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  1. Gender-related attrition in a general surgery training program.

    Article, Communication - En anglais

    Annual Meeting of the Association for Academic Surgery. Dallas, TX, USA, 1997/11/06.


    Attracting and retaining highly qualified applicants to careers in surgery is a goal of residency training programs.

    Few studies of attrition in residency exist.

    This study examines the hypothesis that reasons for attrition during general surgery training are different for male and female trainees.

    Materials and methods

    NRMP matching information was used to evaluate attrition rates in a categorical general surgery (CGS) residency program from 1984 through 1996.

    The records of all matched residents were examined to determine the association between gender and attrition outcomes.

    Outcome variables included 

    Voluntary vs involuntary withdrawal and the reasons for withdrawal.


    During the study period 132 candidates matched (103 men and 29 women) into CGS positions.

    Of that group, 18 residents, 11 (10.7%) from the male and 7 (24.1%) from the female cohorts withdrew.

    Only three involuntary withdrawals occurred.

    Women were 2.26 times more likely to withdraw than men, a finding that is not statistically significant (P=0.073).

    Women rarely left for preference of other specialty (relative risk 0.25), whereas men were 4 times more likely to leave for this reason.


    These numbers suggest that women are at higher risk of leaving general surgery training than men.

    When women do leave, it is more likely for family reasons such as lifestyle considerations or to join a spouse in another geographic location. (...)

    Mots-clés Pascal : Formation professionnelle, Chirurgien, Arrêt définitif, Chirurgie, Indication, Sexe, Etude statistique, Homme

    Mots-clés Pascal anglais : Occupational training, Surgeon, Definitive shutdown, Surgery, Indication, Sex, Statistical study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0404980

    Code Inist : 002B30A05. Création : 25/01/1999.