Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Sullivan, Michael C.; Yeo, Heather; Roman, Sanziana A.; Ciarleglio, Maria; Cong, Xiangyu; Bell, Richard H.; Sosa, Julie Ann

doi:10.1016/j.jamcollsurg.2012.11.005

Cited by 86 publications

(99 citation statements)

References 44 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We believe that our survey findings highlight the fact that a desire to leave training may not be affected by job rigor alone but rather program-specific or rotation-specific factors or dissatisfaction with a future career in general surgery. Previous studies [3][4][5]11 have identified factors that predict surgery resident attrition. In a single-center survey, 11 residents who left cited lifestyle, family, and marital issues, alongside wanting to pursue a specialty other than surgery.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With General Surgery Residents’ Desire to Leave Residency Programs

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Associated With General Surgery Residents’ Desire to Leave Residency Programs

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Gender was not predictive of attrition in this study. 27 Our study was based on database information and did not attempt to ascertain reasons for attrition. Previous single-institution attrition studies in general surgery demonstrate that women are up to twice as likely to leave surgical training as men.…”

Section: 17mentioning

confidence: 99%

Positive trends in neurosurgery enrollment and attrition: analysis of the 2000–2009 female neurosurgery resident cohort

Renfrow

Rodriguez

Liu

et al. 2016

JNS

View full text Add to dashboard Cite

Furthermore, women excel on clinical examinations in medical school. Women successfully secure residency positions in competitive fields of their choosing, filling 62% Residents were sorted by female gender, matched against graduation records, and if graduation was not reported from neurosurgery residency programs, an Internet search was used to determine the residents' alternative path. The primary outcome was to determine the number of women residents who did not complete neurosurgery training programs during 2000-2009. Secondary outcomes included the total number of women who matched into neurosurgery per year, year in training in which attrition occurred, and alternative career paths that these women chose to pursue. results Women comprised 240 of 1992 (12%) matched neurosurgery residents during 2000-2009. Among female residents there was a 17% attrition rate, compared with a 5.3% male attrition rate, with an overall attrition rate of 6.7%. The majority who left the field did so within the first 3 years of neurosurgical training and stayed in medicine-pursuing anesthesia, neurology, and radiology. coNclusioNs Although the percentage of women entering neurosurgical residency has continued to increase, this number is still disproportionate to the overall number of women in medicine. The female attrition rate in neurosurgery in the 2000-2009 cohort is comparable to that of the other surgical specialties, but for neurosurgery, there is disparity between the male and female attrition rates. Women who left the field tended to stay within medicine and usually pursued a neuroscience-related career. Given the need for talented women to pursue neurosurgery and the increasing numbers of women matching annually, the recruitment and retention of women in neurosurgery should be benchmarked and assessed.

show abstract

“…Perhaps then the real challenge for surgical specialty programs is to further their understanding of how medical students come to choose which specialties to rank and to investigate novel ways of determining whether or not those medical students really know what they are getting into. 3,[19][20][21] Our results suggest that residents intent on pursuing subspecialty fellowship training and academic careers have a significantly lower rate of wanting to change careers. Although it may be difficult to reliably assess such goals at the CaRMS stage, it may be that medical students who are able to display a knowledge and understanding of why they have these career aims and how they can go about achieving them have a greater appreciation for their particular specialty and the rigors and requirements thereof.…”

Section: Discussionmentioning

confidence: 72%

Attitudes and factors contributing to attrition in Canadian surgical specialty residency programs

Adams¹,

Ginther²,

Neuls³

et al. 2017

cjs

View full text Add to dashboard Cite

Background:We recently studied attrition in Canadian general surgical programs; however, there are no data on whether residents enrolled in other surgical residencies harbour the same intents as their general surgical peers. We sought to determine how many residents in surgical disciplines in Canada consider leaving their programs and why.Methods: An anonymous survey was administered to all residents in 9 surgical disciplines in Canada. Significance of association was determined using the Pearson χ 2 test. The Canadian Post-MD Education Registry (CAPER) website was used to calculate the response rate. Results:We received 523 responses (27.6% response rate). Of these respondents, 140 (26.8%) were either "somewhat" or "seriously" considering leaving their program. Residents wanting to pursue additional fellowship training and those aspiring to an academic career were significantly less likely to be considering changing specialties (p = 0.003 and p = 0.005, respectively). Poor work-life balance and fear of unemployment/ underemployment were the top reasons why residents would change specialty (55.5% and 40.8%, respectively), although the reasons cited were not significantly different between those considering changing and those who were not (p = 0.64). Residents who were considering changing programs were significantly less likely to enjoy their work and more likely to cite having already invested too much time to change as a reason for continuing (p < 0.001). Conclusion:More than one-quarter of residents in surgical training programs in Canada harbour desires to abandon their surgical careers, primarily because of unsatisfactory work-life balance and limited employment prospects. Efforts to educate prospective residents about the reality of the surgical lifestyle and to optimize employment prospects may improve completion rates.Contexte : Nous avons récemment étudié les taux d'attrition dans les programmes de chirurgie générale canadiens; toutefois, on ne dispose pas de données pour déterminer si les résidents inscrits dans d'autres programmes de chirurgie ont les mêmes intentions que leurs collègues de chirurgie générale. Nous avons voulu savoir combien de résidents des disciplines chirurgicales au Canada envisagent de quitter leur programme et pourquoi.Méthodes : Tous les résidents de 9 disciplines chirurgicales au Canada ont passé un sondage anonyme. La portée de la corrélation a été déterminée à l'aide du test χ 2 de Pearson. Le site Web du Répertoire canadien sur l'éducation post-MD (RCEP) a été utilisé pour calculer le taux de réponse.Résultats : Nous avons reçu 523 réponses (taux de réponse de 27,6 %). Parmi les répon-dants, 140 (26,8 %) envisageaient « peut-être » ou « sérieusement » de quitter leur programme. Les résidents qui souhaitaient suivre une formation de surspécialité et ceux qui aspiraient à une carrière universitaire étaient notablement moins susceptibles d'envisager un changement de programme (p = 0,003 et p = 0,005, respectivement). Les problèmes de conciliation travail-famille et la crainte ...

show abstract

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Cited by 86 publications

References 44 publications

Factors Associated With General Surgery Residents’ Desire to Leave Residency Programs

Factors Associated With General Surgery Residents’ Desire to Leave Residency Programs

Positive trends in neurosurgery enrollment and attrition: analysis of the 2000–2009 female neurosurgery resident cohort

Attitudes and factors contributing to attrition in Canadian surgical specialty residency programs

Contact Info

Product

Resources

About