STUDY OBJECTIVE Prior studies examined the retention of women emergency physicians through residency training, but their career paths on completing residency are less well understood. Our primary objective was to identify a difference in attrition rates between binary genders of practicing clinical emergency physicians within 10 to 30 years after residency graduation. Our secondary aims investigated gender differences in geographic practice location, academic, and community practice. We hypothesized that women emergency physicians have higher rates of attrition from clinical practice than men. METHODS In this cohort study, we tracked employment over 10 to 30 years of graduates from allopathic emergency medicine residency programs established before 2005 and those who graduated before 2010. We obtained graduate lists from 21 residency programs representing geographically diverse training programs in the United States. We utilized public databases to investigate current licensure, board certification, practice location, and occupation for graduates more than 10 years after residency graduation. Physicians who do not practice clinically in emergency medicine or an emergency medicine subspecialty were placed in the "attrition" category. "Not available" was defined as those individuals who did not have adequate information available online. We analyzed differences in attrition of women and men emergency physicians in clinical practice in 2020. We also noted whether they worked in an academic or community setting and assessed their geographic clinical practice region. RESULTS We identified a total of 4,170 graduates. Of those, 445 (10.6%) were excluded because of insufficient information. Of the 3,725 emergency medicine residency graduates, 71% were men. The attrition rate from clinical emergency medicine for men was 5.3% (95% confidence interval, 4.4% to 6.1%) and the attrition rate for women was 5.8% (95% confidence interval, 4.4% to 7.2%). The difference between the 2 proportions was -0.005 (95% confidence interval, -0.02 to 0.01). There were no gender differences in geographic location or practice type. CONCLUSION We did not observe differences in attrition rates by gender in our sample from 21 programs over a 30-year period. The findings from this cohort are disparate from reports of recent emergency medicine graduates and identifying reasons for attrition of emergency physicians will be important to understanding the workforce needs of the future.

中文翻译：

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他们现在在哪里？按性别划分的急诊医学住院医师毕业生的流失率。


研究目的 先前的研究通过住院医师培训检查了女性急诊医生的保留情况，但她们完成住院医师的职业道路尚不清楚。我们的主要目的是确定住院医师毕业后 10 至 30 年内执业临床急诊医生二元性别之间的流失率差异。我们的次要目标调查了地理实践地点、学术和社区实践方面的性别差异。我们假设女性急诊医生的临床实践流失率高于男性。方法 在这项队列研究中，我们跟踪了 2005 年之前建立的对抗疗法急诊医学住院医师计划毕业生和 2010 年之前毕业的毕业生在 10 到 30 年的就业情况。我们从 21 个代表美国不同地理位置的培训计划的住院医师项目中获得了毕业生名单。我们利用公共数据库来调查住院医师毕业后 10 多年毕业生的当前执照、董事会认证、执业地点和职业。不在急诊医学或急诊医学亚专业临床实践的医生被归入“减员”类别。“不可用”被定义为那些没有足够在线信息的个人。我们分析了 2020 年临床实践中女性和男性急诊医生流失的差异。我们还记录了他们是否在学术或社区环境中工作，并评估了他们的地理临床实践区域。结果 我们共确定了 4,170 名毕业生。其中，445 例 （10.6%） 因信息不足而被排除在外。在 3,725 名急诊医学住院医师毕业生中，71% 是男性。 男性临床急诊医学的流失率为 5.3% （95% 置信区间，4.4% 至 6.1%），女性流失率为 5.8% （95% 置信区间，4.4% 至 7.2%）。2 个比例之间的差异为 -0.005 （95% 置信区间，-0.02 至 0.01）。地理位置或执业类型没有性别差异。结论 在 30 年期间，我们没有观察到 21 个项目的样本中按性别划分的流失率存在差异。该队列的结果与最近急诊医学毕业生的报告不同，确定急诊医生流失的原因对于了解未来的劳动力需求非常重要。