Influence of Student Loan Debt on General Surgery Resident Career and Lifestyle Decision-Making
Autor: | Farin Amersi, Jeffrey M. Gauvin, Edgardo S. Salcedo, Mark E. Reeves, Brian R. Smith, Jon B. Morris, Benjamin T. Jarman, Kenric M. Murayama, Timothy Donahue, Daniel L. Dent, Richard A. Sidwell, V. Prasad Poola, Christian de Virgilio, Amy H. Kaji, Kelsey Gray, Kenji Inaba, Tracey D. Arnell, Kristine E. Calhoun, Richard Damewood, Angela Neville, Marc L. Melcher, Mary M. Wolfe |
---|---|
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
media_common.quotation_subject education Primary care Affect (psychology) 03 medical and health sciences 0302 clinical medicine Debt Medicine Financial security Salary Life Style health care economics and organizations Student loan media_common Career Choice business.industry General surgery Medical school Internship and Residency Training Support humanities Multicenter study General Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery business |
Zdroj: | Journal of the American College of Surgeons. 230:173-181 |
ISSN: | 1072-7515 |
Popis: | The average medical school debt in 2011 was $170,000, and by 2017 it increased to $190,000. High debt burden has been shown to affect career choices for residents in primary care specialties; however, it has not been well studied among surgical residents. The purpose of this multi-institutional study was to assess the amount of debt among general surgery residents and its effects on their career and lifestyle decisions.Surveys were distributed to 607 categorical general surgery residents at 19 different residency programs. Degree of debt was assessed and responses compared.Overall, 427 (70.3%) residents completed the survey, 317 (74.2%) of whom reported having student loan debt. Of those with debt, 262 (82.6%) believed that repaying debt was a significant financial burden in residency, 248 (78.3%) thought it would remain a burden after residency, 210 (66.2%) believed their debt would influence their future job choice, and 225 (71%) thought their debt would delay their ability to buy a home. Debt did not affect decisions to get married or have children. There were 109 (25.6%) residents with no debt, 131 (30.8%) with$200,000, 103 (24.2%) with $200,000 to $300,000, and 83 (19.5%) with$300,000. Residents with high debt were less likely to feel financially secure now (p0.0001) and when thinking about their future (p0.0001). They also had higher minimum starting salary goals (p = 0.002) and were less likely to have had assistance paying for their education (p = 0.0001).Surgical residents believe their debt is a significant financial burden. Furthermore, high debt significantly influences their financial security, practice location, and salary goals. |
Databáze: | OpenAIRE |
Externí odkaz: |