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首页> 外文期刊>Current Surgery >Why do residents leave general surgery? The hidden problem in today's programs.
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Why do residents leave general surgery? The hidden problem in today's programs.

机译：为什么居民要离开普通外科？当今程序中隐藏的问题。

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OBJECTIVE: Much has been written and discussed about the reasons for reduced interest in surgery, but few institutions have chosen to examine the loss or attrition of general surgery residents from their own programs. In preparation for an upcoming Residency Review Committee analysis of our program, we took the opportunity to examine the reasons for attrition in our own institution. DESIGN, SETTING, AND PARTICIPANTS: During the years 1990 to 2003, 120 categorical residents were admitted into our general surgery residency program. Residents who matched into preliminary positions or non-5-year categorical positions were not included in this study. During this period of time, 20 residents (9 female and 11 male) left the program for a variety of reasons. The folders of those 20 residents along with all of the correspondence pertaining to each resident were reviewed in detail. RESULTS: Our overall attrition rate during this 13-year period of time was 20 of 120 residents or 17%. This is comparable with the often-quoted figure of approximately 20% attrition in other general surgery programs. The reasons for leaving could be divided into 4 categories: (1) lifestyle, (2) opportunity for early specialization, (3) asked to leave the program because of emotional or performance difficulties, or (4) decided to leave medicine entirely. The largest group was related to lifestyle issues and comprised 13 of the total of 20 residents who left the program. Of this group of 13, 3 went into plastic surgery, 4 went into anesthesiology, 2 went into radiology, and the remaining 4 went into public health, internal medicine, pathology, and emergency medicine. Seven of these 13 individuals were women. Two individuals entered residency with the goal of specializing in plastic surgery. They both left their 5-year categorical general surgery positions after the third year when they were offered the opportunity to enter three-year plastic surgery fellowship positions. The third category was composed of 4 individuals who were asked to leave the program during this 13-year period because of performance or emotional problems, with 3 of these 4 being men. Only 1 person left medicine entirely, and he is now the vice-president of a successful software company. Of the total of 20 residents who left our program, 9 (45%) were female. Given that there were 33 females in our program during the subject period of time, these 9 females represent an attrition rate of 27%. The 11 males who left during this period represent, however, an attrition rate of only 13%. CONCLUSIONS: Although much concern has been expressed over the declining numbers of medical students interested in surgery, loss of residents after matching in general surgery is an equally significant problem. In our program over a 13-year period, 20 out 120 residents, or 17% dropped out or were released. The attrition rate for females (27%) was approximately twice that of males (13%), with 7 out of 9 females (78%) leaving for lifestyle reasons.
机译：目的：关于减少对外科手术兴趣的原因的书面讨论很多，但是很少有机构选择从自己的计划中检查普通外科手术患者的损失或损耗。为了准备即将到来的居住权审查委员会对我们计划的分析，我们借此机会检查了自己机构中的人事流失原因。设计，地点和参加者：在1990年至2003年期间，有120名绝对居民被接纳为我们的普通外科住院医师计划。符合初步职位或非5年类别职位的居民不包括在本研究中。在此期间，出于各种原因，有20位居民（9位女性和11位男性）退出了该计划。详细审查了这20位居民的文件夹以及与每个居民有关的所有信件。结果：在这13年的时间里，我们的总流失率为120名居民中的20名，即17％。这与其他普通外科手术中经常被引用的大约20％的消耗量相当。离开的原因可以分为四类：（1）生活方式，（2）早期专业化的机会，（3）由于情绪或表现困难而要求退出计划，或（4）决定完全放弃药物。最大的群体与生活方式问题有关，在离开该计划的20位居民中，有13位来自该群体。在这13人中，有3人进行了整容手术，有4人进行了麻醉学，有2人进行了放射学，其余4人进入了公共卫生，内科，病理学和急诊科。这13个人中有7个人是女性。两个人进入了居住地，专门从事整形外科。当他们有机会进入三年整形外科奖学金时，他们都离开了五年的普通外科分类分类。第三类是由4个人组成，由于表现或情绪问题，他们在这13年内被要求退出该计划，其中4个人中有3个人是男性。只有1个人完全放弃了药物，他现在是一家成功的软件公司的副总裁。在退出我们计划的20位居民中，有9位（45％）是女性。考虑到在此课程期间，我们的课程中有33位女性，那么这9位女性的流失率为27％。但是，在此期间离开的11名男性的流失率仅为13％。结论：尽管对外科手术感兴趣的医学生人数下降已经引起了很多关注，但在进行普外科手术后，居民的流失是一个同样重要的问题。在我们13年的计划中，120名居民中有20名居民或17％辍学或被释放。女性（27％）的流失率约为男性（13％）的两倍，而9位女性（78％）中有7位出于生活方式原因而离职。

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