Attitudes, training experiences, and professional expectations of US general surgery residents: A national survey

JAMA

Volumn 302, Issue 12, 2009, Pages 1301-1308

  Yeo, Heather ^a   Viola, Kate ^a   Berg, David ^a   Lin, Zhenqiu ^b   Nunez Smith, Marcella ^a   Cammann, Cortland ^c   Bell, Richard H ^d   Sosa, Julie Ann ^a   Krumholz, Harlan M ^a,b   Curry, Leslie A ^a,e  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b YALE NEW HAVEN HOSPITAL   (United States)

^c CAPELLA UNIVERSITY   (United States)

^d American Board of Surgery Inc   (United States)

^e YALE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CAREER; CROSS-SECTIONAL STUDY; EXPECTATION; EXPERIENCE; GENERAL SURGERY; MOTIVATION; PEER GROUP; PERCEPTION; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; RESIDENCY EDUCATION; RESIDENT; SATISFACTION; SEX DIFFERENCE; SOCIAL SUPPORT;

EID: 70349319816     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2009.1386     Document Type: Article

References (44)

1. Bell RH Jr, Banker MB, Rhodes RS, Biester TW, Lewis FR. Graduate medical education in surgery in the United States. Surg Clin North Am. 2007;87(4):811-823, v-vi.
2. Longo WE. Attrition: our biggest continuing challenge. Am J Surg. 2007;194(5):567-575.
3. Neumayer L, Kaiser S, Anderson K, et al. Perceptions of women medical students and their influence on career choice. Am J Surg. 2002;183(2):146-150. (Pubitemid 34246426)
4. Stabile BE. The surgeon: a changing profile. Arch Surg. 2008;143(9):827-831.
5. Fischer JE. The impending disappearance of the general surgeon. JAMA. 2007;298(18):2191-2193.
6. Borman KR, Vick LR, Biester TW, Mitchell ME. Changing demographics of residents choosing fellowships: longterm data from the American Board of Surgery. J Am Coll Surg. 2008;206(5):782-788.
7. Dodson TF, Webb AL. Why do residents leave general surgery? The hidden problem in today's programs. Curr Surg. 2005;62(1):128-131.
8. Debas HT. Surgery: a noble profession in a changing world. Ann Surg. 2002;236(3):263-269.
9. Aufses AH Jr, Slater GI, Hollier LH. The nature and fate of categorical surgical residents who "drop out." Am J Surg. 1998;175(3):236-239.
10. Lynge DC, Larson EH, Thompson MJ, Rosenblatt RA, Hart LG. A longitudinal analysis of the general surgery workforce in the United States, 1981-2005. Arch Surg. 2008;143(4):345-350.
11. Powell AC, McAneny D, Hirsch EF. Trends in general surgery workforce data. Am J Surg. 2004;188(1):1-8. (Pubitemid 38823046)
12. Sheldon GF. Workforce issues in general surgery. Am Surg. 2007;73(2):100-108.
13. Davenport DL, Henderson WG, Hogan S, Mentzer RM Jr, Zwischenberger JB. Surgery resident working conditions and job satisfaction. Surgery. 2008;144(2):332-338 . (Pubitemid 352010315)
14. Ko CY, Escarce JJ, Baker L, Sharp J, Guarino C. Predictors of surgery resident satisfaction with teaching by attendings: a national survey. Ann Surg. 2005;241(2):373-380.
15. Irani JL, Mello MM, Ashley SW, Whang EE, Zinner MJ, Breen E. Surgical residents' perceptions of the effects of the ACGME duty hour requirements 1 year after implementation. Surgery. 2005;138(2):246-253. (Pubitemid 41253807)
16. Myers JS, Bellini LM, Morris JB, et al. Internal medicine and general surgery residents' attitudes about the ACGME duty hours regulations: a multicenter study. Acad Med. 2006;81(12):1052-1058.
17. Whang EE, Perez A, Ito H, Mello MM, Ashley SW, Zinner MJ. Work hours reform: perceptions and desires of contemporary surgical residents. J AmColl Surg. 2003;197(4):624-630. (Pubitemid 38223850)
18. Schenarts PJ, Anderson Schenarts KD, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274.
19. Incorvaia AN, Ringley CD, Boysen DA. Factors influencing surgical career decisions. Curr Surg. 2005;62(4):429-435.
20. Baxter N, Cohen R, McLeod R. The impact of gender on the choice of surgery as a career. Am J Surg. 1996;172(4):373-376. (Pubitemid 26346954)
21. Gargiulo DA, Hyman NH, Hebert JC. Women in surgery: do we really understand the deterrents? Arch Surg. 2006;141(4):405-407.
22. Breen E, Irani JL, Mello MM, Whang EE, Zinner MJ, Ashley SW. The future of surgery: today's residents speak. Curr Surg. 2005;62(5):543-546. (Pubitemid 41194933)
23. Everett CB, Helmer SD, Osland JS, Smith RS. General surgery resident attrition and the 80-hour workweek. Am J Surg. 2007;194(6):751-756.
24. Naylor RA, Reisch JS, Valentine RJ. Factors related to attrition in surgery residency based on application data. Arch Surg. Jul 2008;143(7):647-651.
25. Bergen PC, Turnage RH, Carrico CJ. Genderrelated attrition in a general surgery training program. J Surg Res. 1998;77(1):59-62.
26. Kohanzadeh S, Hayase Y, Lefor MK, Nagata Y, Lefor AT. Factors affecting attrition in graduate surgical education. Am Surg. 2007;73(10):963-966.
27. Leibrandt TJ, Pezzi CM, Fassler SA, Reilly EF, Morris JB. Has the 80-hour work week had an impact on voluntary attrition in general surgery residency programs? J Am Coll Surg. 2006;202(2):340-344.
28. Krause N. A comprehensive strategy for developing closed-ended survey items for use in studies of older adults. J Gerontol B Psychol Sci Soc Sci. 2002;57(5):S263-S274. (Pubitemid 34983329)
29. Patton M. Qualitative Research and Evaluation Methods. 3rd ed. Thousand Oaks, CA: Sage; 2002.
30. Miles MHA. Qualitative Data Analysis: An Expanded Sourcebook. Thousand Oaks, CA: Sage; 1994.
31. Britten N. Qualitative interviews in medical research. BMJ. 1995;311(6999):251-253.
32. Pope C, Ziebland S, Mays N. Qualitative research in health care. Analysing qualitative data. BMJ. 2000;320(7227):114-116. (Pubitemid 30173021)
33. Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for health services research: developing taxonomy, themes, and theory. Health Serv Res. 2007;42(4):1758-1772.
34. Glaser BSA. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago, IL: Aldine; 1967.
35. Association of American Medical Colleges. Diversity in Medical Education: Facts and Figures 2008. 2008. American Association of Medical Colleges. Washington, DC. https://services.aamc.org/publications. Accessed May 26, 2009.
36. Physician Specialty Data. A Chart Book. Association of American Medical Colleges. 2006. Association of American Medical Colleges. Washington, DC. https://services.aamc.org/publications. Accessed May 26, 2009.
37. Kwakwa F, Jonasson O. Attrition in graduate surgical education: an analysis of the 1993 entering cohort of surgical residents. J Am Coll Surg. 1999;189(6):602-610.
38. Morris JB, Leibrandt TJ, Rhodes RS. Voluntary changes in surgery career paths: a survey of the program directors in surgery. J Am Coll Surg. 2003;196(4):611-616.
39. O'Leary J, Capote L. Surgical residency dropout rate. Curr Surg. 1997;54(5):275-278.
40. Borman KR, Vick LR, Dattilo JB, Tarpley JL, Mitchell ME. Factors in fellowship selection: effect of services and fellows. J Surg Res. 2009:154(2):274-278.
41. Sudman S, Bradburn NM, Schwarz N. Thinking About answers: The Application of Cognitive Processes to Survey Methodology. San Francisco, CA: Jossey-Bass Publishers; 1996.
42. Sudman S, Bradburn NM. Asking Questions: A Practical Guide to Questionnaire Design. San Francisco, CA: Jossey-Bass Publishers; 1982.
43. Andriole DA, Jeffe DB, Schechtman KB. Is surgical workforce diversity increasing? J Am Coll Surg. 2007;204(3):469-477.
44. Borman KR. Gender issues in surgical training: from minority to mainstream. Am Surg. 2007;73(2):161-165.