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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Despite common beliefs concerning the supposedly stress-free lifestyle of the female dermatologists&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> studies presenting real-life data with regard to maternity issues during the dermatology residency often suggest otherwise&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A survey by Mattessich et al&#46; in 183 female dermatologists documented significant difficulties in terms of balancing motherhood and work life among the participants&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> These included the short duration of maternity leave&#44; the stress of creating an impression of reduced commitment to the residency responsibilities&#44; as well as practical barriers to breastfeeding&#44; such as lack of sufficient time and adequate facilities to allow milk expression during hospital hours&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Among the logistic difficulties that the dermatology residents frequently face&#44; is the fact that contrary to specialties such as internal medicine&#44; dermatology programs usually have fewer residents to cope with large patient volumes&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> This can result in stressful work conditions for the pregnant or newly returned female residents&#44; that can subsequently lead to further problematic situations&#58; missed pumping sessions with discontinuation of breastfeeding&#44; or elevated anxiety levels and feelings of guilt due to a potential overburdening of the fellow residents during pregnancy and parental leave&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">While the duration of maternity leave in Europe is generally dictated by the legislation system of each country&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> the everyday work conditions of the female residents pre- and postpartum are defined mostly by the regulations of each dermatology department&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> The national and international European dermatological associations could&#44; therefore&#44; advocate in favour of supporting policies towards women who decide to have children during residency&#44; and actually manage to have a positive effect on the well-being of the latter&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The positioning of important dermatological societies in favour of maternity protection strategies during the residency is extremely important and relevant&#44; given the fact that the number of women of a reproductive age in dermatology is increasing&#44; and therefore pregnancy is a rather anticipated event&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> The endorsement of maternity accommodation approaches by the dermatological associations could constitute an important step towards their gradual introduction in the everyday practice of the dermatology clinics&#46; An issue that could be addressed is the support of breastfeeding mothers with the creation of designated lactation rooms&#44; so as to avoid milk expression sessions in inadequate spaces such as toilets or examination rooms&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Equally important is the adaptation of the residents&#8217; clinic schedule in order to be able to perform uninterruptedly pumping sessions without missing on educational activities&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Other aspects include encouraging a flexibility of the residents&#8217; rotation planing&#44; so as to avoid the care of patients with infectious diseases that are potentially harmful for a fetus or a new-born infant&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> or allowing time off for necessary pre- and post-natal doctor appointments&#44; without the need to make use of regular vacation leave&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The active support of dermatological societies towards female dermatology residents during their maternity journey can have a significant impact on their personal development as academics and physicians&#44; and therefore also on patient care overall&#46; Hopefully such actions would set an example in the future for other specialties as well&#46;</p></span>"
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Case and Research Letter
The Role of the European Dermatological Associations in the Promotion of Maternity-Friendly Policies During the Dermatology Residency
El papel de las asociaciones dermatológicas europeas en la promoción de políticas favorables a la maternidad durante la residencia en dermatología
K.-M. Plachouria,
Autor para correspondencia
kerasia.plachouri@hotmail.com

Corresponding author.
, F. Mulitab, S. Georgioua
a Dermatology Department, University of Patras, Greece
b Department of General Surgery, University of Patras, Greece
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Despite common beliefs concerning the supposedly stress-free lifestyle of the female dermatologists&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> studies presenting real-life data with regard to maternity issues during the dermatology residency often suggest otherwise&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A survey by Mattessich et al&#46; in 183 female dermatologists documented significant difficulties in terms of balancing motherhood and work life among the participants&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> These included the short duration of maternity leave&#44; the stress of creating an impression of reduced commitment to the residency responsibilities&#44; as well as practical barriers to breastfeeding&#44; such as lack of sufficient time and adequate facilities to allow milk expression during hospital hours&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Among the logistic difficulties that the dermatology residents frequently face&#44; is the fact that contrary to specialties such as internal medicine&#44; dermatology programs usually have fewer residents to cope with large patient volumes&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> This can result in stressful work conditions for the pregnant or newly returned female residents&#44; that can subsequently lead to further problematic situations&#58; missed pumping sessions with discontinuation of breastfeeding&#44; or elevated anxiety levels and feelings of guilt due to a potential overburdening of the fellow residents during pregnancy and parental leave&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#8211;3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">While the duration of maternity leave in Europe is generally dictated by the legislation system of each country&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> the everyday work conditions of the female residents pre- and postpartum are defined mostly by the regulations of each dermatology department&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> The national and international European dermatological associations could&#44; therefore&#44; advocate in favour of supporting policies towards women who decide to have children during residency&#44; and actually manage to have a positive effect on the well-being of the latter&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The positioning of important dermatological societies in favour of maternity protection strategies during the residency is extremely important and relevant&#44; given the fact that the number of women of a reproductive age in dermatology is increasing&#44; and therefore pregnancy is a rather anticipated event&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> The endorsement of maternity accommodation approaches by the dermatological associations could constitute an important step towards their gradual introduction in the everyday practice of the dermatology clinics&#46; An issue that could be addressed is the support of breastfeeding mothers with the creation of designated lactation rooms&#44; so as to avoid milk expression sessions in inadequate spaces such as toilets or examination rooms&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Equally important is the adaptation of the residents&#8217; clinic schedule in order to be able to perform uninterruptedly pumping sessions without missing on educational activities&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Other aspects include encouraging a flexibility of the residents&#8217; rotation planing&#44; so as to avoid the care of patients with infectious diseases that are potentially harmful for a fetus or a new-born infant&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> or allowing time off for necessary pre- and post-natal doctor appointments&#44; without the need to make use of regular vacation leave&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The active support of dermatological societies towards female dermatology residents during their maternity journey can have a significant impact on their personal development as academics and physicians&#44; and therefore also on patient care overall&#46; Hopefully such actions would set an example in the future for other specialties as well&#46;</p></span>"
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