Attrition from surgical residency training: perspectives from those who left - 16/09/15

Doi : 10.1016/j.amjsurg.2015.05.014

Tasce Bongiovanni, M.D., M.P.P. ^a,^b,^c,^⁎ , Heather Yeo, M.D., M.H.S. ^d, Julie A. Sosa, M.D., M.A., F.A.C.S. ^e, Peter S. Yoo, M.D. ^f, Theodore Long, M.D. ^b,^g, Marjorie Rosenthal, M.D., M.P.H. ^b,^h, David Berg, Ph.D. ^b,ⁱ, Leslie Curry, Ph.D., M.P.H. ^b,^j, Marcella Nunez-Smith, M.D., M.H.S. ^b,^g
^a Department of Surgery, University of California San Francisco School of Medicine, San Francisco, CA, USA
^b Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA
^c US Department of Veterans Affairs, Connecticut Healthcare System, West Haven, CT, USA
^d Department of Surgery, New York Presbyterian-Weill Cornell Medical Center, New York, NY, USA
^e Department of Surgery, Duke University School of Medicine, DUMC, Durham, NC, USA
^f Department of Surgery, Yale University School of Public Health, New Haven, CT, USA
^g Department of Internal Medicine, Yale University School of Public Health, New Haven, CT, USA
^h Department of Pediatrics, Yale University School of Public Health, New Haven, CT, USA
ⁱ Department of Psychiatry, Yale University School of Public Health, New Haven, CT, USA
^j Division of Health Policy and Administration, Yale University School of Public Health, New Haven, CT, USA

^∗Corresponding author. Tel.: +1-707-853-1219; fax: +1-203-785-3461.

Abstract

Background

High rates of attrition from general surgery residency may threaten the surgical workforce. We sought to gain further insight regarding resident motivations for leaving general surgery residency.

Methods

We conducted in-depth interviews to generate rich narrative data that explored individual experiences. An interdisciplinary team used the constant comparative method to analyze the data.

Results

Four themes characterized experiences of our 19 interviewees who left their residency program. Participants (1) felt an informal contract was breached when clinical duties were prioritized over education, (2) characterized a culture in which there was no safe space to share personal and programmatic concerns, (3) expressed a scarcity of role models who demonstrated better work–life balance, and (4) reported negative interactions with authority resulting in a profound loss of commitment.

Conclusions

As general surgery graduate education continues to evolve, our findings may inform interventions and policies regarding programmatic changes to boost retention in surgical residency.

Le texte complet de cet article est disponible en PDF.

Keywords : General surgery/education, Internship and residency/manpower, Career choice

Plan

The authors declare no conflicts of interest.

Export

Vol 210 - N° 4

P. 648-654 - octobre 2015 Retour au numéro

Article précédent

Surgery in high-volume hospitals not commission on cancer accreditation leads to increased cancer-specific survival for early-stage lung cancer
Elizabeth A. David, David T. Cooke, Yingjia Chen, Andrew Perry, Robert J. Canter, Rosemary Cress

| Article suivant

Extracorporeal membrane oxygenation credentialing: where do we stand?
Sydne Muratore, Greg Beilman, Ranjit John, Melissa Brunsvold

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Attrition from surgical residency training: perspectives from those who left - 16/09/15

Abstract

Background

Methods

Results

Conclusions

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL