Tenure or baby? Motherhood or Dr. Mom? Many women in higher education still view family and career as an either/or proposition, while the institutions they work in profess to be making strides that would lessen their burden. The nation's colleges and universities are addressing the situation with programs that allow women, and sometimes men who are primary caregivers, to have a semester out of the classroom and the option of stopping their tenure clock. Institutions are adding more on-campus daycare facilities and keeping meetings from running well into the evenings. A number of women who are on the tenure track or have achieved it say they are thankful for the help, but they report uneven results among institutions. Bigger, more prominent universities have more generous policies, while many smaller institutions are just as caring, but less likely to have robust or uniform policies.