Skip to main content
Log in

Work-Family Balance and Academic Advancement in Medical Schools

  • Special Article
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objective

This study examines various options that a faculty member might exercise to achieve work-family balance in academic medicine and their consequences for academic advancement.

Method

Three data sets were analyzed: an anonymous web-administered survey of part-time tenure track-eligible University of Illinois College of Medicine (UI-COM) faculty members conducted in 2003; exogenous data regarding the entire UI-COM faculty; and tenure rollback (“stop-the-clock”) usage by all tenure track-eligible UI-COM faculty from 1994 to 2003.

Results

The data reveal a gender split in career-familybalance priorities that affect academic advancement among part-time faculty. Women select part-time status for child care; men choose part-time to moonlight. Similarly, among all faculty members seeking tenure rollbacks women request rollback for child care; men request rollback for other reasons. Among all faculty members, full-time men were more likely to be on the tenure track than any other group. Needs identified by the part-time faculty survey include improved mentoring in track selection, heightened awareness of options such as tenure rollback and provision of equitable benefits and opportunities.

Conclusions

Policy changes, such as a prorated tenure track, are needed to support a family-friendly culture with flexibility throughout the career lifespan for both men and women medical faculty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Potee RA, Gerber AJ, Ickovics JR: Medicine and motherhood: shifting trends among female physicians from 1922 to 1999. Acad Med 1999; 74: 911–919

    Article  CAS  PubMed  Google Scholar 

  2. Woodward CA, Cohen ML, Ferrier BM: Career interruptions and hours practiced: comparison between young men and women physicians. Can J Public Health 1990; 81: 16–20

    CAS  PubMed  Google Scholar 

  3. Sandberg J, Hofferth S: Changes in Children’s Time with Parents, U.S, 1981–1997, PSC Research Report number 01-475, University of Michigan, May, 2001. Available at http://www.psc.isr.umich.edu/pubs/papers/rr01-475.pdf

  4. Williams, J: Unbending Gender: Why Family and Work Conflict and What to Do About It. Oxford University Press, New York, 2000, pp 338

    Google Scholar 

  5. Committee on Integrating the Science of Early Childhood Development, in Neurons to Neighborhoods: The Science of Early Childhood Development. Board on Children, Youth, and Families, Commission on Behavioral and Social Sciences and Education. Edited by Shonkoff JP, Phillips DA. National Research Council and Institute of Medicine. Washington, DC, National Academy Press, 2000, pp 588

    Google Scholar 

  6. American Association of University Professors. Statement of Principles on Family Responsibilities and Academic Work. Draft endorsed June 2001. Available at http://www.aaup.org/statements/REPORTS/re01fam.htm#7

  7. Nonnemaker L: Women physicians in academic medicine: new insights from cohort studies. N Engl J Med 2000; 342: 399–405

    Article  CAS  PubMed  Google Scholar 

  8. American Association of Medical Colleges: Analysis in Brief: Trends in Faculty Attrition at US Medical Schools, 1980–1999. March 2002, Vol. 2, number 2. Available at http://www.aamc.org/data/aib

  9. Mason MA: Study of Doctorate Recipients; sponsored by the National Science Foundation, National Institute of Health, and the National Endowment for the Humanities. Women in Higher Education, 2002; 11: 1, 1–2

    Google Scholar 

  10. Mason MA, Goulden M: Do babies matter (part II)? closing the baby gap. Academe 2004

  11. Bickel J: Women in academic psychiatry. Acad Psychiatry 2004; 28: 4

    Article  Google Scholar 

  12. Bickel J, Wara D, Atkinson BF, et al: Increasing women’s leadership in academic medicine: report of the AAMC Project Implementation Committee. Acad Med 2002; 77(10): 1043–1061

    Article  PubMed  Google Scholar 

  13. Carr PL, Ash AS, Friedman RH, et al: Relation of family responsibilities and gender to the productivity and career satisfaction of medical faculty. Ann Intern Med 1998; 129(7): 532–538

    Article  CAS  PubMed  Google Scholar 

  14. Levinson W, Kaufman K, Bickel J: Part-time faculty in academic medicine: present status and future challenges. Ann Intern Med 1993; 119: 220–225

    Article  CAS  PubMed  Google Scholar 

  15. Criteria and Guidelines for Appointment and Promotion of Faculty, University of Illinois College of Medicine, 2004. Available at http://www.uic.edu/depts/mcam/fa/docs/criteria.pdf

  16. Tenure Rollback Policy, University of Illinois. http://www.uic.edu/depts/oaa/tenure_rollback.pdf

  17. Drago R, Williams J: A half-time tenure track proposal. Change 2000; 32: 46–51

    Article  Google Scholar 

  18. University of Michigan’s policy can be found in Section 6.7 of the Faculty Handbook. Available at http://www.provost.umich.edu/faculty/handbook/6/6.7.html

  19. American Council on Education: An Agenda for Excellence: Creating Flexibility in Tenure-Track Faculty Careers. Sloan Foundation, 2005. The executive summary is available at http://www.acenet.edu/bookstore/pdf/2005_tenure_flex_summary.pdf

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Geri Fox M.D., M.H.P.E..

Additional information

This article incorporates research findings from Dr. Fox’s Master’s in Health Professions Education thesis, Department of Medical Education, University of Illinois at Chicago, 2004.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fox, G., Schwartz, A. & Hart, K.M. Work-Family Balance and Academic Advancement in Medical Schools. Acad Psychiatry 30, 227–234 (2006). https://doi.org/10.1176/appi.ap.30.3.227

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1176/appi.ap.30.3.227

Keywords

Navigation