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Resident attrition: is gender a factor?

Elysia Moschos¹, Meri Jane Beyer

¹Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA. elysia.moschos@utsouthwestern.edu

American Journal of Obstetrics and Gynecology

|September 3, 2004

Summary

Gender significantly impacts reasons for leaving obstetrics and gynecology residency. Female residents often cite family issues, while male residents are more likely to switch specialties.

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Area of Science:

Medical Education
Residency Training
Gender Studies in Medicine

Background:

Resident attrition poses challenges in medical specialties.
Understanding reasons for attrition is crucial for program retention.

Purpose of the Study:

To investigate gender-based differences in causes of attrition from obstetrics and gynecology residency programs.

Main Methods:

Two questionnaires were distributed to 246 U.S. obstetrics and gynecology residency programs.
Data collected included resident departure numbers, postgraduate years, genders, reasons for leaving, and program demographics (1997-2001).
Statistical analysis involved chi-squared tests and odds ratio calculations.

Main Results:

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Overall attrition rate was 3% over four years.

Female residents were 2.5 to 5 times more likely than male residents to leave due to family/spouse-related issues (P=.002).

Female residents were significantly less likely to leave to change specialty compared to male residents, who cited this as a primary reason.

Conclusions:

Significant gender disparities exist in the reasons for attrition from obstetrics and gynecology residency.
Addressing gender-specific factors may improve resident retention in the specialty.