We have met the enemy and they are us

Markedly higher than other surgical specialties (Orthopedic Surgery 2.9%; Urology 3.2%; Otolaryngology 4.2%, Obstetrics & Gynecology 6.5%) with only Neurologic Surgery at 15.1% approaching our specialty.2 Thus, we shouldn’t blame attrition in General Surgery on issues inherent in a surgical care...

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Bibliographic Details
Published in:	The American journal of surgery Vol. 220; no. 3; p. 518
Main Author:	Nelson, M. Timothy
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-09-2020 Elsevier Limited
Subjects:	Bone surgery Careers Gynecology Obstetrics Orthopedics Otolaryngology Surgery Training Urology Education
Online Access:	Get full text
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Summary:	Markedly higher than other surgical specialties (Orthopedic Surgery 2.9%; Urology 3.2%; Otolaryngology 4.2%, Obstetrics & Gynecology 6.5%) with only Neurologic Surgery at 15.1% approaching our specialty.2 Thus, we shouldn’t blame attrition in General Surgery on issues inherent in a surgical career since, if that were true, we would expect a similar rate in other surgical specialties. 8 An in-depth qualitative study of 19 residents who had left general surgery residency programs identified 4 themes, all of which were programmatic.9 We learn much from these and other studies about factors that contribute to residents not completing their training. What role have we played in these factors that drive a competent former medical student to leave the surgical training and career of which they formerly dreamed?
Bibliography:	SourceType-Other Sources-1 content type line 63 ObjectType-Correspondence-1 ObjectType-Commentary-2
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2020.05.013