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SR 68% = .46), peer pressure/perception (NSR 59% vs. SR 58% = .97), and pressure from institutional leadership (NSR 31% vs. SR 35% = .77). A substantial portion (28, 43%) of respondents had additional children during training, taking less time off for the second child (5.1 ± 7.4weeks; 0-12). A minority of respondents reported formal institutional parental leave policies, while an overwhelming majority felt that their time off was inadequate. Surgical trainees took shorter parental leaves than their non-surgical counterparts. Cultural an