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Why general surgery residents quit their training and how to prevent this from happening to you

When the going gets tough, or unbearable, some choose to leave their surgical career.

BACKGROUND

Many surgical residents quit their surgery residency for one reason or another. These people are not weak. These are hardworking,intelligent, and motivated individuals (s).   KU-Wichita found that resident attrition has worsened since the implementation of the 80-hr work week (s)

THE NATIONAL ATTRITION RATE

The national rate of attrition is 2% per year, or between 20-25% total (meaning 1/5 to 1/4 of the people who start a categorical surgery residency won’t complete it).

WHEN DO RESIDENTS QUIT

Most quit before PGY-3 (more in PGY-2 than in internship) (s).

MALES VS FEMALES

UTSW found that they lost 35% of their female residents, but only 22% of their males (s).

Yale found that 40% of females quit, versus 25% for men (s).

Emory found that 13% of male residents quit, versus 27% of females (s).

AGE

UTSW found that age over 29 was strongly correlated with quitting (s)

RELATION TO ACADEMIC PERFORMANCE IN MEDICAL SCHOOL

UTSW found that academic factors– such as performance in med school or placement on the final rank list– was not significantly associated with quitting (s)

ETHNIC DIFFERENCES

UTSW found that minority residents quit less frequently than whites/Asians. (s)

PROTECTIVE FACTORS

UTSW found that participation in team sports in college was correlated with success.  (s)

Yale found that being married, surprisingly, was protective against quitting– “presumably because single residents lack the same support system, and might be more depressed about their inability to date or find a spouse due to time constraints” (s).

OTHER FACTORS

Other reasons why residents might leave their programs include being in antagonistic environments with little support (s).

Why people quit general surgery residency and how to prevent this from happening to you

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Categorised as: General Surgery Residency


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