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Attrition from surgical residency training: perspectives from those who left
Tasce Bongiovanni1, Heather Yeo2, Julie A Sosa3
1Department of Surgery, University of California San Francisco School of Medicine, San Francisco, CA, USA; Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA; US Department of Veterans Affairs, Connecticut Healthcare System, West Haven, CT, USA.
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.
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