Document Detail

A review of trends in attrition rates for surgical faculty: a case for a sustainable retention strategy to cope with demographic and economic realities.
MedLine Citation:
PMID:  23522787     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Our aim was to compare trends in retention of academic surgeons by reviewing surgical faculty attrition rates (leaving academic surgery for any reason) of 3 cohorts at 5-year intervals between 1996 and 2011.
STUDY DESIGN: The Association of American Medical Colleges' Faculty Administrative Management On-Line User System database was queried for a retention report of all tenure/clinical track full-time MD faculty within our academic medical center on July 1, 1996 (group 1), July 1, 2001 (group 2), and July 1, 2006 (group 3). Retention was tracked for 5 years post snapshot. The individual 5-year cohort attrition rates (observed frequencies) were compared with combined attrition rates for all 3 groups (expected frequencies).
RESULTS: Overall, attrition trends for groups 2 (lower) and 3 (higher) were significantly different than the trends for all groups combined. Minorities and professors at the full or associate rank in group 3 contributed to this difference. Faculty in group 3 leaving our academic medical center were significantly more likely to transition into nonacademic practice compared with the other 2 groups.
CONCLUSIONS: Greater attrition in the last 5-year cohort, despite the increase in faculty positions, is worrisome. A continuous retention life cycle is critical if academic medical centers hope to compete for talent. Retention planning should include on-boarding programs for enculturation, monitoring of professional satisfaction, formalized mentoring of younger surgeons, retaining academic couples and a part-time workforce, leadership and talent management, exit interviews, and competitive financial packages.
Bhagwan Satiani; Thomas E Williams; Heather Brod; David P Way; E Christopher Ellison
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2013-03-21
Journal Detail:
Title:  Journal of the American College of Surgeons     Volume:  216     ISSN:  1879-1190     ISO Abbreviation:  J. Am. Coll. Surg.     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-26     Completed Date:  2013-06-17     Revised Date:  2013-11-01    
Medline Journal Info:
Nlm Unique ID:  9431305     Medline TA:  J Am Coll Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  944-53; discussion 953-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Surgery, The Wexner Medical Center at The Ohio State University Hospital, Columbus, OH 43210, USA.
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MeSH Terms
Career Mobility*
Chi-Square Distribution
Cohort Studies
Confounding Factors (Epidemiology)
Faculty, Medical / statistics & numerical data*
General Surgery / education*
Middle Aged
Personnel Turnover / statistics & numerical data*,  trends*
Salaries and Fringe Benefits
Schools, Medical / statistics & numerical data*,  trends
Comment In:
J Am Coll Surg. 2013 Sep;217(3):560   [PMID:  23969117 ]
J Am Coll Surg. 2013 Oct;217(4):753-4   [PMID:  24054414 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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