The State of General Surgery Residency in the United States

Leigh A. Neumayer · Amalia Lenora Cochran · Spencer J. Melby · Hugh M. Foy · Marc K. Wallack

66 citations0/0 files storedArchives of Surgery

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Diversity and Career in Medicine Innovations in Medical Education Medical Education and Admissions

Abstract

HYPOTHESIS: Current demographic patterns and lifestyle factors of general surgery residents may contribute to recent changes in recruitment patterns. DESIGN: Survey addressing the characteristics of general surgery residency, including demographic data, 3-year recruitment and retention trends, and working conditions of general surgery residents. PARTICIPANTS: A convenience sample of all residency program directors in attendance at the 2001 Surgical Education Week was given the opportunity to voluntarily complete the survey. RESULTS: A total of 109 program directors responded to the survey. Women constitute 25% of all current general surgery residents: 66% of the program directors perceived a decline in the number of applicants for general surgery residency. Recruitment patterns differ significantly between small (< or =4 categorical residents per year) and large (>4 categorical residents per year) residency programs. Residents at large programs averaged a 95-hour workweek, whereas those at small programs averaged an 88-hour workweek (P =.01). The mean 1-year attrition rate for general surgery residents was 20.2% in 2000, and attrition showed no relationship to program size, gender composition, or working conditions. CONCLUSIONS: Women remain underrepresented in general surgery residency. Recruitment and match statistics show some variation, but the relevance of a shrinking applicant pool to these changes is unclear. Resident working conditions remain a difficult issue, and attrition rates continue to be significant. A substantial research agenda remains in graduate surgical education.

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References

1989Controllable Lifestyle: A New Factor in Career Choice by Medical Students 1990The controllable lifestyle factor and studentsʼ attitudes about specialty selection 1998Gender-Related Attrition in a General Surgery Training Program 1999Attrition in graduate surgical education: an analysis of the 1993 entering cohort of surgical residents 1998The Nature and Fate of Categorical Surgical Residents Who “Drop Out”

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2004Impact of mandatory resident work hour limitations on medical students’ interest in surgery 2017Association of General Surgery Resident Remediation and Program Director Attitudes With Resident Attrition 2017Who Makes It to the End?2017Status of Resident Attrition From Surgical Residency in the Past, Present, and Future Outlook 2007Attrition: our biggest continuing challenge 2008Attrition During Graduate Medical Education 2010A Psychological Profile of Surgeons and Surgical Residents 2004Attrition from ophthalmology residency programs

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