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Related Experiment Videos

Gender-related attrition in a general surgery training program

P C Bergen1, R H Turnage, C J Carrico

  • 1Department of Surgery, The University of Texas Southwestern Medical Center and the Veterans Affairs Medical Center, Dallas, Texas, 75216, USA.

The Journal of Surgical Research
|August 12, 1998
PubMed
Summary

Female general surgery residents exhibit higher attrition rates, often leaving for family or lifestyle reasons. Understanding these gender-specific reasons is crucial for improving surgical residency retention.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Programs

Background:

  • Attracting and retaining qualified surgical residents is a key goal for residency programs.
  • Limited research exists on attrition rates within surgical residencies.
  • This study investigates gender-based differences in reasons for general surgery residency attrition.

Purpose of the Study:

  • To examine the hypothesis that reasons for attrition in general surgery residency differ between male and female trainees.
  • To analyze gender-associated attrition outcomes and withdrawal reasons.

Main Methods:

  • Utilized National Resident Matching Program (NRMP) data from 1984-1996 for categorical general surgery (CGS) residents.
  • Examined matched resident records to determine associations between gender and attrition.

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  • Outcome variables included voluntary vs. involuntary withdrawal and specific reasons for withdrawal.

    • Main Results:

    • 132 residents (103 men, 29 women) matched into CGS positions; 18 (13.6%) withdrew.
    • Female residents had a higher withdrawal rate (24.1%) compared to male residents (10.7%).
    • Women were less likely to leave for other specialties, while men were more likely to do so.

    Conclusions:

    • Women demonstrate a higher risk of leaving general surgery training compared to men.
    • Attrition for women is frequently linked to family or lifestyle considerations.
    • Gender-specific differences in attrition decisions necessitate targeted retention strategies.