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Related Experiment Video

Updated: Jan 19, 2026

A Novel Murine Model of Arteriovenous Fistula Failure: The Surgical Procedure in Detail
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Failure-to-Progress Through Surgical Residency: A 9-Year Analysis.

Charalampos Siotos1, Rachael M Payne1, Amr Mirdad1

  • 1Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, Maryland.

Journal of Surgical Education
|September 8, 2019
PubMed
Summary

Surgical residents have higher nonprogression rates than medical residents. General surgery had the highest attrition, while otolaryngology had the lowest, with transfers being the most common reason for leaving.

Keywords:
EducationPractice-Based Learning and ImprovementProfessionalismResidencySpecialtiesSurgicalSystems-Based PracticeTraining

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Noncompartmental Analysis: Mean Residence Time
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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Programs

Background:

  • Surgical residents comprise a significant portion of US medical residents.
  • A notable number of surgical residents do not complete their training programs.
  • Understanding nonprogression trends is crucial for improving surgical education.

Purpose of the Study:

  • To comprehensively evaluate recent trends in nonprogression rates among surgical residents.
  • To compare nonprogression rates between surgical and nonsurgical specialties.
  • To identify variations in attrition rates and reasons across different surgical subspecialties.

Main Methods:

  • Retrospective analysis of Accreditation Council for Graduate Medical Education data from 2007 to 2016.
  • Calculation of annualized progression failure rates for surgical and nonsurgical residents.
  • Examination of reasons for residency discontinuation.

Main Results:

  • Overall, 2.67% of surgical residents failed to progress annually, a rate higher than in nonsurgical specialties.
  • Individual surgical specialties exhibited nonprogression rates ranging from 0.4% to 4.1% annually.
  • Over 50% of departing surgical residents transferred programs, 40% withdrew, and 9% were dismissed.

Conclusions:

  • Surgical residents are more likely to leave their initial programs before completion compared to medical residents.
  • Significant variations in nonprogression rates exist among surgical subspecialties.
  • General surgery residents had the highest attrition, while otolaryngology residents had the lowest.