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GMJ News > GMJ Briefs > Foundation Trainees Bear Heaviest Childcare Burden in Medical Training

Foundation Trainees Bear Heaviest Childcare Burden in Medical Training

GMJ
Last updated: 26/06/2026 10:11
By
Prof. Giorgi Pkhakadze
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1 Min Read
Medical professionals in hospital setting discussing work-life balance and family responsibilities
Dual doctor couples face amplified childcare challenges during medical training, with foundation trainees most vulnerable due to frequent rotations and limited placement control. — Photo by Patty Brito on Unsplash (Unsplash License)
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1 min read|129 words

According to new BMJ correspondence, foundation year trainees in dual doctor couples experience the highest vulnerability to childcare-related disruptions, significantly outpacing their higher-grade counterparts. This vulnerability stems from the fundamental lack of control junior doctors exercise over their rotation schedules and placement locations—factors that directly destabilize family arrangements during critical early parenting years.

The data reveals a clear gradient of vulnerability across training stages: foundation and early specialty trainees face the most acute challenges, while consultant-level physicians encounter substantially fewer obstacles. This disparity reflects systemic inequities in training structure, where the most junior—and often most financially constrained—medical professionals lack agency over decisions that profoundly affect their families. Understanding these patterns is essential for policymakers designing equitable medical training programmes.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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