OBJECTIVE: To analyze why women quit full-time employment as neurosurgeons and to discuss the conditions required for their reinstatement.
METHODS: We asked 94 core hospitals providing training programs in the board certification system adopted by the Japan Neurosurgical Society, to indicate the total number and present status of women in their department, and to send our anonymous questionnaire to women who had formerly worked as full-time neurosurgeons. The questionnaire consisted of closed and open questions on their reasons for quitting as full-time neurosurgeons.
RESULTS: Among 427 women evaluated, 72 (17%) had quit full-time employment as neurosurgeons. Twenty-one women who had quit three to 21 years after starting their neurosurgery careers responded to the questionnaire, including 17 board-certified neurosurgeons, 11 individuals with master’s degrees and 16 mothers. Their main reasons for quitting full-time work were difficulty in balancing their neurosurgical career and motherhood (52%) and the physical burden (38%). At the time of quitting, only two (5%) units had a career counseling system for women. Two-thirds of participants might resume full-time work as neurosurgeons in the future. Their support system during pregnancy and the child-raising period, and understanding of male bosses and colleagues were identified as the key themes.
CONCLUSION: The Japan Neurosurgical Society could facilitate supportive environments for women in neurosurgery by enhancing adequate childcare services, change the workstyle of full-time neurosurgeons to incorporate diverse working styles, shorter working hours, understanding of their bosses and colleagues, and career counseling system.
Copyright © 2019. Published by Elsevier Inc.