Lack of awareness limits use of flexible career policies

Communications aimed at shifting organizational culture can overcome barriers

2013-06-06

(Press-News.org) (SACRAMENTO, Calif.) —To attract and maintain a diverse, qualified academic workforce, institutions of higher education should have — and promote — policies to help balance career and family life, according to an article published by UC Davis researchers in the June 2013 issue of Academic Medicine.

Policies allowing medical school faculty to care for family while advancing their careers are more available today than ever before, the authors said in the article. Yet these policies are also underused, primarily because faculty members do not know they exist.

Based on the outcomes of a comprehensive communications intervention conducted at UC Davis, the authors outline tactics that are effective in increasing awareness of family-friendly career policies.

"Brochures or web pages about work-life balance are a good first step but not enough," said Amparo Villablanca, a professor at UC Davis School of Medicine and lead author of the paper. "It truly takes a culture shift where accommodations for family care are clearly communicated, encouraged, supported and accepted to ensure that family-friendly policies are both understood and utilized."

In addition to being a leader in cardiovascular medicine, Villablanca has a long track record of encouraging organizational changes that support women who are committed to both their careers and their families. She and Lydia Howell, chair of the Department of Pathology and Laboratory Medicine, and Laurel Beckett, chief of the Division of Biostatistics in the UC Davis Department of Public Health Sciences, were one of just 14 teams nationwide who received grants from the National Institutes of Health (NIH) for research on factors that influence the careers of women. The goals were to identify ways to overcome gender differences in career paths and needs and to stem the attrition of women from science and engineering.

The NIH funding was a response to the National Academy of Science report that showed, despite gender parity in scientific undergraduate and graduate programs, representation of women decreases with each step up the tenure-track and academic leadership hierarchy. The report also suggested that providing more support for working parents could be an effective strategy to keep women in the academic pipeline.

Villablanca and colleagues' initial research focused on evaluating the influence of family-friendly policies on the career trajectories and success of women faculty in medicine. As part of their investigation, they surveyed more than their UC Davis colleagues in the School of Medicine, School of Veterinary Medicine and College of Biological Sciences and found very low awareness of the university's flexible career policies, which have in been place for more than two decades.

"UC Davis has been a leader and national model for career policies that allow faculty to care for family while maintaining their career paths," said Villablanca. "It was disappointing to discover that so many of our faculty didn't even know the opportunity existed."

Those who were aware of the policies were not inclined to use them due to confusion over eligibility, fear of limiting their promotional opportunities, reactions of colleagues or concerns about increasing their colleagues' workloads.

Villablanca and her colleagues then developed and implemented in 2010 and again in 2011 a comprehensive promotional effort focused on raising awareness of the availability and benefits of flexible career policies and reducing barriers to their use. Their approach, reported in the current article, included:

Offering faculty workshops and grand rounds presentations

Designating faculty liaisons in each department to provide guidance on family-friendly career policies

Making presentations to leadership

Providing broad, current resources via public and internal websites, social media and print communications

The overall theme of all these activities was to present career-flexibility policies as something faculty were entitled to and an important part of their academic career satisfaction.

A follow-up survey showed that the intervention was effective in significantly increasing both awareness of flexible-career policies and in reducing barriers to their use, especially barriers related to overburdening colleagues.

"It's clear that gaining acceptability, comfort with and willingness to use career-flexibility options takes a culture-shifting communications campaign," said Howell. "Organizations need to do more than just adopt policies. They need to demonstrate a clear commitment to them as well."

Villablanca, Howell and Beckett will conduct another assessment in the fall of 2013 to determine if their communications program led to increased professional and personal satisfaction and improved retention for UC Davis faculty. Their hope is to develop a model for policy development and communication that could be applied in a variety of settings.

"Our intervention could be useful well beyond UC Davis and academia for organizations interested in strategic tools that can help attract and retain top talent," said Villablanca.

### In addition to Villablanca, Howell and Beckett, a study co-author was Jasmine Nettiksimmons, who was with the UC Davis Clinical and Translational Science Center when the study was conducted and is currently at UC San Francisco.

A copy of "Improving Knowledge, Awareness and Use of Flexible Career Policies Through an Accelerator Intervention at the University of California, Davis, School of Medicine" is available by e-mailing Mary Beth de Vilbiss at Academic Medicine at mbdevilbiss@aamc.org.

UC Davis Health System is improving lives and transforming health care by providing excellent patient care, conducting groundbreaking research, fostering innovative, interprofessional education and creating dynamic, productive partnerships with the community. The academic health system includes one of the country's best medical schools, a 619-bed acute-care teaching hospital, a 1,000-member physician's practice group and the new Betty Irene Moore School of Nursing. It is home to a National Cancer Institute-designated comprehensive cancer center, an international neurodevelopmental institute, a stem cell institute and a comprehensive children's hospital. Other nationally prominent centers focus on advancing telemedicine, improving vascular care, eliminating health disparities and translating research findings into new treatments for patients. Together, they make UC Davis a hub of innovation that is transforming health for all. For more information, visit healthsystem.ucdavis.edu.

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