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The most common reported causes of attrition were uncontrollable lifestyle (range, 12%-87.5%) and transferring to another specialty (range, 19%-38.9%).Ĭonclusions and Relevance General surgery programs have relatively high attrition, with female residents more likely to leave their training programs than male residents.
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Departing residents often relocated to another general surgery program (20% 95% CI, 15%-24%) or switched to anesthesia (13% 95% CI, 11%-16%) and other specialties. Attrition was significantly higher among female compared with male (25% vs 15%, respectively P = .008) general surgery residents, and most residents left after their first postgraduate year (48% 95% CI, 39%-57%). The pooled estimate for the overall attrition prevalence among general surgery residents was 18% (95% CI, 14%-21%), with significant between-study variation ( I 2 = 96.8% P < .001). Results Overall, we included 22 studies that reported on residents (n = 19 821) from general surgery programs. Main Outcome and Measure Attrition prevalence of general surgery residents. We calculated pooled estimates using random effects meta-analyses where appropriate. Of the 41 full-text articles collected from the title/abstract screening, 22 studies (53.7%) met the selection criteria.ĭata Extraction and Synthesis Two reviewers independently collected and summarized the data. Commentaries, reviews, and studies reporting on preliminary surgery programs were excluded.
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Study Selection Eligibility criteria included all studies reporting on the primary (attrition prevalence) or secondary (causes of attrition and characteristics and destination of residents who leave residency programs) outcomes in peer-reviewed journals. Database searches were conducted on October 22, 2015. Objective To summarize the estimate of attrition prevalence among general surgery residents.ĭata Sources We searched the Medline, EMBASE, Cochrane, PsycINFO, and ERIC databases (January 1, 1946, to October 22, 2015) for studies reporting on the prevalence and causes of attrition in surgical residents, as well as the characteristics and destinations of residents who left general surgery training programs. Importance Attrition of residents from general surgery training programs is relatively high however, there are wide discrepancies in the prevalence and causes of attrition reported among surgical residents in previous studies. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Attrition Prevalence Level in General Surgery Residents By PGY Level (Multiple Centers Only). Attrition Prevalence By Gender in General Surgery Residents (Multiple Centers Only).ĮFigure 7. Prevalence of Relocation in General Surgery Residents (Multiple Centers Only).ĮFigure 6. Attrition Prevalence in General Surgery Residents (Multiple Centers Only). Prevalence of Residents Switching From General Surgery to Anesthesia.ĮFigure 4. Prevalence of Relocation in General Surgery Residents.ĮFigure 3. Attrition Prevalence Level in General Surgery Residents By PGY Level.ĮFigure 2. Destination of General Surgery Residents Who Left Their Training Program.ĮFigure 1. Attrition of General Surgery Residents By PGY Level.ĮTable 7. Attrition of General Surgery Residents By Gender.ĮTable 6. Causes of Attrition Among General Surgery Residents.ĮTable 5. Attrition Prevalence Among General Surgery Residents.ĮTable 4. Quality Assessment of Cohort Studies (Newcastle-Ottawa Scale).ĮTable 3. Quality Assessment of Cross-Sectional Studies (Modified Newcastle-Ottawa Scale).ĮTable 2. Electronic Databases Search Strategy.ĮTable 1. (there were quite a few more wishes/requests but I'll wait until after VW2017 has been released to see which ones should be resubmitted into the new wish list forum for voting up (or down)).EAppendix. And to create records to keep EED info in dwg files so that they become visible in Vectorworks. This is one of the reasons why I asked for an option to have VW records attached to objects/symbols to be exported as extended entity data (EED) into DWG files so that at least the associated information is maintained with the objects. All other objects still would be exchanged through dwg files. That way you could keep some of the data to objects. for the DTM as well as other polygon/polyline objects that have data attached. Shapefiles would be useful for contours etc. In the meantime you could try to split the file into dwg and shapefile for exchange with Civil 3D. That being said, quite a bit of the generic Map 3D functionality is incorporated into Civil 3D so LandXML would still be a preferred route. Yes LandXML would be useful to have, even though originally it is mostly for exchange with AutoCAD Map 3D.