不孕不育的高风险、工作负担、不良的探亲假政策和性别歧视等因素损害了女医生的计划生育。尽管国家政策防止不公平待遇，但许多女性报告在工作场所感到不受支持。这项二次分析应用了严格和加速数据缩减技术的修改版本，对开放式提示的评论进行了主题分析。评论由多名训练有素的研究人员编写，然后通过定性技术分组并合并为说明性主题。在定量调查的 1004 份回复中，162 名医生完成了开放式提示。初始代码（n = 16）被组合成八组，其中确定了三个总体主题。评论强调了制度障碍，讨论了育儿假需求的增加、兼职选择以及对怀孕和/或生孩子的学术或职业惩罚的担忧。通过围绕歧视准则/负面文化以及母乳喂养/吸奶和儿童保育方面的挑战分组的评论，探讨了部门障碍。讨论的主题突出了女医生在计划生育时间方面面临的困难、生殖健康和援助方面的挑战以及反对计划生育的替代情况和/或决定。肿瘤学中计划生育的障碍存在于各个职业领域，包括功能失调等。产假导致不孕风险教育不佳。解决方案包括改善机构支持、扩大育儿假以及总体文化变革，以提高意识并促进家庭和职业平衡。© 2024 美国癌症协会。

Family planning among female physicians is harmed by high risks of infertility, workload burden, poor family leave policies, and gender discrimination. Many women report feeling unsupported in the workplace, despite national policies to protect against unfair treatment.This secondary analysis applied a modified version of the rigorous and accelerated data reduction technique to conduct a thematic analysis of comments to an open-ended prompt. Comments were coded by multiple trained researchers then grouped and merged into illustrative themes via qualitative techniques.Of 1004 responses to the quantitative survey, 162 physicians completed the open-ended prompt. Initial codes (n = 16) were combined into eight groups including, from which three overarching themes were identified. Institutional barriers were highlighted with comments discussing the increased need for parental leave, part-time options and the concern for academic or professional punishment for being pregnant and/or having children. Departmental barriers were explored with comments grouped around codes of discrimination/negative culture and challenges with breastfeeding/pumping and childcare. Personal barriers were discussed in themes highlighting the difficulties that female physicians faced around the timing of family planning, challenges with reproductive health and assistance, and alternative circumstances and/or decisions against family planning.Barriers to family planning in oncology exist across career domains from dysfunctional maternity leave to poor education on infertility risk. Solutions include improving institutional support, expanding parental leave, and general cultural change to improve awareness and promotion of family and career balance.© 2024 American Cancer Society.