title: The Canadian general surgery resident: defining current challenges for surgical leadership.
abstract: BACKGROUND
  Surgery training programs in Canada and the United States have recognized the need to modify current models of training and education. The shifting demographic of surgery trainees, lifestyle issues and an increased trend toward subspecialization are the major influences. To guide these important educational initiatives, a contemporary profile of Canadian general surgery residents and their impressions of training in Canada is required.
  
  
  METHODS
  We developed and distributed a questionnaire to residents in each Canadian general surgery training program, and residents responded during dedicated teaching time.
  
  
  RESULTS
  In all, 186 surveys were returned for analysis (62% response rate). The average age of Canadian general surgery residents is 30 years, 38% are women, 41% are married, 18% have dependants younger than 18 years and 41% plan to add to or start a family during residency. Most (87%) residents plan to pursue postgraduate education. On completion of training, 74% of residents plan to stay in Canada and 49% want to practice in an academic setting. Almost half (42%) of residents identify a poor balance between work and personal life during residency. Forty-seven percent of respondents have appropriate access to mentorship, whereas 37% describe suitable access to career guidance and 40% identify the availability of appropriate social supports. Just over half (54%) believe the stress level during residency is manageable.
  
  
  CONCLUSIONS
  This survey provides a profile of contemporary Canadian general surgery residents. Important challenges within the residency system are identified. Program directors and chairs of surgery are encouraged to recognize these challenges and intervene where appropriate.
authors.affiliation: Department of Surgery, University of Alberta, Edmonton, AB.
authors.forename: Corey
authors.initials: C
authors.lastname: Tomlinson
authors.forename: Joseph
authors.initials: J
authors.lastname: Labossière
authors.forename: Kenton
authors.initials: K
authors.lastname: Rommens
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Birch
mesh_terms: D000328:Adult; D000416:Alberta; D002321:Career Choice; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004503:Education, Medical, Graduate / Q000458:organization & administration; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D010549:Personal Satisfaction; D018794:Problem-Based Learning; D015397:Program Evaluation; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires