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Published on: August 15, 2025

General surgery resident practice plans: a workforce for the future?

Jack R Hudkins¹, Stephen D Helmer, R Stephen Smith

¹Department of Surgery, The University of Kansas School of Medicine-Wichita, Room 3082, 929 N Saint Francis Street, Wichita, KS 67214, USA.

American Journal of Surgery

|December 9, 2009

Summary

This summary is machine-generated.

A future general surgery workforce shortage is anticipated. Most residents pursue fellowships, impacting practice scope, with lifestyle influencing choices differently between genders.

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Published on: May 20, 2018

Area of Science:

Medical Workforce Research
Surgical Education
Healthcare Policy

Background:

Evidence suggests an impending shortage in the general surgery workforce.
Understanding resident career trajectories is crucial for future healthcare planning.

Purpose of the Study:

To survey general surgery residents regarding fellowship intentions and practice preferences.
To identify factors influencing career decisions, including lifestyle considerations.
To assess potential impacts on the future surgical workforce.

Main Methods:

A 21-question survey was distributed to general surgery residency programs nationwide.
1,169 residents completed the survey, providing data on their career aspirations.
Analysis focused on fellowship plans, practice type choices, and gender-based differences.

Main Results:

78% of surveyed residents plan to pursue fellowship training, narrowing their practice scope.
Lifestyle significantly influences fellowship and practice type decisions for both male and female residents.
Female residents reported intentions of working fewer hours, taking less emergency call, longer leaves, and retiring earlier than male residents.

Conclusions:

The anticipated general surgery workforce shortfall necessitates proactive evaluation of training capacity.
Addressing resident lifestyle preferences may be key to workforce retention and planning.
Further assessment of training programs is recommended to meet future healthcare demands.