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The national withdrawal rate from medical school averages about 1%,
but withdrawal from surgical residency programs is much higher,
roughly 16%. The drop out risk is greater for white women and
minorities than for white males. Getting Cut examines the factors
which lead to resignation from these graduate residency programs by
observing the dynamic interplay between the institution and
individual residents. Professor O'Connell analyzes the current
shortcomings in the process of selection, and looks at how the
culture, structure, and organization of these educational programs
affect the drop out rate once residents have been accepted. An
analysis of the "old boy's network" culture of these surgical
programs exposes the greater risk of withdrawal among female and
minority residents. Further examination of the process of resident
evaluation reveals that in addition to being graded on cognitive
knowledge and critical judgment, residents are also evaluated on
personal characteristics, the most important being "honesty."
Professor O'Connell demonstrates how the medical faculty's
subjective assessment of these elusive and contestable qualities
not only aid in identifying the morally deficient among the
technically proficient, but also how these practices promote
discrimination as well.
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