More than half of general surgery residents want to quit

More than half of general surgery residents want to quit

(HealthDay)—A majority of categorical general surgery residents seriously consider leaving residency, according to a study published online July 30 in JAMA Surgery.

Edward Gifford, M.D., from the Harbor-UCLA Medical Center in Los Angeles, and colleagues anonymously surveyed 371 categorical general from 13 residency programs and compared results based on whether or not respondents seriously considered leaving surgical residency. Ten-year attrition rates for each program were also evaluated.

The researchers found that 58.0 percent of respondents seriously considered leaving training. Sleep deprivation on a specific rotation (50.0 percent), an undesirable future lifestyle (47.0 percent), and excessive work hours on a specific rotation (41.4 percent) were the most frequent reasons for wanting to leave. Residents didn't leave because of support from family or significant others (65.0 percent), support from other residents (63.5 percent), and perception of being better rested (58.9 percent). Serious thoughts of leaving were tied to older age, female sex, postgraduate year, training in a university program, the absence of a faculty mentor, and lack of Alpha Omega Alpha status, although only female sex was significant upon multivariate analysis (odds ratio, 1.2; P = 0.003). High-attrition program residents were more likely to seriously consider leaving residency (odds ratio, 1.8; 95 percent confidence interval, 1.0 to 3.0; P = 0.03).

"Thoughts of leaving seem to be associated with work conditions on specific rotations rather than with overall work hours," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Rural program affects choice of surgical practice

Jul 09, 2013

(HealthDay)—Surgical residents who complete a rural surgery rotation are much more likely to enter general surgery practice and practice in a rural area, even if they had initially planned to specialize, ...

Patient safety not affected by resident hour reforms

Apr 04, 2014

(HealthDay)—In the year following 2011 work-hour reforms for residents there were no changes in patient safety outcomes when comparing patients treated by residents to those treated by hospitalists, according ...

Recommended for you

Factors ID'd that influence lack of orthopedic follow-up

Oct 18, 2014

(HealthDay)—For patients treated in the emergency department, orthopedic-related and demographic variables influence failure to return for outpatient management ("no-show"), according to a study published ...

Surgery may not fix long-term palsy of spine disease

Oct 17, 2014

(HealthDay)—Duration of palsy should be considered when selecting candidates for surgical management of painless foot drop in patients with degenerative lumbar disorders, according to research published ...

User comments