Department of Orthopedics and Traumatology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.
Department of Orthopedics and Traumatology, Koç University, School of Medicine, İstanbul, Turkey.
Acta Orthop Traumatol Turc. 2022 May;56(3):222-227. doi: 10.5152/j.aott.2022.21384.
The aim of this study was to analyse the factors that led to resignations from Orthopaedics and Traumatology Residency pro- grammes in Turkey, and to determine the overall rate of resignation among residents from Orthopaedics and Traumatology programmes.
In this cross-sectional survey,120 residents who either resigned or transferred to other OT clinics between autumn of 2013 and spring of 2020 were included. They were asked to complete a questionnare which was sent via Whatssapp application or e-mail. The ques- tionnare was comprised of 2 sections; Section A, which adressed resignation, consisted of 15 questions and Section B, which adressed transfer to another OT programme, consisted of 12 questions. Both sections had open ended and multiple choice questions.
Of 120 residents, 96 (6.6%) resigned and then transferred to another specialty, and 24 (1.6%) transferred to another orthopedics and traumatology clinic based on our review. The overall resignation rate as per the total quotas for orthopedics and traumatology residency from 2013 to 2020 was 8.2%. Of the 120 orthopedics and traumatology residents who were eligible for the survey, 83 (70%) completed the questionnaire. Sixty-one (60 males, 1 female; median age = 26 years; age range = 25-35) of 96 residents who resigned from the orthopedics and traumatology residency completed section A (the response rate was 63.5%); 22 (22 males; median age=27.6 years; age range=25-34) out of 24 residents who transferred to another orthopedics and traumatology clinic completed section B (the response rate was 91.6%). In section A, 40 out of 61 individuals (65.5%) preferred orthopedics and traumatology specialty as the first choice in TUS, and 34 residents (55.7%) reported not to have had enough information regarding the residency program before starting their clinics. In section B, out of the 22 residents, 13 (59%) stated that orthopedics and traumatology residency was not their first choice in TUS, and 18 (81.8%) reported not to have had sufficient knowledge about the preferred clinic. The most common reason for resignation or transfer to another specialty was heavy workload (n=46, 74.19%), followed by excessive hours of work (n=45, 72.58%). The most common reason for transfer to another orthopedics and traumatology clinic was drudgery (n=10, 45.5%), followed by problems with the hierarchy in orthopedics and traumatology residency (n = 9, 40.9%).
The results of this survey have shown us, with an overall resignation rate of 8.2% as per the total quotas for OT residency from 2013 to 2020, that resignation from OT residency represents an important problem in Turkey. Workload and excessive hours of work were the most common reasons for resignation from orthopaedic residency programmes. Furthermore, extra work that diverted residents from their actual job responsibilities, as well as academic and educational concerns, were the main factors leading to transfer to another OT residency programme.
本研究旨在分析导致土耳其骨科和创伤学住院医师项目辞职的因素，并确定骨科和创伤学住院医师项目整体辞职率。
在这项横断面调查中，纳入了 2013 年秋季至 2020 年春季期间辞职或转至其他骨科和创伤科诊所的 120 名住院医师。他们被要求通过 Whatsapp 应用程序或电子邮件填写问卷。问卷分为两部分; A 部分，即辞职部分，包括 15 个问题，B 部分，即转至另一门骨科和创伤学课程部分，包括 12 个问题。两个部分都有开放式和选择题。
在 120 名住院医师中，有 96 名（6.6%）辞职并转至另一专业，24 名（1.6%）根据我们的审查转至另一家骨科和创伤科诊所。根据 2013 年至 2020 年骨科和创伤学住院医师的总配额，总体辞职率为 8.2%。在有资格参加调查的 120 名骨科和创伤科住院医师中，83 名（70%）完成了问卷。96 名辞职的骨科和创伤科住院医师中有 61 名（60 名男性，1 名女性;中位数年龄=26 岁;年龄范围=25-35 岁）完成了 A 部分（应答率为 63.5%）;24 名转至另一骨科和创伤科诊所的住院医师中，有 22 名（22 名男性;中位数年龄=27.6 岁;年龄范围=25-34 岁）完成了 B 部分（应答率为 91.6%）。在 A 部分中，61 人中的 40 人（65.5%）首选骨科和创伤学专业作为 TUS 的第一选择，34 名住院医师（55.7%）表示在开始诊所前没有足够的关于住院医师计划的信息。在 B 部分中，22 名住院医师中有 13 名（59%）表示骨科和创伤学住院医师不是他们在 TUS 的第一选择，18 名（81.8%）表示他们对首选诊所没有足够的了解。辞职或转至另一个专业的最常见原因是工作量大（n=46，74.19%），其次是工作时间过长（n=45，72.58%）。转至另一家骨科和创伤科诊所的最常见原因是枯燥乏味（n=10，45.5%），其次是骨科和创伤学住院医师项目中的等级制度问题（n=9，40.9%）。
这项调查的结果表明，根据 2013 年至 2020 年骨科住院医师的总配额，骨科住院医师的总体辞职率为 8.2%，这表明骨科住院医师辞职是土耳其的一个重要问题。工作量大和工作时间过长是骨科住院医师项目辞职的最常见原因。此外，使住院医师脱离实际工作职责、学术和教育问题的额外工作是导致转至另一门骨科和创伤学住院医师课程的主要因素。
