I'm a peds resident, and I agree that maternity leave is pretty much expected. In fact, when your residency class is 28 females and 5 males, you actually have to plan for the eventuality so that everyone's schedules don't suffer. My only counter to this is that with such a heavily female-dominated residency, disaster could strike. I know of no fewer than 5-6 women in my class who are planning to get pregnant in their second year of residency. Acccording to the personal resident schedules, it's a good idea. However, if there are multiple simultaneous pregnancies, the system just can't handle it, the program wasn't set up to fuction at <80% housestaff present.
The worst part is, how can you expect a group of people to be "considerate" in the timing of of their pregancy. That's just ridiculous, it doesn't work like that. Fortunately for me, big programs like mine can do a lot of fancy shuffling, I imagine smaller programs take a much bigger hit.
Anyway, as much as I love my colleagues and the fact that I do love kids....... still doesn't mean I want to cover your month in the NICU.
The field-specific nature of maternity leave tolerance should be obvious at face value. That is to say,
of course it's more likely/expected/tolerated in peds. The fact that they can get away with it in one specialty doesn't mean it's alright across the board.
I disagree, however, with your second point and think absolutely it's reasonable to expect a group of people to be considerate in the timing of their pregnancy. Women DO have control over whether/when they get pregnant. I absolutely think women should take into account the career and workplace ramifications of bearing children. The same point I made before I'll make now - stop giving people good reasons to discriminate against you. Make the
decision to have children if/when it's appropriate. Make the
decision not to blame your gender for the hassles others endure in working with you. Don't give them ammunition to discriminate against you and worse, other women who may not share your prerogative to screw other people over with your ridiculous biological clock. Think about it, if I'm a surgery program director and I have two applicants equally qualified and historically, women have a high chance of feeling entitled to burdening her co-residents with her refusal to take her workplace into account in considering pregnancy, who am I going to pick? Is it fair? No. Is it legal? No. But does it make sense? ...yeah, it does. Does it screw over other women who are just as good, just as committed, and just as hard-working as their male counterparts? Yes.
...obviously these points are all relative. People are more likely to be understanding of a 31 y.o. resident making the decision to burden her coworkers with her pregnancy than a 25 y.o. who's just doing it because....why not. People are more likely to be understanding of a woman who makes the decision to become pregnant in less call-heavy or time-demanding or more heavily-staffed residencies. People are more likely to be understanding of a woman who
accidentally (i.e. made every reasonable effort within her control to postpone until appropriate), but as I said, they're less likely to trust that excuse the more it's taken advantage of.
And so women are stuck between a rock and a hard place. If they decide to get pregnant during residency and it's a burden to coworkers, either: (1) they lie and claim it was accidental to avoid blame, (2) they admit it was either intentional or tantamount to intentional and take the risk of bearing the fallout. Or they could just wait, and NOT be a burden to work with.