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The "M" Word: Defining Malignancy in Surgical Residencies.

Grant H Gershner1, Kerstin M Reinschmidt2, Cody Dalton1

  • 1The University of Oklahoma Health Sciences Center, Department of Surgery, Oklahoma City, Oklahoma; Division of Pediatric Surgery, Oklahoma Children's Hospital, Oklahoma City, Oklahoma.

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Summary
This summary is machine-generated.

General surgery residencies can be "malignant," characterized by program and people factors like excessive duty hours and toxic work culture. This negatively impacts applicants and residents, despite regulations.

Keywords:
malignancymatchmedical studentreddit

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Area of Science:

  • Medical Education
  • Surgical Training
  • Workplace Culture

Background:

  • Defining
  • malignancy
  • is crucial for medical students applying to general surgery residencies.
  • Understanding factors contributing to negative residency experiences is essential for improving training environments.

Purpose of the Study:

  • To define the term
  • malignancy
  • within general surgery residency programs.
  • To identify key characteristics associated with malignant residency environments.

Main Methods:

  • Retrospective qualitative analysis of Reddit.com's General Surgery Match Application spreadsheets.
  • Development of a code book for classifying programs as malignant, nonmalignant, or mixed.
  • Thematic and pattern analysis of coded data.

Main Results:

  • Malignancy is influenced by program factors (duty hours, workload, training, autonomy, hierarchy, benefits) and people factors (toxic culture, teaching quality, resident cohesion).
  • Malignant residencies experience decreased applicants, resident attrition, and legal issues.
  • Factors contributing to malignancy persist despite duty hour restrictions and abuse reporting systems.

Conclusions:

  • General surgery residencies can exhibit
  • malignancy
  • due to program-wide and individual factors.
  • Issues like excessive hours and abuse persist, contributing to negative training environments.
  • Addressing these factors is critical for improving resident well-being and program quality.