Our Trainees’ Confidence: Results From a National Survey of 4136 US General Surgery Residents
Abstract
Objectives To characterize factors shaping surgery resident confidence and determine whether confidence is associated with future specialty training. Design Cross-sectional study. Setting Survey administered at the 2008 American Board of Surgery In-Service Training Examination. Participants All categorical general surgery residents. Interventions National Study of Expectations and Attitudes of Residents in Surgery survey. Participants reported demographics and level of agreement for 46 items regarding confidence, training, and professional plans. Main outcomes measures Survey items "My operating skill level is appropriate" and "I may not feel confident enough to perform procedures independently before training completion." We compared demographics and responses among residents who did/not feel confident. Results Response rate was 77.4%. Residents who were female, single, or without children and at a lower postgraduate year had less confidence in their operating skill, as did residents at larger, university-based programs, in the northeastern United States. Residents worried about competence were more likely to believe specialty training was needed (71.2% vs 60.2%; P Conclusions Sex, marital status, children, and postgraduate year are predictors of confidence, as are program location, type, and size. Residency programs may target modifiable factors contributing to low surgical confidence.
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Progression of surgery residency training depends on the development of confidence.
“Progression of surgery residency training depends on the development of confidence [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Women must make more sacrifices during residences such as marriage and childbearing.
“Women must make more sacrifices during residences such as marriage and childbearing [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Residents are concerned about their performance.
“Residents are concerned about their performance [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
The most common benefit for female surgery residents and practicing general surgeons is formal maternity leave.
“The most common benefit for female surgery residents and practicing general surgeons is formal maternity leave [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Senior medical students in surgery improve their confidence during residency.
“Senior medical students in surgery improve their confidence during residency [12,18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Confidence is better in community programs, programs with fewer chief residents, and programs without fellowships.
“Confidence is better in community programs, programs with fewer chief residents, and programs without fellowships [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Practical learning experiences increase confidence.
“Practical learning experiences increase confidence [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Normally, confidence increases with progression of residency training culminating with the ability of a chief or senior resident to function as a junior attending and ultimately to practice general surgery independently.
“Normally, confidence increases with progression of residency training culminating with the ability of a chief or senior resident to function as a junior attending and ultimately to practice general surgery independently. [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Decreased confidence is associated with the need to pursue further training in a fellowship.
“Decreased confidence is associated with the need to pursue further training in a fellowship [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Female surgery residents worry about their performance more than males and often this results in quitting residency.
“Female surgery residents worry about their performance more than males and often this results in quitting residency [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
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- Authors
- Bucholz, E. M.
- Affiliations
- Yale University (US)
- Corresponding author
- Bucholz, Emily M.
- ORCID
- Bucholz, Emily M.
- Venue
- Archives of Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 2011-08-01
- Volume
- 146
- Issue
- 8
- Pages
- 907
- ISSN
- 0004-0010 (ISSN-L)
- OpenAlex
- W1985393754
- Cited by
- 244
- References
- 20
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 11 · 2023: 31 · 2022: 23 · 2021: 19 · 2020: 37 · 2019: 12 · 2018: 16 · 2017: 12 · 2016: 7 · 2015: 20 · 2014: 14 · 2013: 11 · 2012: 7
- FWCI
- 10.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Keywords
- operating skills, surgical proficiency, gender differences, marital status, postgraduate year, residency program size, program location, fellowship training, help-seeking, resident satisfaction
- MeSH terms
- Adult, Attitude of Health Personnel, Career Choice, Cross-Sectional Studies, Female, Humans, Internship and Residency, Male, Self Concept, Specialties, Surgical, General Surgery
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