residency. Despite the program not being friendly to pregnancies, seemed that one or two residents had a kid each year while we were there. She was capped at 6 weeks, 4 of which were her annual vacation, and had to make up call. (Btw make up call BEFORE baby comes!)
      It was difficult for her. "This is why female physicians should get paid less" and other nauseating tropes. You have to work harder because people will be watching you closely waiting for you to slip up. And don't complain about it, ever. People will ask with a sad face how you're doing (35 weeks and on her feet all day, no lunch and bladder is exploding. how ya think?) but never but give an inch. Don't give the naysayers any ammo.

      Ultimately you gotta live your life! Try for a kid!
      Thank you for sharing. This is so true and your setting seems to be really similar to my current environment including how the 4 weeks of vacation was included in the 6 weeks. I know other people are saying vacation shouldn’t be included in the 6 weeks but unfortunately I don’t think that is reality for some programs.

      It’s amazing how energized I feel from all the support in this forum. It’s so powerful. Thank you so much everyone !!!

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      • #18
        If now is a good time in your relationship and life outside medicine I would second the advice to go for it. I’ve had one kid each in training and as an attending. Both were difficult in different ways - there is never a perfect time. My practice situation is family friendly and so it was feasible as an early attending but that’s not universal. Many of my friends are in contracts with poor maternity leave provisions (ranging from no defined maternity leave to only 6-8 weeks paid; I feel lucky to have had 12 weeks paid — this is something you really want to be aware of in looking at jobs).

        For many of us, training sounds hard but is simpler because it’s well defined and life after training is great in many ways but it’s not the pure easy light at the end of the tunnel it’s tempting to imagine. Delaying kids can mean a higher risk of infertility (which can be enormously expensive or even make it impossible to have your own kid), lost compensation if your job doesn’t have great maternity leave benefits (even a month unpaid could cost you 17k-30k+) or just you feeling awkward about your pregnancy if you’re trying to impress a new practice / make partner / whatever (though if that’s the best time for your family ignoring those worries is reasonable—though it’s good to be dedicated, your job won’t love you back or produce family memories / cute kid art /grandkids later / etc).

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        • #19
          Originally posted by EH View Post
          If you want a kid now go for it. Nothing is going to change unless someone changes things up. Unfortunately having a kid is residency is tough even if your residency is pretty decent about it - 3rd year should be a bit easier especially if you can time the harder rotations for before birth. You are protected for 6-8 weeks of medical leave after birth but not after that. My kid was abysmal and patient care would have suffered if I had to go back at 6 weeks, although obviously tons of mamas do this regularly in the US and survive. Watching moms try to pump while covering icu was terrible - certain attendings would drag on and on and they would be bursting by the end. Depending on your job having a kids after residency is much easier. Folks I know take 4-6 months leave (not necessarily all paid), have scheduled pumping time with reduced patient load, much more reasonable schedules, money to pay for help, etc, etc. most people join and then pop out their 2.5 kids starting 6 months into the job...
          She can't take FMLA for twelve weeks? Why or why not?
          Have kids when it works for you, and don't miss your chance if it's important.
          What field are you in?

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          • #20
            Originally posted by snowcanyon View Post

            She can't take FMLA for twelve weeks? Why or why not?
            Have kids when it works for you, and don't miss your chance if it's important.
            What field are you in?
            You are right she should have 12 weeks of fmla. I think some people chose less so they could graduate on time. Of course she should have kids now if she wants - I would have never worried about being reprimanded at my residency but still most people chose to wait. Working 70 hours a week in third trimester or with a 3 month old is just tough. Without having an exceptionally supportive partner with flexible hours or family nearby it would be hard. There were certainly not reasonable accommodations for pumping outside of a space to do so in the hospital (outpatient some would just pump in their cubicle next to me so they could work! Hopefully better now this was several years ago...). I work way fewer hours now than I did in inpatient rotations in residency (and probably more than the outpatient ones!). obviously this will vary with specific residency...

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            • #21
              you guys know there's going to be a "baby boom" about 9 months from now, right? tends to happen after big disasters. The last "big" one was about 9 months after 9/11

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              • #22
                It's a little different as pregnant women may be more at risk to the virus and we don't really know what impact if any this has on the fetus. I'd say folks are likely to hold off trying until we know more or this blows over.

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                • #23
                  Originally posted by tylerjw12 View Post
                  I'd say folks are likely to hold off trying until we know more or this blows over.
                  I don't think most people are trying. I think it just happens... "oops".
                  "Oh look another bajillion point declin-Ooooh!!! A coupon for pizza!!!!" <--- This is what everyone's IPS should be. ✓✓✓

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