Compability of family and clinical-scientific career for German gynecologists in different workplaces: a sub- analysis of the systematic trinational FARBEN Survey

Introduction The trinational survey project conducted by the Young Forums of the German, Austrian, and Swiss Societies for Gynecology and Obstetrics aims to assess the preferences of prospective and practicing gynecologists regarding various work-time models, educations systems, career and work-family-live balance. Materials and Methods Between October 2023 and May 2024, a total of 1,364 participants took part in the FARBEN survey. The questionnaire consisted of 62 questions covering topics such as the workplace in general, work-time models, training priorities, team compositions, and professional goals. Participation was voluntary and anonymous. This is a national subanalysis evaluating individual preferences according to current workplace (university vs. non-university departments vs. outpatient care) of German participants. Results Of 1,008 participants from Germany, 26.3% were employed in university departments, 55.4% in non-university departments and 10.8% in outpatient care. Respondents employed in university departments were more likely to pursue a scientific-academic career (68.0% held a doctorate, 7.5% a habilitation [highest academic achievement in German-speaking countries] or a professorship; 38.5% aspiring to a habilitation vs. 6.6% in non-university departments). Women at university departments became mothers later than at non-university departments and returned earlier from parental leave. Childcare provided by the workplace was reported as better and more flexible at university departments (20.4% vs. 9.6% at non-university departments and 8.4% in outpatient care). 34.1% of participants from university departments reported their head of department was female, compared to 19.2% at non-university departments (p < 0.001). Conclusions The compatibility of family and career and a good work-life balance are important for the majority of gynecologists in specialty training, regardless of their place of work. Participants working in university settings were more likely to pursue academic career and reported higher flexibility and better childcare support. In times of a deficite of upcoming medical physicians, employment policy should focus on these points. Guidelines such as “Safe surgery during pregnancy” can help to ensure that family planning does not hinder clinical training.