The Nature and Fate of Categorical Surgical Residents Who “Drop Out”
Background: 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. Methods: Matching into separate categorical and preliminary categories with elimination of the pyramid began in 1982. The files of all ca...
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| Veröffentlicht in: | The American journal of surgery 1998-03, Vol.175 (3), p.236-239 |
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| creator | Aufses, Arthur H Slater, Gary I Hollier, Larry H |
| description | Background: 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.
Methods: 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.
Results: 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.
Conclusions: 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. |
| doi_str_mv | 10.1016/S0002-9610(97)00292-4 |
| format | Article |
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Methods: 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.
Results: 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.
Conclusions: 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.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(97)00292-4</identifier><identifier>PMID: 9560128</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Anesthesiology ; Biological and medical sciences ; Bone surgery ; Career Choice ; Dermatology ; Female ; General Surgery - education ; Gynecology ; Health participants ; Humans ; Internal medicine ; Internship and Residency ; Life Style ; Male ; Males ; Medical residencies ; Medical sciences ; Medicine ; New York City ; Obstetrics ; Orthopedics ; Plastic surgery ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Radiation ; Student Dropouts ; Students ; Surgeons ; Urology</subject><ispartof>The American journal of surgery, 1998-03, Vol.175 (3), p.236-239</ispartof><rights>1998 Elsevier Science Inc.</rights><rights>1998 INIST-CNRS</rights><rights>1998. Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-4ecd55ebd64f1100b5214eddca49c88b8d6d5194db746549f79cf7ea08f057533</citedby><cites>FETCH-LOGICAL-c417t-4ecd55ebd64f1100b5214eddca49c88b8d6d5194db746549f79cf7ea08f057533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961097002924$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2208187$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9560128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aufses, Arthur H</creatorcontrib><creatorcontrib>Slater, Gary I</creatorcontrib><creatorcontrib>Hollier, Larry H</creatorcontrib><title>The Nature and Fate of Categorical Surgical Residents Who “Drop Out”</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Background: 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.
Methods: 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.
Results: 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.
Conclusions: 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.</description><subject>Adult</subject><subject>Anesthesiology</subject><subject>Biological and medical sciences</subject><subject>Bone surgery</subject><subject>Career Choice</subject><subject>Dermatology</subject><subject>Female</subject><subject>General Surgery - education</subject><subject>Gynecology</subject><subject>Health participants</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Internship and Residency</subject><subject>Life Style</subject><subject>Male</subject><subject>Males</subject><subject>Medical residencies</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>New York City</subject><subject>Obstetrics</subject><subject>Orthopedics</subject><subject>Plastic surgery</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Radiation</subject><subject>Student Dropouts</subject><subject>Students</subject><subject>Surgeons</subject><subject>Urology</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1KJDEQgIMoOqs-ghBQFvfQmvQkneQky7j-gCj4g8eQTqo1MtMZk27Bmw-y-3I-yWZ-mIMXT1VFfVUUXyG0R8kRJbQ6viOElIWqKDlU4lfOVVmwNTSgUqiCSjlcR4MVsoV-pPSSS0rZcBNtKl4RWsoBurh_Bnxtuj4CNq3DZ6YDHBo8yvEpRG_NGN_18Wme3ELyDtou4cfngD8__p7GMMU3fff58W8HbTRmnGB3GbfRw9mf-9FFcXVzfjn6fVVYRkVXMLCOc6hdxRpKCal5SRk4Zw1TVspauspxqpirBas4U41QthFgiGwIF3w43EY_F3unMbz2kDo98cnCeGxaCH3SQkmiBGcZ3P8CvoQ-tvk2XUomGJdKzii-oGwMKUVo9DT6iYnvmhI986znnvVMolZCzz3r2dzecntfT8CtppZic_9g2Tcpq2uiaa1PK6wsicyPytjJAoOs7M1D1Ml6aC04H8F22gX_zSH_AXWWmQU</recordid><startdate>19980301</startdate><enddate>19980301</enddate><creator>Aufses, Arthur H</creator><creator>Slater, Gary I</creator><creator>Hollier, Larry H</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19980301</creationdate><title>The Nature and Fate of Categorical Surgical Residents Who “Drop Out”</title><author>Aufses, Arthur H ; Slater, Gary I ; Hollier, Larry H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-4ecd55ebd64f1100b5214eddca49c88b8d6d5194db746549f79cf7ea08f057533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Anesthesiology</topic><topic>Biological and medical sciences</topic><topic>Bone surgery</topic><topic>Career Choice</topic><topic>Dermatology</topic><topic>Female</topic><topic>General Surgery - education</topic><topic>Gynecology</topic><topic>Health participants</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Internship and Residency</topic><topic>Life Style</topic><topic>Male</topic><topic>Males</topic><topic>Medical residencies</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>New York City</topic><topic>Obstetrics</topic><topic>Orthopedics</topic><topic>Plastic surgery</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Radiation</topic><topic>Student Dropouts</topic><topic>Students</topic><topic>Surgeons</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aufses, Arthur H</creatorcontrib><creatorcontrib>Slater, Gary I</creatorcontrib><creatorcontrib>Hollier, Larry H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aufses, Arthur H</au><au>Slater, Gary I</au><au>Hollier, Larry H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Nature and Fate of Categorical Surgical Residents Who “Drop Out”</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1998-03-01</date><risdate>1998</risdate><volume>175</volume><issue>3</issue><spage>236</spage><epage>239</epage><pages>236-239</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Background: 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.
Methods: 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.
Results: 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.
Conclusions: 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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9560128</pmid><doi>10.1016/S0002-9610(97)00292-4</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Anesthesiology Biological and medical sciences Bone surgery Career Choice Dermatology Female General Surgery - education Gynecology Health participants Humans Internal medicine Internship and Residency Life Style Male Males Medical residencies Medical sciences Medicine New York City Obstetrics Orthopedics Plastic surgery Public health. Hygiene Public health. Hygiene-occupational medicine Radiation Student Dropouts Students Surgeons Urology |
| title | The Nature and Fate of Categorical Surgical Residents Who “Drop Out” |
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