Has the 80-Hour Work Week Had an Impact on Voluntary Attrition in General Surgery Residency Programs?
Abstract
Background This article attempts to assess the effect of the duty-hour limitations implemented in 2003 on voluntary withdrawal of general surgery residents. Study design A questionnaire asked the program directors how many categorical general surgery residents left voluntarily in 2003 to 2004, their training levels, why they left, and where they went. Results were compared with an identical study of 2000 to 2001 and analyzed statistically using chi-square analysis. Results A total of 215 programs (85%) responded, compared with 206 programs (81%) in the previous study. One hundred two programs (48%) reported voluntary attrition of 148 residents, compared with 110 programs (53%) and 167 residents previously. An average of 1.5 residents per program left in programs that reported attrition and 0.7 residents per program in all responders, compared with 1.5 and 0.8 residents in the previous study. In both studies, most programs with attrition lost one (66% [2000 to 2001] and 65% [2003 to 2004]) or two residents (21% [2000 to 2001] and 27% [2003 to 2004]). Most attrition occurred at PGY1 (47%) and PGY2 (28%) levels; a total of 75% of all attrition occurred at these levels, compared with a total of 76% in the previous study. One hundred eleven residents (75%) entered other medical specialties, and 23 (16%) transferred to other general surgery programs, compared with 105 residents (63%) and 40 residents (24%) in the previous study. In both studies, personal issues and work hours/lifes…
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Almost half of medical students do not plan to practice medicine full time.
“Of interest, almost half of medical students do not plan to practice medicine full time [14].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [14]
Access to mentoring and support by administration also helps to reduce attrition.
“Access to mentoring and support by administration also helps to reduce attrition [14].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [14]
Cites
Why do residents leave general surgery? The hidden problem in today's programs
Dodson, T. F., & Webb, A. L. B. (2005) · Current Surgery · doi:10.1016/j.cursur.2004.07.009 · Cited by 137 · see citing works
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National Survey of Burnout among US General Surgery Residents
Elmore, L. C., Jeffe, D. B., Jin, L., Awad, M. M., & Turnbull, I. R. (2016) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2016.05.014 · Cited by 476 · see citing works
Schwed, A. C., Lee, S. L., Salcedo, E. S., Reeves, M. E., Inaba, K., Sidwell, R. A., Amersi, F., Are, C., Arnell, T. D., Damewood, R. B., et al. (2017) · JAMA Surgery · doi:10.1001/jamasurg.2017.2656 · Cited by 54 · see citing works
Self-citationHow Can We Reduce Attrition in General Surgery Residents?
DM, A. (2018) · Austin Journal of Surgery · doi:10.26420/austinjsurg.2018.1129 · Cited by 2 · see citing works
Department of Surgery, T. U. O. A., M Avery, D., G Harrell, A., Department of Surgery, T. U. O. A., C Wallace, J., Department of Surgery, T. U. O. A., E Geno, C., Department of Family, I. &. R. M., Taylor, G., University of Alabama School of Medicine, U., et al. (2018) · International Journal of Innovative Surgery · doi:10.33582/2639-9229/1003 · Cited by 1 · see citing works
- Authors
- Leibrandt, T. J., Pezzi, C. M., Fassler, S. A., Reilly, E. F., & Morris, J. B.
- Affiliations
- Abington Memorial Hospital (US)
- University of Pennsylvania (US)
- ORCID
- Reilly, Eugene F.
- Venue
- Journal of the American College of Surgeons
- Published
- 2006-02
- Volume
- 202
- Issue
- 2
- Pages
- 340-344
- ISSN
- 1072-7515 (ISSN-L)
- OpenAlex
- W2024805143
- Cited by
- 82
- References
- 1
- Citations by year
- 2025: 2 · 2024: 2 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 7 · 2017: 9 · 2016: 5 · 2015: 5 · 2014: 5 · 2013: 3 · 2012: 4
- FWCI
- 3.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American College of Surgeons (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- duty hour limits, 80-hour work week, general surgery residency, resident retention, Accreditation Council for Graduate Medical Education, graduate medical education policy, work-life balance
- MeSH terms
- Adult, Career Choice, Humans, Internship and Residency, General Surgery, United States
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