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.
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Shaw C, Sarosi GA. Reducing Surgical Resident Attrition. JAMA Surg. Published online April 18, 2018. doi:10.1001/jamasurg.2018.0619
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