Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27707, USA.
Surgery. 2010 Aug;148(2):187-93. doi: 10.1016/j.surg.2010.04.005. Epub 2010 Jun 8.
The Five-Factor Model (FFM) of personality may provide a useful framework to understand performance-related issues in academic medical settings. We examined the distribution of FFM personality traits among surgery residents compared with medicine residents, medical students, and community norms.
Two hundred and seventy-four residents in surgery, medicine, pediatrics, and anesthesiology and 207 medical students at a large tertiary care teaching hospital completed the Big Five Inventory, a well-validated 44-item measure of the FFM. Analysis of covariance was used to examine specialty group differences in personality traits, controlling for desirable response bias.
Surgery residents obtained greater scores for Conscientiousness, Extraversion, and Emotional Stability, but lower scores for Openness compared with community norms (all P < .05). Controlling for desirable responding, surgery residents also obtained greater Conscientiousness scores compared with medical students (P < .0001) and pediatric residents (P < .05), greater Extraversion scores compared with first-year medical students (P < .05), and lesser Openness scores compared with first-year medical students (P < .05).
Greater levels of Conscientiousness, which has been associated with academic and job success in previous studies, were observed among surgery residents compared with community norms, medical students, and some residents. We conclude that (1) surgery residents continue to exhibit desirable professional characteristics; and (2) further study into the utility of the FFM as a screening tool for future surgery trainees is warranted.
人格的五因素模型(FFM)可能为理解学术医疗环境中的绩效相关问题提供一个有用的框架。我们比较了外科住院医师、内科住院医师、医学生和社区人群的 FFM 人格特质分布。
在一家大型三级保健教学医院,我们对 274 名外科、内科、儿科和麻醉科住院医师和 207 名医学生进行了大五人格量表(Big Five Inventory)的测试。采用协方差分析来检验人格特质的专业群体差异,控制了理想反应偏差。
与社区人群相比(均 P <.05),外科住院医师在尽责性、外向性和情绪稳定性方面得分较高,而在开放性方面得分较低。控制了理想反应,与医学生(P <.0001)和儿科住院医师(P <.05)相比,外科住院医师在尽责性方面得分更高;与一年级医学生(P <.05)相比,在外向性方面得分更高;与一年级医学生相比,在开放性方面得分更低(P <.05)。
与之前的研究中与学业和工作成功相关的尽责性水平相比,外科住院医师的水平更高。我们的结论是:(1)外科住院医师仍然表现出理想的职业特征;(2)进一步研究 FFM 作为未来外科培训生的筛选工具是合理的。