Association of Time to Attrition in Surgical Residency With Individual Resident and Programmatic Factors

JAMA Surgery
Heather L YeoJulie A Sosa

Abstract

Attrition in general surgery residency remains high, and attrition that occurs in the later years is the most worrisome. Although several studies have retrospectively investigated the timing of attrition, no study to date has prospectively evaluated a national cohort of residents to understand which residents are at risk for attrition and at what point during residency. To prospectively evaluate individual resident and programmatic factors associated with the timing of attrition during general surgery residency. This longitudinal, national cohort study administered a survey to all categorical general surgery interns from the class of 2007-2008 during their first 30 days of residency and linked the data with 9-year follow-up data assessing program completion. Data were collected from June 1, 2007, through June 30, 2016. Kaplan-Meier curves evaluating time to attrition during the 9 years after the start of residency. Among our sample of 836 residents (306 women [36.6%] and 528 men [63.2%]; gender unknown in 2), cumulative survival analysis demonstrated overall attrition for the cohort of 20.8% (n = 164). Attrition was highest in the first postgraduate year (67.6% [n = 111]; absolute rate, 13.3%) but continued during the next 6 ye...Continue Reading

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Citations

Mar 19, 2020·JAMA Surgery·Minerva A Romero Arenas
Jul 9, 2020·JAMA Surgery·Elizabeth H StephensPringl Miller
May 13, 2018·ANZ Journal of Surgery·Stephen A Tobin
May 25, 2020·The Journal of Surgical Research·Fabiola Valenzuela, Minerva A Romero Arenas
Sep 29, 2020·Journal of the National Medical Association·Jomar N A AryeeA Rashard Dacus
Mar 28, 2021·American Journal of Surgery·Ankeeta MehtaFiemu Nwariaku
Mar 8, 2019·The Journal of Surgical Research·Luis Carlos DominguezLaurents P Stassen
Dec 7, 2020·Journal of Surgical Education·Kari M RosenkranzValentine Nfonsam
Jul 9, 2021·Obstetrics and Gynecology·Helen Kang MorganMaya M Hammoud
Jul 29, 2021·American Journal of Surgery·Marianne Casilla-LennonJaime A Cavallo
Aug 7, 2021·The American Surgeon·Erica Sutton, Valerie Montgomery Rice
Aug 17, 2021·Annals of Medicine and Surgery·María S Ponce BetiRené M Palacios Huatuco
Jul 6, 2021·The Journal of Thoracic and Cardiovascular Surgery·Elizabeth H Stephens

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