@article{94218b158db64e54877c3b3d70d9ee0f,
title = "A comprehensive national survey on thoughts of leaving residency, alternative career paths, and reasons for staying in general surgery training",
abstract = "Background: General surgery residencies continue to experience high levels of attrition. Methods: Survey of general surgery residents administered with the 2018 American Board of Surgery In-Training Examination. Outcomes were consideration of leaving residency, potential alternative career paths, and reasons for staying in residency. Results: Among 7,409 residents, 930 (12.6%) reported considering leaving residency over the last year. Residents were more likely to consider other general surgery programs (46.2%) if PGY 2/3 (OR: 1.93, 95%CI 1.34–2.77) or reporting frequent duty hour violations (OR: 1.58, 95%CI 1.12–2.24). Consideration of other specialties (47.0%) was more likely if dissatisfied with being a surgeon (OR 2.86, 95%CI 1.92–4.26). Residents were more likely to consider leaving medicine (49.7%) if female (OR: 1.54, 95%CI 1.16–2.06) or dissatisfied with a surgical career (OR: 2.81, 95%CI 1.85–4.27). Common reasons for remaining in residency included a sense of too much invested to leave (65.3%) and career satisfaction (55.5%). Conclusion: Profiles of trainees considering leaving residency exist based on factors associated with alternative careers. This may be a target for future interventions to reduce attrition.",
author = "Ellis, {Ryan J.} and Holmstrom, {Amy L.} and Hewitt, {D. Brock} and Engelhardt, {Kathryn E.} and Yang, {Anthony D.} and Merkow, {Ryan P.} and Bilimoria, {Karl Y.} and Hu, {Yue Yung}",
note = "Funding Information: This study is supported by funding from the American Board of Surgery (ABS), American College of Surgeons (ACS), and Accreditation Council for Graduate Medical Education (ACGME). RJE and DBH were supported by postdoctoral research fellowships (Agency for Healthcare Research and Quality [AHRQ] 5T32HS000078). ADY is supported by the National Heart Lung and Blood Institute of the National Institutes of Health (K08HL145139). RPM is supported by the Agency for Healthcare Quality (K12HS023011) and an Institutional Research Grant from the American Cancer Society (IRG-18-163-24). Funding Information: This study is supported by funding from the American Board of Surgery (ABS) , American College of Surgeons (ACS) , and Accreditation Council for Graduate Medical Education (ACGME) . RJE and DBH were supported by postdoctoral research fellowships ( Agency for Healthcare Research and Quality [AHRQ] 5T32HS000078 ). ADY is supported by the National Heart Lung and Blood Institute of the National Institutes of Health ( K08HL145139 ). RPM is supported by the Agency for Healthcare Quality ( K12HS023011 ) and an Institutional Research Grant from the American Cancer Society ( IRG-18-163-24 ). Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",
year = "2020",
month = feb,
doi = "10.1016/j.amjsurg.2019.10.040",
language = "English (US)",
volume = "219",
pages = "227--232",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "2",
}