全国前瞻性队列研究描述了经济压力如何与外科住院医师的流失相关。

National prospective cohort study describing how financial stresses are associated with attrition from surgical residency.

机构信息

Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA.

Department of Healthcare Policy and Research, New York-Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA.

出版信息

Am J Surg. 2020 Sep;220(3):519-523. doi: 10.1016/j.amjsurg.2020.03.010. Epub 2020 Mar 17.

DOI:10.1016/j.amjsurg.2020.03.010

PMID:32200973

Abstract

BACKGROUND

Attrition from general surgery residency is high with a national rate of 20%. We evaluated potential associations between financial considerations and attrition.

METHODS

National prospective cohort study of categorical general surgery trainees.

RESULTS

Of the 1048 interns who started training in 2007, 681 (65%) had complete survey and follow-up data. In logistic regression, those with higher starting attending salary expectations (>$300K) were more likely to leave training (OR 2.9, 95% CI 1.2-6.9). Women with a partner who earned more (>$50K/year) were more likely to leave training (OR 4.1, 95% CI 1.6-10.5). In a subgroup of interns undecided about their future practice setting (academic, community, private practice, industry), those with less debt (≤$100K) were more likely to leave training (OR 2.4, 95% CI 1.1-5.2).

CONCLUSIONS

Several financial matters were associated with attrition. Addressing these financial concerns may help decrease attrition in surgical training and improve surgical training.

摘要

背景

普通外科住院医师的离职率很高，全国离职率为 20%。我们评估了经济因素与离职之间的潜在关联。

方法

对普通外科住院医师进行全国前瞻性队列研究。

结果

在 2007 年开始培训的 1048 名实习医生中，有 681 名（65%）具有完整的调查和随访数据。在逻辑回归中，那些期望起始主治医生薪资更高（>$300K）的人更有可能离开培训（OR 2.9，95%CI 1.2-6.9）。有收入更高（>$50K/年）的伴侣的女性更有可能离开培训（OR 4.1，95%CI 1.6-10.5）。在一组对未来实践环境（学术、社区、私人执业、行业）尚未做出决定的实习医生亚组中，债务较少（≤$100K）的人更有可能离开培训（OR 2.4，95%CI 1.1-5.2）。