Decline in attrition rates in United States pediatric residency and fellowship programs, 2007-2020: a repeated cross-sectional study.

ABSTRACT:

Purpose

Declining fill rates in US pediatric residency and subspecialty programs requires trainee retention. Attrition, defined as transfers, withdrawals, dismissals, unsuccessful completions, or deaths, disrupts program function and impacts the pediatric workforce pipeline. It aims to evaluate attrition trends among pediatric residents and fellows in Accreditation Council for Graduate Medical Education (ACGME)-accredited programs from 2007 to 2020.

Methods

This repeated cross-sectional study analyzed publicly available ACGME Data Resource Book records. Attrition rates and 95% confidence intervals (CIs) were calculated overall and by subspecialty. Logistic regression assessed temporal changes; odds ratios (ORs) compared 2020 to 2007.

Results

From 2007-2020, pediatric

SUBMITTER: Omoruyi E 

PROVIDER: S-EPMC12676133 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature