Fatherhood is a life-changing experience filled with immense joy and responsibility. For men with a career in medicine, this milestone presents unique challenges due to the demanding nature of their profession. Parental leave for fathers, especially in medicine, is critical for the well-being of the family nucleus and for fostering an equitable work environment. Unfortunately, societal and systemic barriers often prevent fathers in medicine from fully embracing this opportunity.

Statistics paint a clear picture of the challenges working fathers face. Sixty percent of dads in dual-income households report experiencing work-family conflict. Despite 85 percent of fathers saying their children are their top priority, only 5 percent take more than two weeks off after the birth of their child. At the same time, 76 percent of fathers express a desire to advance their careers, often taking on greater responsibilities and longer hours than their childless counterparts. These contradictions reveal the immense pressure on fathers to meet professional expectations while striving to be present for their families.

In the U.S., parental leave policies exacerbate these challenges. Access to paid paternity leave is limited and often dependent on financial status or employer-provided benefits. For instance, approximately 14 percent of companies offer paid leave; however, only half of eligible men take it. Overall, just one in ten fathers utilize parental leave benefits. If the former is unavailable, only one in six reduces their workload to part-time. These trends highlight a culture that discourages men from prioritizing caregiving roles, perpetuating inequalities in parenting and workplace responsibilities.

For fathers in medicine, the stakes are even higher. Medical professionals face additional barriers to paternity leave, including fears of burdening colleagues, perceived duty to patients, and concerns about delaying career advancement. Medicine has long promoted the narrative of physicians as tireless caregivers for their patients, often at the expense of their personal lives. This outdated perspective pressures male physicians to conform to the role of breadwinner rather than nurturing parent.

The impact of these societal and systemic pressures extends beyond the individual. Fathers who take paternity leave report stronger relationships with their children and partners. Studies suggest that taking two weeks or more of leave is associated with children perceiving their fathers as more involved and supportive. Longer-term leave is associated with lower rates of marital dissolution, particularly among socioeconomically disadvantaged couples. By encouraging equitable co-parenting, paternity leave strengthens family bonds and contributes to healthier, more stable households.

Despite these proven benefits, many physicians continue to deprioritize parental leave. Anecdotally, it is common for colleagues who are fathers to take no more than two weeks off after the birth of their children, if they take any leave at all. This limited involvement places an undue burden on their partners, who often take on the majority of childcare responsibilities during this critical period. Women physicians, in particular, may face additional challenges as they navigate extended leaves of six weeks to three months, often unpaid.

During my medical training, I observed this pattern firsthand. While parental leave was valued, in theory, men often received far less time than women. Many of my colleagues delayed having children altogether, citing concerns about financial stability, career advancement, and the internalized belief that their role as a physician must come before personal goals.

When I became a father, I decided to take a different approach. As a self-employed neurohospitalist and clinical neurophysiologist, I had the privilege of designing my parental leave plan. I decided to take three months off from clinical work to focus on co-parenting with my wife and bonding with my newborn son. This decision required meticulous planning—continuing to pay for medical and malpractice insurance while forgoing income—but the opportunity to prioritize my family was invaluable.

The literature shows that when fathers spend time with their children, it improves their development and sense of fulfillment. By taking an active role in caregiving, I hope to instill a deep sense of security and show my son that he is my top priority. Additionally, it will be essential to teach my son that fathers have a role in nurturing their children. This choice also serves as a rebellion against the societal and medical pressures that often place profits and professional obligations above family life.

For aspiring fathers in medicine, I encourage exploring career paths that allow for greater flexibility and autonomy. Self-employment or small business ownership may provide the freedom to take meaningful parental leave without sacrificing long-term career goals. Husbands and fathers should take priority over the work demands of the health care system.

The decision to prioritize family over work is not an obvious choice, but it is worth considering. The memories forged during those early months of parenthood cannot be replaced. The impact of a present and involved father will resonate in the future.

Franklyn Rocha Cabrero is a neurohospitalist and clinical neurophysiologist.