ArticleBMJ open2019
Why do trainees leave hospital-based specialty training? A nationwide survey study investigating factors involved in attrition and subsequent career choices in the Netherlands.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 45 citations in OpenAlex.
- Article
- Supporting doctors' professional identity development through specialist training.Anatomical sciences education · 2026Article
- How do programme directors perceive trainee attrition? A qualitative focus group study in three Dutch teaching hospitals.BMJ open · 2025Article
- Another gap on the rota: a scoping review of attrition from specialty training in secondary care.BMJ open · 2025Article
- Beyond the bedside: A scoping review of the experiences of non-practising health care professionals in Health Professions Education.Medical education · 2025Article
- Sculpting the good surgeon or excising the bad one: How clinical teachers could perpetuate attrition in surgical residency programmes.Medical education · 2025Article
- Article
- Ethical issues in unprofessional behavior of residents who dispute dismissal: ten year analysis of case law in hospital-based specialties.BMC medical ethics · 2025Article
- Attrition in the Training Programs of the University of the Philippines-Philippine General Hospital (UP-PGH): A 5-year Review of Trends and Reasons from 2018-2022.Acta medica Philippina · 2025Article
- Article
- Developing a model describing voluntary residency attrition: a qualitative study.BMC medical education · 2024Article
- The Experience of Medical Scribing: No Disparities Identified.Advances in medical education and practice · 2024Article
- Some residents drop out of specialty training. How important is prior clinical experience? A survey among residents in the Netherlands.GMS journal for medical education · 2023Article
- 'Us versus them': A social identity perspective of internal medicine trainees.Perspectives on medical education · 2022Article
- Supervisors' transformational leadership style and residents' job crafting in surgical training: the residents' views.International journal of medical education · 2022Article
- More than burnout: qualitative study on understanding attrition among senior Obstetrics and Gynaecology UK-based trainees.BMJ open · 2022Article
- Approaching Training-Practice Gaps After the Transition: A Practice Proposal for Supervision After Training.Frontiers in medicine · 2022Article
- Exploring Doctors' Emerging Commitment to Rural and General Practice Roles over Their Early Career.International journal of environmental research and public health · 2021Article
- Vascular surgery trainee retention in the UK: how many leave and why? A survey of trainee and Training Programme Directors' perceptions.BMC medical education · 2021Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo gain insight into factors involved in attrition from hospital-based medical specialty training and future career plans of trainees who prematurely left their specialty training programme.
designNationwide online survey study.
settingPostgraduate education of all hospital-based specialties in the Netherlands.
participants174 trainees who prematurely left hospital-based medical specialty training between January 2014 and September 2017.
main outcome measuresFactors involved in trainees' decisions to leave specialty training and their subsequent career plans.
resultsThe response rate was 38%. Of the responders, 25% left their programme in the first training year, 50% in year 2-3 and 25% in year 4-6. The most frequently reported factors involved in attrition were: work-life balance, job content, workload and specialty culture. Of the leaving trainees, 66% switched to another specialty training programme, of whom two-thirds chose a non-hospital-based training programme. Twelve per cent continued their career in a non-clinical role and the remainder had no specific plans yet.
conclusionsThis study provides insight in factors involved in attrition and in future career paths. Based on our findings, possible interventions to reduce attrition are: (1) enable candidates to develop a realistic view on job characteristics and demands, prior to application; (2) provide individual guidance during specialty training, with emphasis on work-life balance and fit with specialty.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.