Exploring Presenteeism in Obstetrics and Gynecology Residency
Mengyang Sun1, Karen George2, Jennifer M Keller3
1Flushing Hospital Medical Center, Flushing, New York.
Journal of Surgical Education
|September 19, 2025
Summary
Obstetrics and gynecology residents experience higher rates of presenteeism than program directors, often due to patient care responsibilities and colleague concerns. A supportive culture for attending absence improves program director job satisfaction, while presenteeism negatively impacts it.
Area of Science:
- Medical Education
- Occupational Health
- Healthcare Management
Background:
- Presenteeism, the practice of working while sick, is a growing concern in healthcare.
- Understanding presenteeism among Obstetrics and Gynecology (OBGYN) residents and program directors (PDs) is crucial for addressing workforce well-being and program effectiveness.
Purpose of the Study:
- To investigate the prevalence and underlying reasons for presenteeism among OBGYN residents and PDs.
- To explore factors influencing presenteeism and its impact on PD job satisfaction.
Main Methods:
- A national survey was conducted among OBGYN residents and PDs to collect data on presenteeism, sociodemographic factors, and program characteristics.
- Statistical analyses, including Z tests, bivariate analyses, Kappa coefficients, and multivariable linear regression, were employed to examine differences and relationships.
Main Results:
- Residents reported significantly higher rates of presenteeism (51.3%) compared to PDs (21.2%).
- Key reasons for resident presenteeism included concerns about colleagues covering shifts and patient care responsibilities.
- PD presenteeism negatively impacted job satisfaction, while a supportive culture for attending absence positively correlated with it.
Conclusions:
- Presenteeism is more prevalent among OBGYN residents than PDs.
- Institutional policies and supportive work environments are essential for mitigating presenteeism and enhancing job satisfaction in residency programs.
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