Evidence map›Paper›PMID 38841855›Full record

ArticleAnnals of surgery2025

The Effect of Intersectionality on Attrition Among US General Surgery Trainees.

Andrea Mesiti, Josh Johnson, Julianna Brouwer, Amy M Shui, Heather Yeo, Julie Ann Sosa

Abstract read
In one paragraph

Article in Annals of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Suicidal ideation among vascular surgery trainees.Journal of vascular surgery · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrea MesitiDepartment of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY.
Josh JohnsonDepartment of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY.
Julianna BrouwerDepartment of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY.
Amy M ShuiDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA.
Heather YeoDepartment of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY.
Julie Ann SosaDepartment of Surgery, University of California San Francisco (UCSF), CA.

Funding

Addressing Surgical Disparities at the Root; Working to improve diversity in the surgical workforceR01MD018464 · NIMHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI SOSA, JULIE ANN, YEO, HEATHER · 2023 to 2025
$2.0M
NIMHD NIH HHS R01 MD018464
6 · The paper itself

Abstract

objectiveTo examine the association between intersectionality of race, ethnicity, and gender on retention of US general surgery residents.

backgroundThere are limited data on the role that intersectionality plays in the US general surgery resident experience.

methodsAnalysis was performed using Association of American Medical Colleges (AAMC) data for general surgery residents who started their training between 2005 and 2015 (followed through completion). Regression analyses were used to assess demographic associations with time to attrition or successful completion of residency training. Associations between faculty and resident demographics were assessed.

resultsIn all, 25,029 residents were included. Over the decade-long study period, the number of underrepresented in medicine (UIM) residents as a percentage of all residents remained similar from 17% to 19% ( P =0.24). The percent of UIM males starting training in 2005 was 11% and 12% in 2015 ( P -value=0.38). UIM females comprised 5.5% of trainees in 2005 and increased to 6.9% ( P -value=0.003) in 2015, and female non-UIM residents increased from 23 to 28% ( P -value<0.001). The overall rate of resident attrition was 15%. UIM females had the highest yearly attrition rate at 21% compared with non-UIM males at 13% (HR 1.7, P <0.001). UIM females were more likely to leave residency compared with UIM males (HR: 1.5; P <0.001). The percent of UIM faculty was positively correlated with percent of UIM residents (r=0.64, P <0.001).

conclusionsIncreasing intersectionality is positively associated with attrition during surgery residency. The diversity of faculty appears to be associated with resident diversity.

Indexed as

General SurgeryInternship and ResidencyAdultEducation, Medical, GraduateFemaleHumansMaleSex FactorsUnited Statesgender disparitiesrace disparitiessex disparitiessurgical resident attrition

Identifiers

PMID38841855
PMCPMC11621225

What OpenQuestion holds

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Registered trials

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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.