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Related Experiment Video

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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Attrition in surgical residency programmes: Causes and effects.

Mehwash Nadeem1, M Shahrukh Effendi2, M Hammad Ather1

  • 1Section of Urology, Department of Surgery, Aga Khan University, Karachi, Pakistan.

Arab Journal of Urology
|May 29, 2015
PubMed
Summary

Surgical residency attrition is high, especially for women, driven by personal issues and interpersonal dynamics. Communication gaps exist between residents and program directors regarding attrition causes.

Keywords:
AttritionProgramme directorResidencyResidentUrology

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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Programs

Background:

  • High attrition rates in surgical residency programs impact physician supply.
  • Understanding reasons for leaving is crucial for program improvement.

Purpose of the Study:

  • To determine the rate and trends of attrition in surgical residency.
  • To identify the primary reasons for residents leaving surgical training.

Main Methods:

  • A questionnaire-based survey was conducted with surgical residents and program directors (PDs).
  • Data collected from residents who voluntarily left five surgical programs between 2005-2011.
  • Excluded non-respondents and those who refused participation.

Main Results:

  • The overall 6-year attrition rate was 39%, with 54% of women residents leaving voluntarily.
  • Top reasons for attrition included personal factors, senior resident/faculty attitudes, and specialty changes.
  • No residents cited excessive workload; 40% rejoined the same specialty, 35% changed specialties.

Conclusions:

  • Attrition rates in surgical residency are notably high, particularly among women.
  • Personal reasons and interpersonal relationships are key drivers of attrition.
  • Significant discrepancies exist between resident and PD perspectives on attrition causes, indicating communication gaps.