Resident attrition from family practice residencies: United States versus international medical graduates.
BACKGROUND
Attrition of residents from family practice residency programs may cause significant problems for faculty, residents, and patients. The objective of this study was to determine international medical graduates' attrition rate from family practice residencies, compared with US medical school graduates.


METHODS
Surveys were sent to all family practice residency program directors asking them to calculate their attrition rate for a 10-year period.


RESULTS
The overall response rate was 56.6%, but interpretable responses were received from 45% of all civilian, continental US family practice residencies. Responding programs did not differ from all family practice programs with respect to program overall. Of those residents leaving, 63% did so to enter other specialties. The attrition rate was 18.5% for international graduates, compared with 7.8% for US graduates (P < .0001). International graduates enrolled outside of the National Resident Matching Program (NRMP) were most likely to leave programs before completion.


CONCLUSIONS
Attrition rates from family practice residency programs are higher for international medical graduates than for US graduates. International graduates enrolled outside of the NRMP were most likely to leave a program.
St Luke's Family Practice Residency Program, St Luke's Medical Center, Milwaukee.
H F
HF
Laufenburg
N W
NW
Turkal
D J
DJ
Baumgardner
D003627:Data Interpretation, Statistical; D005194:Family Practice / Q000193:education*; D005550:Foreign Medical Graduates / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014481:United States