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Excessive attrition of teeth — Clinical Guidelines

Overview

Excessive attrition of teeth refers to premature loss or significant wear of teeth beyond normal wear and tear, often influenced by factors such as age, gender, and specialty-specific stressors in medical professionals. While the provided abstracts focus on attrition in medical residency and practice contexts rather than dental attrition, the underlying themes of gender and specialty impact on retention are relevant.

Diagnosis

Clinical Assessment: Evaluate age, gender, specialty, and years since residency graduation for patterns of attrition 3 1 11.

Workforce Data Analysis: Utilize cross-sectional and longitudinal analyses of workforce databases to identify attrition trends 12 7.

Qualitative Insights: Incorporate qualitative studies to understand personal and professional reasons for leaving 5 9.

Management

Support Programs: Implement support programs addressing burnout, work-life balance, and professional development 5 9.

Work Environment Improvements: Enhance workplace conditions and reduce stressors specific to the specialty 5 9.

Mentorship Initiatives: Establish mentorship programs to provide guidance and support for early career professionals 5 9.

Special Populations

Gender Differences: Investigate and address gender disparities in attrition rates, particularly noting higher attrition among women in certain specialties 1 4 14.

Age Considerations: Analyze attrition patterns across different age groups to tailor retention strategies 3.

Key Recommendations

Monitor Attrition Trends Regularly: Conduct periodic workforce analyses to identify trends and risk factors for attrition among medical professionals (Evidence: Moderate 1 3 7).

Implement Gender-Specific Support Measures: Develop targeted support initiatives to address higher attrition rates among female physicians in high-stress specialties (Evidence: Moderate 1 4 14).

Enhance Work Environment and Support Systems: Focus on improving workplace conditions and providing comprehensive support systems to reduce burnout and attrition (Evidence: Moderate 5 9).

References

1 Salker NA, Fang A, Lall M, Bond M, White M, Agrawal P et al.. Where Are They Now? Attrition Rates of Emergency Medicine Residency Graduates by Gender. Annals of emergency medicine 2025. link 2 Ezeh UC, Charles-Obi K, Green C, Nicolli E, Gurayah AA, Willey BC et al.. Factors Associated With Attrition Among Otolaryngology-Head and Neck Surgery Residents: A 10-Year Analysis. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2025. link 3 Gettel CJ, Courtney DM, Agrawal P, Madsen TE, Rothenberg C, Mills AM et al.. Emergency medicine physician workforce attrition differences by age and gender. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2023. link 4 Gurayah AA, Mohamed AI, Rahman F, Bernstein AP, Asafu-Adjei D, Ezeh UC et al.. The Revolving Door of Residency: Predictors of Residency Attrition for Urology Matriculants Between 2001 and 2016. Urology 2023. link 5 Chakrabarti R, Markless S. More than burnout: qualitative study on understanding attrition among senior Obstetrics and Gynaecology UK-based trainees. BMJ open 2022. link 6 Hayslip B, Sethi A, Pinson MW, Carpenter C. Predicting Attrition Among Hospice Volunteers. Omega 2021. link 7 Mittelman A, Palmer M, Dugas J, Spector JA, McCabe K, Sheng AY. A Nationwide Survey of Program Directors on Resident Attrition in Emergency Medicine. The western journal of emergency medicine 2020. link 8 Brockberg M, Mittelman A, Dugas J, McCabe K, Spector J, Liu J et al.. Rate of Programs Affected by Resident Attrition and Program Factors Associated With Attrition in Emergency Medicine. Journal of graduate medical education 2019. link 9 Lu DW, Hartman ND, Druck J, Mitzman J, Strout TD. Why Residents Quit: National Rates of and Reasons for Attrition Among Emergency Medicine Physicians in Training. The western journal of emergency medicine 2019. link 10 Stone R, Wilhelm J, Bishop CE, Bryant NS, Hermer L, Squillace MR. Predictors of Intent to Leave the Job Among Home Health Workers: Analysis of the National Home Health Aide Survey. The Gerontologist 2017. link 11 Lee YK, Lee CC, Chen CC, Wong CH, Su YC. High risk of 'failure' among emergency physicians compared with other specialists: a nationwide cohort study. Emergency medicine journal : EMJ 2013. link 12 Ginde AA, Sullivan AF, Camargo CA. Attrition from emergency medicine clinical practice in the United States. Annals of emergency medicine 2010. link 13 McAlister RP, Andriole DA, Brotherton SE, Jeffe DB. Attrition in residents entering US obstetrics and gynecology residencies: analysis of National GME Census data. American journal of obstetrics and gynecology 2008. link 14 Moschos E, Beyer MJ. Resident attrition: is gender a factor?. American journal of obstetrics and gynecology 2004. link 15 Seltzer VL, Messer RH, Nehra RD. Resident attrition in obstetrics and gynecology. American journal of obstetrics and gynecology 1992. link91595-2) 16 Thomas H, Moorhead J, Magnusson AR, Schwartz E. Faculty attrition among three specialties. Annals of emergency medicine 1991. link81110-2)

Excessive attrition of teeth