Attitudes towards attrition among UK trainees in obstetrics and gynaecology

Br J Hosp Med (Lond). 2017 Jun 2;78(6):344-348. doi: 10.12968/hmed.2017.78.6.344.


Physician dissatisfaction in the workplace has consequences for patient safety. Currently in the UK, 1 in 5 doctors who enter specialist training in obstetrics and gynaecology leave the programme before completion. Trainee attrition has implications for workforce planning, organization of health-care services and patient care. The authors conducted a survey of current trainees' and former trainees' views concerning attrition and 'peri-attrition' - a term coined to describe the trainee who has seriously considered leaving the specialty. The authors identified six key themes which describe trainees' feelings about attrition in obstetrics and gynaecology: morale and undermining; training processes and paperwork; support and supervision; work-life balance and realities of life; NHS environment; and job satisfaction. This article discusses themes of an under-resourced health service, bullying, lack of work-life balance and poor personal support.

MeSH terms

  • Attitude of Health Personnel*
  • Female
  • Gynecology / education*
  • Humans
  • Job Satisfaction*
  • Medical Staff, Hospital*
  • Morale*
  • Obstetrics / education*
  • Qualitative Research
  • Social Support*
  • State Medicine
  • Surveys and Questionnaires
  • United Kingdom
  • Work-Life Balance*