Background. Attrition in residency training can lead to lower workplace morale and increased costs. Finding associated factors can help revise admissions criteria or identify at-risk residents.

Objective. We aimed to determine factors associated with attrition among residents in pediatrics.

Methods. We applied a mixed cross-sectional (survey) and retrospective cohort (records review) study design. Residents who began training in the Philippine General Hospital in 2012-2018 were included. Our primary outcomes were non-completion of training within three years (attrition), completion beyond three years or ongoing training at a delayed year level (off-cycle), and the composite of attrition or off-cycle. Fisher's exact probability test and t-test were used to compare the non-attrition group versus the attrition group, and the non-attrition group versus the attrition or off-cycle group.

Results. The overall attrition rate and off-cycle rate among 162 residents were 7.41% and 4.32%, respectively. The survey response rate was 73.00%. Four factors were significantly associated with attrition: higher age at entry into the program (p = 0.030), advanced degree (p = 0.009), longer interval from internship completion to start of residency training (p = 0.017), and a lower case presentation score (p = 0.048). The proportion of respondents older than 29 years was significantly higher in the attrition group than the non-attrition group (40.00% vs 0.94%, p = 0.031). Higher age at entry was also significantly associated with the composite outcome (attrition or off-cycle).

Conclusion. Older age at entry, advanced degree, a longer interval from internship, and lower-case presentation scores were associated with attrition among residents in pediatrics from a single center.

Education, Medical, Graduate ; Pediatrics ; Health Workforce

Objectives: There is limited information on the demographics of female perpetrators of child abuse hence its profile was described utilizing the records collected at the University of the Philippines – Philippine General Hospital Child Protection Unit from January 2008-December 2018. Methods: A retrospective review of the electronic records using the Child Protection Management Information System (CPMIS) database was done using descriptive and inferential analyses. Total enumeration was done for the descriptive analysis and categorical data was analyzed using frequencies and percentages. Inferential analysis using chi-squared analysis or Fisher’s exact probability test was used using a minimum sample size computed using power analysis Results: A total of 983 female perpetrators were reported, mostly belonging to the age group of 25-34 years old (23%). They were more frequently a close relative to the victim (47.3%). Half (50%) of the perpetrators had history of substance abuse, and 65.5% witnessed family violence. Criminal history (99.8%) and occupation (46.7%) were mostly unknown. The types of abuse committed were mostly physical (36%) followed by sexual abuse (34.9%). Inferential analysis of the data suggested that the demographic variables associated with physical abuse were age group, relationship, and history of substance abuse. Meanwhile, age group, relationship, and occupation were associated with sexual abuse. Conclusion Although we see a greater number of male perpetrators, it cannot be denied that female perpetrators can also cause harm to the vulnerable population. It is alarming to note that majority of them are close relatives to the victim. Data from the study can help raise awareness and increase vigilance on possible at-risk population.
Child Abuse