Factors Associated with Residency and Career Dissatisfaction in Childbearing Surgical Residents

JAMA Surgery

Volumn 153, Issue 11, 2018, Pages 1004-1011

  Rangel, Erika L ^a,b   Lyu, Heather ^a,b   Haider, Adil H ^a,b   Castillo Angeles, Manuel ^a,b   Doherty, Gerard M ^a,b   Smink, Douglas S ^a,b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHILD; DECISION MAKING; FEMALE; GENERAL SURGERY; HUMAN; HUMAN EXPERIMENT; MAJOR CLINICAL STUDY; MEDICAL STUDENT; MENTOR; MOTHER; PERCEPTION; PREGNANCY; QUESTIONNAIRE; RESIDENT; STIGMA; SURGERY; WORKPLACE; ADULT; FEMALE PHYSICIAN; HEALTH PERSONNEL ATTITUDE; JOB SATISFACTION; MEDICAL EDUCATION; ORGANIZATIONAL POLICY; PARENTAL LEAVE; SOCIAL STIGMA; UNITED STATES; WORK-LIFE BALANCE;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CAREER CHOICE; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; JOB SATISFACTION; ORGANIZATIONAL POLICY; PARENTAL LEAVE; PHYSICIANS, WOMEN; PREGNANCY; SOCIAL STIGMA; SURVEYS AND QUESTIONNAIRES; UNITED STATES; WORK-LIFE BALANCE;

EID: 85052688558     PISSN: 21686254     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamasurg.2018.2571     Document Type: Article

References (41)

1. AAMC.org. Facts: applicants, matriculants, enrollment, graduates, MD-PhD, and residency applicants' data. https://www.aamc.org/download/321442/data/factstablea1.pdf. Accessed January 22, 2018.
2. AAMC.org. Facts: residency applicants from US MD-granting schools to ACFME-accredited programs by specialty and sex, 2017-2018. https://www.aamc.org/download/321560/data/factstablec2.pdf. Accessed January 22, 2018.
3. Park J, Minor S, Taylor RA, Vikis E, Poenaru D. Why are women deterred from general surgery training? Am J Surg. 2005; 190 (1): 141-146. 15972188
4. Cochran A, Melby S, Neumayer LA. An internet-based survey of factors influencing medical student selection of a general surgery career. Am J Surg. 2005; 189 (6): 742-746. 15910730
5. Wendel TM, Godellas CV, Prinz RA. Are there gender differences in choosing a surgical career? Surgery. 2003; 134 (4): 591-596. 14605619
6. Khoushhal Z, Hussain MA, Greco E, Prevalence and causes of attrition among surgical residents: a systematic review and meta-analysis. JAMA Surg. 2017; 152 (3): 265-272. 27973673
7. Naylor RA, Reisch JS, Valentine RJ. Factors related to attrition in surgery residency based on application data. Arch Surg. 2008; 143 (7): 647-651. 18645106
8. Gifford E, Galante J, Kaji AH, Factors associated with general surgery residents' desire to leave residency programs: a multi-institutional study. JAMA Surg. 2014; 149 (9): 948-953. 25075473
9. Phillips EA, Nimeh T, Braga J, Lerner LB. Does a surgical career affect a woman's childbearing and fertility? a report on pregnancy and fertility trends among female surgeons. J Am Coll Surg. 2014; 219 (5): 944-950. 25260684
10. Lerner LB, Stolzmann KL, Gulla VD. Birth trends and pregnancy complications among women urologists. J Am Coll Surg. 2009; 208 (2): 293-297. 19228542
11. Rangel EL, Smink DS, Castillo-Angeles M, Pregnancy and motherhood during surgical training: results of a nationwide survey of general surgery residents [published online March 21, 2018]. JAMA Surg. doi: 10.1001/jamasurg.2018.0153
12. Shanafelt TD, Balch CM, Bechamps GJ, Burnout and career satisfaction among American surgeons. Ann Surg. 2009; 250 (3): 463-471. 19730177
13. Dyrbye LN, Freischlag J, Kaups KL, Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce. Arch Surg. 2012; 147 (10): 933-939. 23117833
14. Frank E, McMurray JE, Linzer M, Elon L; Society of General Internal Medicine Career Satisfaction Study Group. Career satisfaction of US women physicians: results from the Women Physicians' Health Study. Arch Intern Med. 1999; 159 (13): 1417-1426. 10399893
15. Levinson W, Tolle SW, Lewis C. Women in academic medicine: combining career and family. N Engl J Med. 1989; 321 (22): 1511-1517. 2811971
16. HIS Markit Inc. The complexities of physician supply and demand: projections from 2015-2030. https://aamc-black.global.ssl.fastly.net/production/media/filer-public/a5/c3/a5c3d565-14ec-48fb-974b-99fafaeecb00/aamc-projections-update-2017.pdf. Accessed January 2, 2018.
17. Dodson TF, Webb AL. Why do residents leave general surgery? the hidden problem in today's programs. Curr Surg. 2005; 62 (1): 128-131. 15708164
18. Longo WE, Seashore J, Duffy A, Udelsman R. Attrition of categoric general surgery residents: results of a 20-year audit. Am J Surg. 2009; 197 (6): 774-778. 19178898
19. Yeo H, Viola K, Berg D, Attitudes, training experiences, and professional expectations of US general surgery residents: a national survey. JAMA. 2009; 302 (12): 1301-1308. 19773565
20. Dageforde LA, Kibbe M, Jackson GP. Recruiting women to vascular surgery and other surgical specialties. J Vasc Surg. 2013; 57 (1): 262-267. 23141685
21. Colletti LM, Mulholland MW, Sonnad SS. Perceived obstacles to career success for women in academic surgery. Arch Surg. 2000; 135 (8): 972-977. 10922261
22. Dyrbye LN, Shanafelt TD, Balch CM, Satele D, Sloan J, Freischlag J. Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg. 2011; 146 (2): 211-217. 21339435
23. Burack JH, Irby DM, Carline JD, Ambrozy DM, Ellsbury KE, Stritter FT. A study of medical students' specialty-choice pathways: trying on possible selves. Acad Med. 1997; 72 (6): 534-541. 9200589
24. Gordinier ME, Ramondetta LM, Parker LP, Survey of female gynecologic oncologists and fellows: balancing professional and personal life. Gynecol Oncol. 2000; 79 (2): 309-314. 11063663
25. Freischlag JA, Silva MM. Preventing general surgery residency attrition: it is all about the mentoring. JAMA Surg. 2017; 152 (3): 272-273. 27973639
26. Elmore LC, Jeffe DB, Jin L, Awad MM, Turnbull IR. National survey of burnout among US general surgery residents. J Am Coll Surg. 2016; 223 (3): 440-451. 27238875
27. McCord JH, McDonald R, Sippel RS, Leverson G, Mahvi DM, Weber SM. Surgical career choices: the vital impact of mentoring. J Surg Res. 2009; 155 (1): 136-141. 19041099
28. McCord JH, McDonald R, Leverson G, Motivation to pursue surgical subspecialty training: is there a gender difference? J Am Coll Surg. 2007; 205 (5): 698-703. 17964446
29. Sullivan MC, Bucholz EM, Yeo H, Roman SA, Bell RH, Sosa JA. "Join the club": effect of resident and attending social interactions on overall satisfaction among 4390 general surgery residents. Arch Surg. 2012; 147 (5): 408-414. 22785631
30. Garza RM, Weston JS, Furnas HJ. Pregnancy and the plastic surgery resident. Plast Reconstr Surg. 2017; 139 (1): 245-252. 28027263
31. The American Board of Surgery Leave Policy. http://www.absurgery.org/default.jsp?policygsleave. Accessed October 21, 2017.
32. Abbett SK, Hevelone ND, Breen EM, Interest in and perceived barriers to flexible-track residencies in general surgery: a national survey of residents and program directors. J Surg Educ. 2011; 68 (5): 365-371. 21821214
33. Humphries LS, Lyon S, Garza R, Butz DR, Lemelman B, Park JE. Parental leave policies in graduate medical education: a systematic review. Am J Surg. 2017; 214 (4): 634-639. 28751061
34. Turner PL, Lumpkins K, Gabre J, Lin MJ, Liu X, Terrin M. Pregnancy among women surgeons: trends over time. Arch Surg. 2012; 147 (5): 474-479. 22351877
35. Sandler BJ, Tackett JJ, Longo WE, Yoo PS. Pregnancy and parenthood among surgery residents: results of the first nationwide survey of general surgery residency program directors. J Am Coll Surg. 2016; 222 (6): 1090-1096. 26776357
36. Santen SA, Davis KR, Brady DW, Hemphill RR. Potentially discriminatory questions during residency interviews: frequency and effects on residents' ranking of programs in the national resident matching program. J Grad Med Educ. 2010; 2 (3): 336-340. 21976079
37. Adesoye T, Mangurian C, Choo EK, Girgis C, Sabry-Elnaggar H, Linos E; Physician Moms Group Study Group. Perceived discrimination experience by physician mothers and desired workplace changes: a cross-sectional survey. JAMA Intern Med. 2017; 177 (7): 1033-1036. 28492824
38. McGuire LK, Bergen MR, Polan ML. Career advancement for women faculty in a U.S. school of medicine: perceived needs. Acad Med. 2004; 79 (4): 319-325. 15044163
39. Herman RE, Koppa D, Sullivan P. Sick-child daycare promotes healing and staffing. Nurs Manage. 1999; 30 (4): 46-47. 10373886
40. Key LL Jr. Child care supplementation: aid for residents and advantages for residency programs. J Pediatr. 2008; 153 (4): 449-450. 18847613
41. Merchant SJ, Hameed SM, Melck AL. Pregnancy among residents enrolled in general surgery: a nationwide survey of attitudes and experiences. Am J Surg. 2013; 206 (4): 605-610. 23200987