University of Colorado School of Medicine, Denver, Colorado, USA.
Otolaryngol Head Neck Surg. 2011 Nov;145(5):753-4. doi: 10.1177/0194599811414495. Epub 2011 Jul 11.
Attrition is a disruptive problem in residency training programs. Resident attrition has been more thoroughly investigated and reported in other medical fields with limited data specific to otolaryngology. Using a Web-based survey of otolaryngology residency program directors, information regarding a 5-year cohort of residents was collected. The survey response rate was 61% (59 of 97 programs), representing 779 of 1239 training positions (63%). Forty-two percent of responding programs (25 of 59) lost a total of 47 residents (range, 1-7; mode 1). The overall attrition rate was 6% for the 5-year cohort (47 of 779) or 1.2% annually. Involuntary attrition affected 6 residents. Eighteen residents voluntarily left for other medical programs. Four left medicine entirely. The remaining 19 residents' career paths were not described. Attrition within otolaryngology occurs with less frequency than general surgery and is likely comparable to other surgical subspecialties.
人员流失是住院医师培训计划中的一个破坏性问题。尽管其他医学领域已经对住院医师流失问题进行了更深入的调查和报道，但针对耳鼻喉科的具体数据却有限。我们采用基于网络的耳鼻喉科住院医师培训项目主任调查，收集了一个 5 年队列住院医师的信息。调查回复率为 61%（97 个项目中的 59 个），代表了 1239 个培训岗位中的 779 个（63%）。42%的回应项目（59 个中的 25 个）共流失了 47 名住院医师（范围为 1-7；模式为 1）。5 年队列的总体离职率为 6%（47 名中的 779 名）或每年 1.2%。非自愿离职影响了 6 名住院医师。18 名住院医师自愿转至其他医学项目。4 名住院医师完全离开医学领域。其余 19 名住院医师的职业道路未被描述。耳鼻喉科的离职率低于普通外科，可能与其他外科亚专业相当。
