In:
Die Unfallchirurgie, Springer Science and Business Media LLC, Vol. 126, No. 10 ( 2023-10), p. 788-798
Abstract:
Currently, there are no data available on dropouts from residency programs and changes of clinic in orthopedics and trauma surgery (O & T). The aim of the study is to identify personal and structural risk factors leading to dropout or switching of postgraduate training in O & T in order to present solution strategies. Methods A nationwide anonymous online survey was conducted among residents in O & T in summer 2020. Official mail addresses were identified via the Traumanetzwerk© of the DGU and the German Hospital Federation ( n = 2090). A questionnaire (51 questions) was administered using SurveyMonkey (San Mateo, CA, USA). All residents who worked in O & T for at least 1 month in the 6 years prior to the start of the survey (from 07/2014) were eligible to participate. A binary logistic regression was calculated to identify the risk factors. The significance level was p = 0.05. Results Of the 221 respondents, 37% switched hospital and 5% dropped out altogether. The regression revealed 3 significant risk factors for switching hospitals. Living in a partnership ( p = 0.029, RR: 2.823) and less than 2 days of shadowing before the start of residency ( p = 0.002, RR: 2.4) increased the risk of switching. Operating room (OR) allocation of residents according to the training plan/status ( p = 0.028, RR: 0.48) reduces the risk of switching. Significant risk factors for leaving postgraduate training could not be determined (insufficient number of cases, n = 11). Discussion Switching the hospital and residency dropouts in O & T are a relevant problem (42%). Gender has no significant influence. Tools such as longer job shadowing, as well as OR allocation according to the training plan/status can minimize the risk of switching.
Type of Medium:
Online Resource
ISSN:
2731-7021
,
2731-703X
DOI:
10.1007/s00113-022-01249-x
Language:
German
Publisher:
Springer Science and Business Media LLC
Publication Date:
2023
detail.hit.zdb_id:
3120926-9
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