Attrition from surgical residency training: perspectives from those who left. Academic Article uri icon

Overview

MeSH

  • Adult
  • Female
  • Humans
  • Interprofessional Relations
  • Job Satisfaction
  • Male
  • Motivation
  • Organizational Culture
  • Qualitative Research

MeSH Major

  • Career Choice
  • General Surgery
  • Internship and Residency
  • Student Dropouts

abstract

  • High rates of attrition from general surgery residency may threaten the surgical workforce. We sought to gain further insight regarding resident motivations for leaving general surgery residency. We conducted in-depth interviews to generate rich narrative data that explored individual experiences. An interdisciplinary team used the constant comparative method to analyze the data. Four themes characterized experiences of our 19 interviewees who left their residency program. Participants (1) felt an informal contract was breached when clinical duties were prioritized over education, (2) characterized a culture in which there was no safe space to share personal and programmatic concerns, (3) expressed a scarcity of role models who demonstrated better work-life balance, and (4) reported negative interactions with authority resulting in a profound loss of commitment. As general surgery graduate education continues to evolve, our findings may inform interventions and policies regarding programmatic changes to boost retention in surgical residency. Copyright © 2015 Elsevier Inc. All rights reserved.

publication date

  • October 2015

has subject area

  • Adult
  • Career Choice
  • Female
  • General Surgery
  • Humans
  • Internship and Residency
  • Interprofessional Relations
  • Job Satisfaction
  • Male
  • Motivation
  • Organizational Culture
  • Qualitative Research
  • Student Dropouts

Research

keywords

  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2015.05.014

PubMed ID

  • 26238074

Additional Document Info

start page

  • 648

end page

  • 654

volume

  • 210

number

  • 4