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Many women report feeling unsupported in the workplace, despite national policies to protect against unfair treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u2010ended prompt. Comments were coded by multiple trained researchers then grouped and merged into illustrative themes via qualitative techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1004 responses to the quantitative survey, 162 physicians completed the open\u2010ended prompt. Initial codes (<jats:italic>n<\/jats:italic>\u00a0=\u00a016) 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\u2010time 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.35456","type":"journal-article","created":{"date-parts":[[2024,7,28]],"date-time":"2024-07-28T03:00:12Z","timestamp":1722135612000},"page":"3855-3862","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Isolation, discrimination, and feeling \u201cconstant guilt\u201d: A mixed\u2010methods analysis of female physicians\u2019 experience with fertility, family planning, and oncology careers"],"prefix":"10.1002","volume":"130","author":[{"given":"Sarah","family":"Marion","sequence":"first","affiliation":[{"name":"University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shraddha M.","family":"Dalwadi","sequence":"additional","affiliation":[{"name":"University of Texas San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Kuczmarska\u2010Haas","sequence":"additional","affiliation":[{"name":"Hartford HealthCare Cancer Institute  Hartford Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin F.","family":"Gillespie","sequence":"additional","affiliation":[{"name":"University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle S.","family":"Ludwig","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4362-461X","authenticated-orcid":false,"given":"Emma B.","family":"Holliday","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6239-1666","authenticated-orcid":false,"given":"Bridgette","family":"Thom","sequence":"additional","affiliation":[{"name":"UNC Social Work  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0498-488X","authenticated-orcid":false,"given":"Fumiko","family":"Chino","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.37558"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003079"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701\u20102163(15)30359\u20105"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5638"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/esmoopen\u20102018\u2010000422"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2006.12.003"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.11.026"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqr198"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.03.004"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.20344\/amp.11057"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.41344"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917712131"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr2114909"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2021.6011"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.2252"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.0031"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.19.00255"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010057847"},{"key":"e_1_2_9_20_1","unstructured":"UCSF Medical Education Benefits. 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