Attrition in any profession can occur for many reasons—personal or lifestyle reasons,
changes in professional role, etc. However, one would reason that attrition in a surgical
profession such as transplant would be relatively low, given the limited career opportunities.
Although the job market for newly minted transplant surgeons has varied over decades,
with debate about supply and demand,
1
the high attrition rate reported by the authors is in fact among early-career surgeons
who started their postgraduate careers performing transplant surgeries. The authors
do concede that the 24.4% attrition rate is likely inflated given the authors’ definition
of attrition. Some surgeons labeled as “attrit” in this study may have decided to
enter a career mostly performing general surgery, vascular access, and deceased donor
procurements. Because they are not primary surgeons on transplant cases, they may
be labeled as attrit. What remains unknown is why these surgeons opt to focus on practices
related to but separate from the full spectrum of transplant surgery.To read this article in full you will need to make a payment
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References
- Transplant surgery fellow perceptions about training and the ensuing job market—are the right number of surgeons being trained?.Am J Transplant. 2011; 11: 253-260
- Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings.Ann Surg. 2011; 254: 558-568
- Factors associated with general surgery residents’ desire to leave residency programs: a multi-institutional study.JAMA Surg. 2014; 149: 948-953
- Leaving surgical training: some of the reasons are in surgery.ANZ J Surg. 2018; 88: 402-407
- Gender and racial disparities in the transplant surgery workforce.Curr Opin Organ Transplant. 2021; 26: 560-566
Article info
Publication history
Published online: December 21, 2022
Accepted:
November 23,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Incidence of attrition among early-career abdominal transplant surgeonsSurgery
- PreviewThe prevalence of burnout and depression among abdominal transplant surgeons has been well described. However, the incidence of early-career transplant surgeons leaving the field is unknown. The objective of this study was to quantify the incidence of attrition among early-career abdominal transplant surgeons.
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