The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Rate of Programs Affected by Resident Attrition and Program Factors Associated With Attrition in Emergency Medicine.
Open accessAbstract
Background: Resident attrition negatively affects residents and programs. The incidence of attrition in emergency medicine (EM) and program-specific factors associated with attrition remain unclear. Objective: We quantified the percentage of EM residencies affected by attrition between 2007 and 2016 and identified program-specific factors associated with attrition. Methods: We performed a retrospective analysis of data derived from the American Medical Association National Graduate Medical Education Census. We defined attrition as any postgraduate who left their residency training program prior to completion. We calculated the percentage of residency programs that experienced attrition and the overall incidence of attrition. We used Fisher's exact tests, Wilcoxon rank sum tests, and t tests, as well as multivariable logistic regression, to identify program-specific factors associated with attrition. Results: Between 2007 and 2016, 139 EM residency programs (82%) experienced attrition of at least 1 resident. An average of 23% of EM training programs experienced attrition annually. The incidence of EM resident attrition averaged 0.85% per year. Program-specific factors associated with attrition include 4-year residencies (P = .031), programs with medium class size (P = .0003), more female residents (P = .002), and more female faculty (P = .003). After analysis, only medium class size (compared to small) was associated with attrition (odds ratio = 4.96, 95% confidence interval 1.65–14.91). Conclusions: Between 2007 and 2016, while the incidence of resident attrition in EM was low (< 1%), the majority of programs experienced resident attrition. Medium class size (7 to 12 residents) was the only program-specific factor associated with increased attrition.
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Cites
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Sakamoto, J. T., Lee, J., Lu, D. W., H, V. S. M. P., Bird, S. B., Blomkalns, A. L., & Alvarez, A. (2022) · AEM Education and Training · doi:10.1002/aet2.10746 · Cited by 13
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Self-citationAn Examination of Predictors of Attrition in Physician Assistant Programs
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Managing Unexpected Residency Vacancies Outside the Match
Meunier, M. R., Boswell, C. L., Schupack, K. M., & González, C. A. (2026) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-26-00319.1
Metadata
- Authors
- Brockberg, M., Mittelman, A., Dugas, J., McCabe, K., Spector, J., Liu, J., & Sheng, A. Y.
- Affiliations
- Boston Medical Center (US)
- All authors are with the Department of Emergency Medicine, Boston Medical Center. Madeline Brockberg, MD, is Resident Physician; Andrew Mittelman, MD, is Resident Physician; Julianne Dugas, MPH, is Research Data Analyst; Kerry McCabe, MD, is Vice Chair of Education; Jordan Spector, MD, MS, is Residency Program Director; James Liu, MS, is Senior Research Assistant; and Alexander Y. Sheng, MD, is A
- Corresponding author
- Brockberg, Madeline
- Venue
- Journal of Graduate Medical Education
- Published
- 2019-12-01
- Volume
- 11
- Issue
- 6
- Pages
- 663-667
- ISSN
- 1949-8349 (ISSN-L)
- 1949-8357
- PMC
- PMC6919186
- OpenAlex
- W2991464773
- Cited by
- 8
- References
- 14
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 2 · 2021: 3
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Graduate Medical Education (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency Medicine Education and Research
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- resident attrition, emergency medicine residency, class size, graduate medical education, female residents, female faculty
- MeSH terms
- Career Choice, Education, Medical, Graduate, Emergency Medicine, Female, Humans, Internship and Residency, Male, Retrospective Studies, United States
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