Resident attrition remains high in general surgical training programs, in which approximately 1 in 5 residents will not complete training. This rate is higher than those of other surgical specialties and has remained constant since the 1990s.1,2 Attrition has not appreciably changed with Accreditation Council for Graduate Medical Education recommendations about duty hours, suggesting that attrition is not just about hours of training. Multiple studies during the past 25 years have examined factors potentially leading to attrition, such as age, sex, American Board of Surgery In-Service Training Examination scores, marital status, and program characteristics with inconsistent findings.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Shaw C, Sarosi GA. Reducing Surgical Resident Attrition. JAMA Surg. 2018;153(8):717–718. doi:10.1001/jamasurg.2018.0619
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: