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Attrition From a National Surgical Training Program: A Qualitative Analysis.

Deirdre M Nally1, Dara Kavanagh1, Oscar Traynor1

  • 1Department of Surgical Affairs, Royal College of Surgeons in Ireland, Dublin 2, Republic of Ireland.

Annals of Surgery
|April 29, 2021
PubMed
Summary

Understanding surgical training attrition is key. Factors like training delivery, atmosphere, senior influence, progression concerns, and lifestyle perceptions significantly impact trainee decisions to leave the program.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Qualitative Research

Background:

  • Surgical training programs experience attrition, impacting individuals and healthcare systems.
  • Understanding the causes of trainee attrition is crucial for program improvement.

Purpose of the Study:

  • To examine trainee experiences in surgical training.
  • To identify factors contributing to attrition from surgical training programs.

Main Methods:

  • A qualitative study design was employed.
  • Semi-structured interviews were conducted with eleven trainees who had withdrawn or considered withdrawing.
  • Thematic analysis was used to explore influencing factors.

Main Results:

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  • Five major themes emerged: training delivery, training atmosphere, senior influence, progression concerns, and lifestyle perceptions.
  • Trainee experiences significantly influence decisions to withdraw from surgical training.

    • Conclusions:

    • Voluntary attrition is appropriate when surgical careers do not meet expectations.
    • Improving training delivery and addressing identified concerns can enhance the trainee experience and retention.