Race and Surgical Residency: Results from A National Survey of 4,339 US General Surgery Residents

Wong, Risa Liang; Sullivan, Michael C.; Yeo, Heather; Roman, Sanziana A.; Sosa, Julie Ann

doi:10.1016/j.jss.2011.11.613

Cited by 30 publications

(55 citation statements)

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“…Previous cross-sectional NEARS analyses have identified a prominent effect of race, 18 sex, and family 19,20 on residency experience and professional objectives, as well as an association between factors such as operative confidence and collegial interactions among residents and faculty with program satisfaction. 21,22 We also have described the distinct experiences of residents by program type and training year.…”

mentioning

confidence: 99%

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Sullivan

Yeo

Roman

et al. 2013

Journal of the American College of Surgeons

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mentioning

confidence: 99%

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Sullivan

Yeo

Roman

et al. 2013

Journal of the American College of Surgeons

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“…The fact that Hispanic residents are an underrepresented group in postgraduate medicine may result in less access to role models they can identify with which may impede residency satisfaction [42]. Residents of non-white ethnicity were less likely to feel they fit in their residency programme which may partly explain the higher attrition [43].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Attrition and Performance Throughout Surgical Training: A Systematic Review and Meta‐Analysis

et al. 2020

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Background Attrition within surgical training is a challenge. In the USA, attrition rates are as high as 20–26%. The factors predicting attrition are not well known. The aim of this systematic review is to identify factors that influence attrition or performance during surgical training. Method The review was performed in line with PRISMA guidelines and registered with the Open Science Framework (OSF). Medline, EMBASE, PubMed and the Cochrane Central Register of Controlled Trials were searched for articles. Risk of bias was assessed using the Newcastle–Ottawa scale. Pooled estimates were calculated using random effects meta-analyses in STATA version 15 (Stata Corp Ltd). A sensitivity analysis was performed including only multi-institutional studies. Results The searches identified 3486 articles, of which 31 were included, comprising 17,407 residents. Fifteen studies were based on multi-institutional data and 16 on single-institutional data. Twenty-nine of the studies are based on US residents. The pooled estimate for overall attrition was 17% (95% CI 14–20%). Women had a significantly higher pooled attrition than men (24% vs 16%, p < 0.001). Some studies reported Hispanic residents had a higher attrition rate than non-Hispanic residents. There was no increased risk of attrition with age, marital or parental status. Factors reported to affect performance were non-white ethnicity and faculty assessment of clinical performance. Childrearing was not associated with performance. Conclusion Female gender is associated with higher attrition in general surgical residency. Longitudinal studies of contemporary surgical cohorts are needed to investigate the complex multi-factorial reasons for failing to complete surgical residency.

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“…Membership to this prestigious honor society has a large influence during residency application process, especially for highly competitive specialties. A national survey of 4,339 general surgery residents found that compared to their white colleagues, physicians of color are less likely to feel compatible with their residency program and have less positive relationships with faculty and peers [43].…”

Section: Physicians Of Colormentioning

confidence: 99%

Multiple Identities: A Literature Review on the Unique Experiences and Challenges of LGBT Female Physicians of Color

Wong¹,

Tucker²

2018

Fam Med Med Sci Res

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Lesbian, gay, bisexual, and transgender (LGBT) female physicians of color experience an interesting intersectionality of identities. While socially advantaged due to their status as physicians, they are also struck with socially disadvantageous statuses by being female, person of color, and LGBT. These individuals are united by recurring themes of oppression, lack of visibility, perceived inferiority, and of course empowerment. The purpose of this paper is to review the current literature on LGBT female physicians of color and to provide a framework for potential solutions. By increasing the number of LGBT female physicians of color in both the general workforce and positions of leadership, the patient-physician relationship can be strengthened, improving healthcare outcomes for the underserved. Further, improved physician satisfaction will promote physician wellbeing and longevity and protect against physician burnout.

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Race and Surgical Residency: Results from A National Survey of 4,339 US General Surgery Residents

Cited by 30 publications

References 0 publications

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Factors Associated with Attrition and Performance Throughout Surgical Training: A Systematic Review and Meta‐Analysis

Multiple Identities: A Literature Review on the Unique Experiences and Challenges of LGBT Female Physicians of Color

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