Tasce Bongiovanni1, Heather Yeo2, Julie A Sosa3, Peter S Yoo4, Theodore Long5, Marjorie Rosenthal6, David Berg7, Leslie Curry8, Marcella Nunez-Smith5. 1. Department of Surgery, University of California San Francisco School of Medicine, San Francisco, CA, USA; Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA; US Department of Veterans Affairs, Connecticut Healthcare System, West Haven, CT, USA. Electronic address: tasce.bongiovanni@yale.edu. 2. Department of Surgery, New York Presbyterian-Weill Cornell Medical Center, New York, NY, USA. 3. Department of Surgery, Duke University School of Medicine, DUMC, Durham, NC, USA. 4. Department of Surgery, Yale University School of Public Health, New Haven, CT, USA. 5. Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA; Department of Internal Medicine, Yale University School of Public Health, New Haven, CT, USA. 6. Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA; Department of Pediatrics, Yale University School of Public Health, New Haven, CT, USA. 7. Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA; Department of Psychiatry, Yale University School of Public Health, New Haven, CT, USA. 8. Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, 333 Cedar Street, PO Box 208088, New Haven, CT, USA; Division of Health Policy and Administration, Yale University School of Public Health, New Haven, CT, USA.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: As general surgery graduate education continues to evolve, our findings may inform interventions and policies regarding programmatic changes to boost retention in surgical residency.
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: As general surgery graduate education continues to evolve, our findings may inform interventions and policies regarding programmatic changes to boost retention in surgical residency.
Authors: Heather L Yeo; Jonathan S Abelson; Matthew M Symer; Jialin Mao; Fabrizio Michelassi; Richard Bell; Art Sedrakyan; Julie A Sosa Journal: JAMA Surg Date: 2018-06-01 Impact factor: 14.766
Authors: Jonathan S Abelson; Julie A Sosa; Matthew M Symer; Jialin Mao; Fabrizio Michelassi; Richard Bell; Art Sedrakyan; Heather L Yeo Journal: JAMA Surg Date: 2018-08-01 Impact factor: 14.766
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Authors: Luis Carlos Dominguez; Diana Dolmans; Willem de Grave; Jeroen Donkers; Alvaro Sanabria; Laurents Stassen Journal: Int J Med Educ Date: 2022-03-28