Cited by 103Diversity and Career in MedicineHealthcare professionals’ stress and burnoutInnovations in Medical Education

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Sullivan, Michael C., Yeo, Heather, Roman, Sanziana A., Ciarleglio, Maria M., Cong, Xiangyu, Bell, Richard H., Sosa, Julie A.·2013·Journal of the American College of Surgeons

Abstract

Background Voluntary resident attrition remains problematic despite recent changes in postgraduate general surgery training, including reduction of work hours. Study design We conducted a prospective study of all postgraduate year (PGY)-1 and -2 trainees on the 2008 American Board of Surgery resident roster (ABS-RR) who completed the National Study of Expectations and Attitudes of Residents in Surgery (NEARS) survey after the American Board of Surgery In-Training Examination (ABSITE) in 2008 or 2009. Results Among 2,222 PGY-1 and -2 residents on the 2008 ABS-RR, 2,033 completed the NEARS survey in 2008 or 2009 (91.5%). The only demographic or programmatic variables associated with voluntary attrition on univariate analysis were PGY-1 status (9.4% risk vs 4.5% risk for PGY-2, p Conclusions Resident attitudes, PGY-1 status, and program location are most frequently associated with voluntary attrition. Our risk score calculation represents a novel potential tool for programs to quantify deficiencies in the training experience of residents, and develop targeted strategies to limit disaffection and improve resident retention.

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Crossref · 10.1016/j.jamcollsurg.2012.11.005

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Authors
Sullivan, M. C., Yeo, H., Roman, S. A., Ciarleglio, M. M., Cong, X., Bell, R. H., & Sosa, J. A.
Affiliations
  • Yale University (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • Duke University (US)
  • University of Pennsylvania (US)
Corresponding author
Sosa, Julie A.
Venue
Journal of the American College of Surgeons
Published
2013-03
Volume
216
Issue
3
Pages
461-471
ISSN
1072-7515 (ISSN-L)
OpenAlex
W2017916703
Cited by
103
References
2
Citations by year
2026: 2 · 2025: 3 · 2024: 11 · 2023: 1 · 2022: 10 · 2021: 16 · 2020: 6 · 2019: 11 · 2018: 12 · 2017: 6 · 2016: 5 · 2015: 9 · 2014: 7 · 2013: 4
FWCI
15.59
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the American College of Surgeons (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Gender Studies › Diversity and Career in Medicine
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Keywords
surgical residency, resident attrition, general surgery residency, postgraduate year 1 residents, program location, resident attitudes, risk score, ABSITE, operative experience, resident retention, working time reduction
MeSH terms
Workforce, Adult, Attitude of Health Personnel, Female, Humans, Internship and Residency, Life Style, Male, Personnel Staffing and Scheduling, Social Isolation, General Surgery, Multivariate Analysis, Young Adult

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