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Related Experiment Videos

Why do residents leave general surgery? The hidden problem in today's programs.

Thomas F Dodson1, Alexandra L B Webb

  • 1Emory University School of Medicine, Atlanta, Georgia, USA.

Current Surgery
|February 15, 2005
PubMed
Summary

General surgery residency attrition is 17%, with lifestyle factors driving most departures. Female residents experience higher attrition rates (27%) compared to males (13%), often due to lifestyle considerations.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Programs

Background:

  • Declining interest in surgery is a known issue.
  • Resident attrition from general surgery programs is a significant, yet less studied, problem.

Purpose of the Study:

  • To analyze the reasons for attrition within a general surgery residency program.
  • To identify demographic and categorical factors influencing resident departure.

Main Methods:

  • A retrospective review of 120 categorical general surgery residents from 1990-2003.
  • Analysis of resident files and correspondence for 20 individuals who left the program.

Main Results:

  • Overall attrition rate was 17% (20 of 120 residents).

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  • Lifestyle issues (13/20 residents) were the primary reason for departure.
  • Female residents had a higher attrition rate (27%) than males (13%), with lifestyle cited in 78% of female departures.

    • Conclusions:

    • Resident attrition in general surgery is comparable to overall declining interest in surgical fields.
    • Lifestyle factors and early specialization opportunities significantly impact resident retention.
    • Addressing lifestyle challenges and supporting female residents is crucial for improving general surgery residency program stability.