Spring 2019

The Mother Load

Women who are pregnant, raising children, or considering parenthood at U.S. veterinary training institutions may lack adequate support.

By Genevieve Rajewski

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Cummings School faculty members and mothers Megan Mueller (with son, Oliver, 2), Rosenbaum (with Zee), and Annie Wayne are working to increase support for parents at Tufts and beyond. Photo: Anna Miller

Mothers who work outside the home already know the stress of balancing their families’ and employers’ competing needs and expectations.

Take Brianna Molter, V18. She entered Cummings School as the mother of an infant and became pregnant with her second child during her fourth year. These experiences spurred her to assist on a study about parenting support for veterinary trainees nationwide conducted by Cummings School research assistant professor Marieke Rosenbaum, V14, VG14, MG14.

Research on policies and support for pregnancy and parenting in physician training dates to 1984. But Rosenbaum, Molter, and two other Tufts scientists believe they’re the first to investigate policies at U.S. veterinary schools, where approximately 80 percent of the student, intern, and resident population is made up of women in their peak reproductive years. In two new studies, the Cummings School team found widespread challenges for veterinary trainees considering parenthood—including at Tufts, which is working to address them.

The first study, which appeared in the Journal of the American Veterinary Medical Association (JAVMA) in November, surveyed 2,088 veterinary students and 312 interns and residents across the country about how they perceived pregnancy and parenting-support services available at their veterinary training institutions. For the second study, which appeared online in the Journal of Veterinary Medical Education (JVME) in December, the Tufts scientists surveyed administrators from 30 U.S.-accredited veterinary schools on the same topics, while also reviewing their student, intern, and resident handbooks and other relevant written policies.

As the researchers suspected, most male and female veterinary trainees who were not parents said that they had intentionally delayed starting a family, with women more likely than men to see having a child as too difficult during veterinary training.

“Despite being a female-dominated field, it appears there are some pretty significant barriers to parenthood for women,” said Megan Mueller, A08, G10, G13, the Elizabeth Arnold Stevens Junior Professor and a co-author of the Cummings School studies. In the JAVMA survey, men in veterinary training were twice as likely as women in veterinary training to be parents, become a parent, or report an intention to have children during veterinary school or a veterinary internship or residency.

The researchers hypothesize that potential parents, and especially women, may delay having children because administrative policies and support services for pregnancy and parenting at veterinary training institutions are rare. The JVME study found that few institutions have formal written parental-leave or lactation policies, and that relevant written material was accessible online for only half of the institutions that had them.

“If you are thinking about becoming pregnant and don’t want to share your plans, you can’t privately find that information,” said co-author Annie Wayne, V11, VG11, clinical assistant professor and emergency and critical care veterinarian.

Research Assistant Professor Marieke Rosenbaum and her son, Zee, 7. Photo: Anna Miller

The researchers said that a concerning finding was that between a third and nearly half of females in the survey who were pregnant or were thinking about becoming pregnant reported that they did not feel safe—or were unsure of their safety—while being pregnant in their training program.

No wonder: The JVME paper revealed that although almost 90 percent of surveyed administrators said their institutions had written safety policies for pregnant students, less than half could describe where those policies could be found. Meanwhile, only 40 percent of surveyed administrators reported that their institutions had written safety policies for pregnant interns and residents at all.

As they continue to work on collecting more data around this understudied aspect of veterinary education, the Cummings School researchers have used their findings to “effect local change,” said Wayne. The researchers worked closely with former dean Deborah Kochevar to increase the number of lactation rooms on Tufts’ Grafton campus and to draft and post information about pregnancy, parenting, and family planning to the school’s public wellness website.

Dean ad interim Joyce Knoll and other colleagues have continued to support these initiatives and to grow Cummings School’s parent meet-up group, pool of faculty-parent mentors, and participation in the university’s new Parents Employee Resource Collaborative.

“If we want to attract and retain the best veterinary students, faculty, and staff, we must do all that we can to allow women who want to be veterinary professionals to also raise families,” Knoll said. “Creating changes that facilitate pregnancy and parenting may also reduce the stress that arises when veterinary students and clinicians feel compelled to choose between their patients and their children.”

Although she was careful not to suggest that every veterinarian wants or needs kids, Rosenbaum noted that a 2013 study in the Australian Veterinary Journal found that having children was associated with experiencing less anxiety and depression among female veterinarians in Australia.

And despite her own initial anxiety over having a baby while in veterinary school, Rosenbaum said “if anything saved me from becoming overworked and burned out, it was that I had to engage with my child every night. I do think being a parent helps give you some balance in life that the profession could benefit from.”

Making pregnancy and parenting more doable during veterinary training wouldn’t require changing the entire culture to revolve around eight-hour days, said Rosenbaum, who noted that veterinary institutions could take some cues from medical schools. Some medical schools now offer more flexible programs, in which parents can do their course and training work part-time over eight years for the same price as the standard four-year degree. Others have installed “cry rooms” at the back of lecture halls, so parents can still attend class with infants or small children when necessary.

Veterinary schools are starting to follow suit. In the JVME survey, for example, Virginia–Maryland College of Veterinary Medicine reported that it recently overhauled its curriculum, designing the entire third year around elective coursework that could be frontloaded onto the first semester so that second semester could be taken off for parental leave. “That allows new parents to take a leave and still jump into clinic rotations,” Rosenbaum explained, “so they graduate on time with their peers.”

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