Parenting in Medical School

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for expressing interest in our study and laying the groundwork to support physician parents in training! We are seeking to enroll about 25 current or former medical student parents to participate in a one-on-one interview to discuss their experiences as a parent during medical school. The interview will be conducted via Google Meet and will last no more than one hour. The interview will be recorded and transcribed for analysis. All data will be anonymized and audiovisual recordings will be discarded following verification of accurate transcription. There is no anticipated risk for your participation. Your participation in this study is completely voluntary. You may refuse or discontinue participation at any time without penalty.

Please complete this form so we may determine if you are eligible to participate. You will be contacted within 2 weeks regarding selection decisions and how to proceed with scheduling an interview if selected. Thank you for your time and commitment to improving medical training.

For questions please contact Emily Carroll: ecarro25@jh.edu

This study has been approved by the Johns Hopkins University Homewood IRB: HIRB00018525

Preferred E-mail address for future correspondance *

Gender *

Are you currently enrolled in a medical school in the United States? *

If you are currently a medical student, what year of training are you in?

If you are not a medical student, what year did you graduate from medical school?

Are you currently a resident in an ACGME accredited program in the United States? *

Yes

How many children do you have? *

Were any of your children born while you were enrolled in medical school? *

Yes- my first child only

Yes- 1 child, but it was not my first

Yes- 2 or more of my children were born during medical school

What year of medical school was your child(ren) born? *

First year

Second year

Third year

Fourth year

Other

Not Applicable

Required

Which of the following best describes your relation to your child(ren) born while you were a medical student? *

Birthing parent (biological or non-biological)

Non-birthing parent (i.e. father, surrogacy, adoption, foster care)

Birthing parent but did not maintain custody (i.e. child adopted or surrogate for another family)_

Other

Required

If your child was adopted, what was their age at time of legal adoption?

Was the other parent of your child(ren) born while you were a medical student present or involved during the time surrounding their birth?
*

Which of the following best describes the employment status of the other parent of your child(ren) born while you were a medical student? *

Unemployed/ Stay-at-home

Student

Medical trainee (medical student, resident, or fellow)

Employed, part-time

Employed, full-time

Not applicable

Required

Please provide any additional or clarifying information with respect to your student or parenthood status that is not addressed in the previous questions.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms