Aufses A H, Slater G I, Hollier L H
Department of Surgery, Mount Sinai School of Medicine of the City University of New York, New York 10029, USA.
Am J Surg. 1998 Mar;175(3):236-9. doi: 10.1016/s0002-9610(97)00292-4.
Little is known about the fate of categorical surgical residents who leave a program or if they differ from those who successfully complete a program.
Matching into separate categorical and preliminary categories with elimination of the pyramid began in 1982. The files of all categorical residents matched between 1982 and 1995 were reviewed for demographic and scholastic data. Drop-outs were compared with the residents who completed the program and with the current house staff. All residents have been followed up to the present.
Between 1982 and 1996, 19 of 88 (22%) categorical residents who matched into the program left voluntarily. Eleven of 63 (17%) were male and 8 of 25 (32%) female (P = 0.12; test of proportions-Z = -1.55). They entered both surgical and nonsurgical fields. The major reasons for leaving were related to life-style issues. Their academic credentials are very similar to those who remained.
The drop-out rate of categorical surgical residents is significant, and replacing them is not easy. We have not identified any characteristics that might predict attrition.
对于离开某一项目的普通外科住院医师的去向，以及他们与成功完成该项目的住院医师是否存在差异，目前了解甚少。
自1982年起，开始采用匹配法将住院医师分为普通类别和初步类别，并取消层级体系。对1982年至1995年期间所有匹配的普通外科住院医师档案进行回顾，收集人口统计学和学业数据。将退出者与完成该项目的住院医师以及当前的住院医护人员进行比较。所有住院医师均随访至今。
1982年至1996年期间，匹配进入该项目的88名普通外科住院医师中有19名（22%）自愿离开。63名男性中有11名（17%），25名女性中有8名（32%）（P = 0.12；比例检验-Z = -1.55）。他们进入了外科和非外科领域。离开的主要原因与生活方式问题有关。他们的学术资质与留下的住院医师非常相似。
普通外科住院医师的退出率较高，且难以补充替代。我们尚未发现任何可能预测人员流失的特征。
