Program Director Retention and Attrition Rates in International Graduate Medical Education

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dc.contributor.authorStadler DJ
dc.contributor.authorIbrahim H
dc.contributor.authorDutta D
dc.contributor.authorCofrancesco J
dc.contributor.authorArchuleta S
dc.date.available2020-10-14
dc.date.issued2020-10-01
dc.description.abstractBackground Program directors (PDs) are integral to the education of the next generation of physicians. Yet, administrative burdens, substantial patient care responsibilities, and lack of protected time for teaching may contribute to work-life imbalance and physician burnout, leading to high rates of attrition. Data on international residency program leadership turnover are lacking. Objective This study aimed to quantify PD turnover in Accreditation Council for Graduate Medical Education-International (ACGME-I) accredited programs in Singapore, United Arab Emirates (UAE), and Qatar, and to compare to US PD attrition rates. Methods Data on PD turnover in international programs was extracted from the ACGME-I Accreditation Data System for academic years 2010–2011 through 2018–2019 for Singapore and 2013–2014 through 2018–2019 for UAE and Qatar. Rates of PD turnover were calculated by country and by ACGME-I medical-, surgical-, and hospital-based specialty groupings and compared using χ2 test. Annual US PD turnover data was extracted from the ACGME's Data Resource Book. Results Seventy programs met inclusion criteria. International PD attrition was high, with 56 programs (80%) changing PDs since program inception, and 16 programs (29%) having 2 or more PD turnovers. There was no significant difference between PD turnover rates in hospital (83%), medical (79%), or surgical (78%) specialties. International PD attrition rates varied from 7% to 20% annually and were comparable to PD turnover in US programs (range 12%–15%). Conclusions High PD turnover rates in newly accredited international residency programs were noted, although annual attrition rates were comparable to US residency programs.
dc.description.confidentialfalse
dc.identifier.citationJournal of graduate medical education, 2020
dc.identifier.doi10.4300/JGME-D-20-00014.1
dc.identifier.elements-id435250
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1949-8349
dc.publisherAccreditation Council for Graduate Medical Education
dc.relation.isPartOfJournal of graduate medical education
dc.relation.urihttps://www.jgme.org/doi/abs/10.4300/JGME-D-20-00014.1
dc.subject.anzsrc1302 Curriculum and Pedagogy
dc.titleProgram Director Retention and Attrition Rates in International Graduate Medical Education
dc.typeJournal article
pubs.declined2020-10-14T09:34:12.800+1300
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/Massey Business School
pubs.organisational-group/Massey University/Massey Business School/School of Communication, Journalism and Marketing
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