一项关于住院医师离职想法、其他职业道路选择，以及继续留在普通外科培训的原因的全国性综合调查。

A comprehensive national survey on thoughts of leaving residency, alternative career paths, and reasons for staying in general surgery training.

机构信息

Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL, USA.

Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

出版信息

Am J Surg. 2020 Feb;219(2):227-232. doi: 10.1016/j.amjsurg.2019.10.040. Epub 2019 Oct 25.

DOI:10.1016/j.amjsurg.2019.10.040

PMID:31679652

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7024040/

Abstract

BACKGROUND

General surgery residencies continue to experience high levels of attrition.

METHODS

Survey of general surgery residents administered with the 2018 American Board of Surgery In-Training Examination. Outcomes were consideration of leaving residency, potential alternative career paths, and reasons for staying in residency.

RESULTS

Among 7,409 residents, 930 (12.6%) reported considering leaving residency over the last year. Residents were more likely to consider other general surgery programs (46.2%) if PGY 2/3 (OR: 1.93, 95%CI 1.34-2.77) or reporting frequent duty hour violations (OR: 1.58, 95%CI 1.12-2.24). Consideration of other specialties (47.0%) was more likely if dissatisfied with being a surgeon (OR 2.86, 95%CI 1.92-4.26). Residents were more likely to consider leaving medicine (49.7%) if female (OR: 1.54, 95%CI 1.16-2.06) or dissatisfied with a surgical career (OR: 2.81, 95%CI 1.85-4.27). Common reasons for remaining in residency included a sense of too much invested to leave (65.3%) and career satisfaction (55.5%).

CONCLUSION

Profiles of trainees considering leaving residency exist based on factors associated with alternative careers. This may be a target for future interventions to reduce attrition.

摘要

背景

普通外科住院医师培训继续经历高离职率。

方法

对普通外科住院医师进行了 2018 年美国外科学会住院医师培训考试的调查。调查结果为考虑离开住院医师培训、潜在的替代职业道路以及留在住院医师培训的原因。

结果

在 7409 名住院医师中，930 名（12.6%）报告在过去一年中考虑过离开住院医师培训。如果 PGY2/3（OR：1.93，95%CI 1.34-2.77）或报告经常违反工作时间规定（OR：1.58，95%CI 1.12-2.24），住院医师更有可能考虑其他普通外科项目。如果对成为外科医生感到不满（OR 2.86，95%CI 1.92-4.26），则考虑其他专业（47.0%）的可能性更大。如果是女性（OR：1.54，95%CI 1.16-2.06）或对外科职业不满（OR：2.81，95%CI 1.85-4.27），则更有可能考虑离开医学。选择继续留在住院医师培训的常见原因包括投入太多而无法离开（65.3%）和职业满意度（55.5%）。