abstract: 'Background: Women physicians face unique obstacles while progressing through their careers, navigating career advancement and seeking balance between professional and personal responsibilities. Systemic changes, along with individual and institutional changes, are needed to overcome obstacles perpetuating physician gender inequities. Developing a deeper understanding of women physicians'' experiences during important transition points could reveal both barriers and opportunities for recruitment, retention, and promotion, and inform best practices developed based on these experiences. Objective: The aim is to learn from the experiences and perspectives of women physicians as they transition from early to mid-career, then develop best practices that can serve to support women physicians as they advance through their careers. Methods: Semistructured interviews were conducted with women physicians in the United States in 2020 and 2021. Eligibility criteria included self-identification as a woman who is in the process of transitioning or who recently transitioned from early to mid-career stage. Purposeful sampling facilitated identification of participants who represented diversity in career pathway, practice setting, specialty, and race/ethnicity. Each participant was offered compensation for their participation. Interviews were audio-recorded and professionally transcribed. Interview questions were open-ended, exploring participants'' perceptions of this transition. Qualitative thematic analysis will be performed. We will use an open coding and grounded theory approach on interview transcripts. Results: The Ethics Review Committee of the Faculty of Health, Medicine, and Life Sciences at Maastricht University approved the study; Stanford University expedited review approved the study; and the University of California, San Diego certified the study as exempt from review. Twelve in-depth interviews of 50-100 minutes in duration were completed. Preliminary analyses indicate one key theme is a tension resulting from finite time divided between demands from a physician career and demands from family needs. In turn, this results in constant boundary control between these life domains that are inextricable and seemingly competing against each other within a finite space; family needs impinge on planned career goals, if the boundary between them is not carefully managed. To remedy this, women sought resources to help them redistribute home responsibilities, freeing themselves to have more time, especially for children. Women similarly sought resources to help with career advancement, although not with regard to time directly, but to first address foundational knowledge gaps about career milestones and how to achieve them. Conclusions: Preliminary results provide initial insights about how women identify or activate a career shift and how they marshaled resources and support to navigate barriers they faced. Further analyses are continuing as of March 2022 and are expected to be completed by June 2022. The dissemination plan includes peer-reviewed open-access journal publication of the results and presentation at the annual meeting of the American Medical Association''s Women Physicians Section.' affiliation: 'Leung, TI (Corresponding Author), Maastricht Univ, Care \& Publ Hlth Res Inst, Postbus 5800, NL-6202 AZ Maastricht, Netherlands. Leung, Tiffany, I, Maastricht Univ, Care \& Publ Hlth Res Inst, Postbus 5800, NL-6202 AZ Maastricht, Netherlands. Leung, Tiffany, I, Southern Illinois Univ, Dept Internal Med Adjunct, Sch Med, Springfield, IL USA. Wang, Karen H., Yale Sch Med, Dept Internal Med, New Haven, CT USA. Wang, Karen H., Yale Sch Med, Med Informat Ctr, New Haven, CT USA. Lin, Tammy L., Univ Calif San Diego Hlth Sci, Dept Med voluntary, San Diego, CA USA. Gin, Geneen T., Univ Calif San Diego, Dept Family Med \& Publ Hlth, Sch Med, La Jolla, CA USA. Pendharkar, S., Jersey City Med Ctr, Div Hosp Med, Jersey City, NJ USA. Chen, Chwen-Yuen Angie, Stanford Univ, Dept Primary Care \& Populat Hlth, Palo Alto, CA USA.' article-number: e38126 author: Leung I, Tiffany and Wang, Karen H. and Lin, Tammy L. and Gin, Geneen T. and Pendharkar, S. and Chen, Chwen-Yuen Angie author-email: t.leung@maastrichtuniversity.nl author_list: - family: Leung I given: Tiffany - family: Wang given: Karen H. - family: Lin given: Tammy L. - family: Gin given: Geneen T. - family: Pendharkar given: S. - family: Chen given: Chwen-Yuen Angie da: '2023-09-28' doi: 10.2196/38126 files: [] issn: 1929-0748 journal: JMIR RESEARCH PROTOCOLS keywords: 'gender equity; women physician; female physicians; career development; professional development; career pipeline; leaky pipeline; mid-career physicians; early-career physicians; physician; healthcare profession; peer support; physician perspective; physician experience; professional learning; healthcare; health care; healthcare education; career support; gender equality; gender bias; healthcare learning' keywords-plus: 'ACADEMIC MEDICINE; GENDER-DIFFERENCES; WORK; FACULTY; RATES; CHALLENGES; RESIDENCY; ATTRITION; INSIGHTS; LEAVE' language: English month: JUN number: '6' number-of-cited-references: '59' orcid-numbers: 'Leung, Tiffany I./0000-0002-6007-4023 Gin, Geneen/0000-0001-8438-5830 Chen, Chwen-Yuen Angie/0000-0002-7207-598X' papis_id: 76492696c42a097b635f18590b9b2b1a ref: Leungi2022womenphysicians researcherid-numbers: 'Leung, Tiffany I./K-8472-2019 ' times-cited: '0' title: 'Women Physicians in Transition Learning to Navigate the Pipeline from Early to Mid-Career: Protocol for a Qualitative Study' type: article unique-id: WOS:000809657600008 usage-count-last-180-days: '2' usage-count-since-2013: '5' volume: '11' web-of-science-categories: 'Health Care Sciences \& Services; Public, Environmental \& Occupational Health' year: '2022'