Factors Associated With Attrition Among Otolaryngology-Head and Neck Surgery Residents: A 10-Year Analysis.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2024-11-14 DOI:10.1002/ohn.1059

Uche C Ezeh, Kenechukwu Charles-Obi, Carlos Green, Elizabeth Nicolli, Aaron A Gurayah, Brea C Willey, Darius Balumuka, Lauren M Yarholar, Amanda Gosman, Zoukaa Sargi

{"title":"Factors Associated With Attrition Among Otolaryngology-Head and Neck Surgery Residents: A 10-Year Analysis.","authors":"Uche C Ezeh, Kenechukwu Charles-Obi, Carlos Green, Elizabeth Nicolli, Aaron A Gurayah, Brea C Willey, Darius Balumuka, Lauren M Yarholar, Amanda Gosman, Zoukaa Sargi","doi":"10.1002/ohn.1059","DOIUrl":null,"url":null,"abstract":"Objective: To identify the risk factors for Otolaryngology-Head and Neck Surgery (OHNS) resident attrition.Study design: Retrospective cohort study.Setting: Annual Graduate Medical Education track survey.Methods: We conducted a retrospective analysis of OHNS residents who matriculated between 2006 and 2015. Variables analyzed included age at matriculation, sex, race/ethnicity, medical degree type, program location, attrition status, and matriculation year period (2006-2010, 2011-2015). A logistic regression model was used to determine factors predictive of attrition, with a significance level set at P < .05.Results: A total of 3073 residents were analyzed. The overall attrition rate was 3.7%. Multivariable regression showed older residents (≥30 years) had a 2.1 times higher risk of attrition compared to younger residents (≤29 years) (adjusted odds ratio [aOR]: 2.1; 95% confidence interval, CI [1.383-3.316], P < .001). Underrepresented minorities in medicine (URiM) residents had a 3.5 times higher risk of attrition compared to whites (aOR: 3.5; 95% CI [1.823-6.806], P < .001). Southern US programs had a 2.5 times higher risk of attrition compared to northeastern programs (aOR: 2.5; 95% CI [1.480-4.315], P < .001). There was no statistically significant difference in attrition based on sex, medical degree type, or matriculation year period.Conclusion: A higher risk of attrition was found among OHNS trainees who were older, self-identified as URiM, and in the southern US programs. There was no significant difference in attrition risk based on gender, medical degree type, or matriculation period. Further research is needed to understand the reasons for attrition and to develop strategies to promote inclusion and diversity in OHNS.","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otolaryngology- Head and Neck Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ohn.1059","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To identify the risk factors for Otolaryngology-Head and Neck Surgery (OHNS) resident attrition.

Study design: Retrospective cohort study.

Setting: Annual Graduate Medical Education track survey.

Methods: We conducted a retrospective analysis of OHNS residents who matriculated between 2006 and 2015. Variables analyzed included age at matriculation, sex, race/ethnicity, medical degree type, program location, attrition status, and matriculation year period (2006-2010, 2011-2015). A logistic regression model was used to determine factors predictive of attrition, with a significance level set at P < .05.

Results: A total of 3073 residents were analyzed. The overall attrition rate was 3.7%. Multivariable regression showed older residents (≥30 years) had a 2.1 times higher risk of attrition compared to younger residents (≤29 years) (adjusted odds ratio [aOR]: 2.1; 95% confidence interval, CI [1.383-3.316], P < .001). Underrepresented minorities in medicine (URiM) residents had a 3.5 times higher risk of attrition compared to whites (aOR: 3.5; 95% CI [1.823-6.806], P < .001). Southern US programs had a 2.5 times higher risk of attrition compared to northeastern programs (aOR: 2.5; 95% CI [1.480-4.315], P < .001). There was no statistically significant difference in attrition based on sex, medical degree type, or matriculation year period.

Conclusion: A higher risk of attrition was found among OHNS trainees who were older, self-identified as URiM, and in the southern US programs. There was no significant difference in attrition risk based on gender, medical degree type, or matriculation period. Further research is needed to understand the reasons for attrition and to develop strategies to promote inclusion and diversity in OHNS.

查看原文本刊更多论文

耳鼻咽喉头颈外科住院医师自然减员的相关因素：10年分析。

研究目的确定耳鼻咽喉头颈外科（OHNS）住院医师流失的风险因素：研究设计：回顾性队列研究：年度毕业医学教育跟踪调查：我们对 2006 年至 2015 年间入学的 OHNS 住院医师进行了回顾性分析。分析的变量包括入学年龄、性别、种族/民族、医学学位类型、项目地点、自然减员情况和入学年份（2006-2010 年，2011-2015 年）。采用逻辑回归模型来确定预测自然减员的因素，显著性水平设定为 P 结果：共分析了 3073 名住院医师。总体流失率为 3.7%。多变量回归显示，与年轻居民（≤29 岁）相比，年龄较大的居民（≥30 岁）的流失风险高出 2.1 倍（调整后的几率比 [aOR]：2.1；95% 置信区间，CI [1.383-3.316]，P 结论：年龄较大、自我认同为 URiM 且在美国南部学习的 OHNS 受训人员自然减员的风险较高。性别、医学学位类型或预科时间在流失风险方面没有明显差异。我们需要开展进一步的研究，以了解自然减员的原因，并制定策略来促进 OHNS 的包容性和多样性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.