Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.
The Pennsylvania State University, State College, Pennsylvania.
J Surg Educ. 2018 May-Jun;75(3):557-563. doi: 10.1016/j.jsurg.2017.09.002. Epub 2017 Sep 28.
The purpose of this study was to quantify grit, conscientiousness, and self-control in orthopaedic residency applicants and current orthopaedic surgery residents. As part of a continual reassessment of the selection process, this study will help to improve this process by assessing the introduction of these non-cognitive assessments. This is the first study to both evaluate and compare the applicants' scores to those of current residents. This introduction will allow selection of not only the current top performers but those who have the wherewithal (read grit) to sustain their efforts throughout their residency.
A cross-sectional study composed of a confidential electronic survey consisting of a 17-item Grit scale, 10-item Self-control scale, and 9-item Conscientiousness scale was completed by medical school applicants and orthopaedic residents.
Department of Orthopaedic Surgery, Hospital for Special Surgery.
Fifty-six (100%) medical student applicants (mean age = 27) were invited to participate in our study following a full day of interviews. Forty-five residents (mean age = 31) were asked and 32 (72%) completed the same surveys 4 months later.
There was a significant difference in grit for medical students (M = 4.19, SD = 0.34) and residents (M =3.86, SD = 0.48); t(86) = 3.76, p = 0.000. All grit subscales were also significantly different for medical students versus residents. Medical students (conscientiousness M = 4.60, SD = 0.41; self-control M = 3.51, SD = 0.30) and residents (conscientiousness M = 4.42, SD = 0.53; self-control M = 3.31, SD = 0.73) scored similarly in the conscientiousness t(86) = 1.75, p = 0.084 and self-control scales t(86) = 1.74, p = 0.086. Academic performance indicators such as the USMLE scores and residency ranking were also compared among medical student applicants.
The similar and above average levels of conscientiousness and self-control demonstrate the persevering nature of the individual who elects to pursue an orthopaedic residency program. Although the grit levels were different between medical school student and residents, they were above average for both groups, again demonstrating the type of individual willing to pursue an orthopaedic residency program. This study was the first to demonstrate varying degrees of grit for high-performing students versus residents in a competitive program, which seems to suggest that grit can vary over time. Future studies will investigate the validity of these non-cognitive variables in predicting achievement prospectively in a residency program.
本研究旨在对骨科住院医师申请者和现任骨科住院医师进行坚毅、尽责和自我控制能力的量化评估。作为对选拔过程持续评估的一部分，本研究将通过评估引入这些非认知评估来帮助改进这一过程。这是第一项对申请者的分数进行评估和比较的研究。这一引入不仅将选择当前的顶尖表现者，而且还将选择那些有毅力（阅读坚毅）在整个住院期间维持努力的人。
一项横断面研究，由一份包含 17 项坚毅量表、10 项自我控制量表和 9 项尽责量表的机密电子调查组成，由医学院申请者和骨科住院医师完成。
骨科外科，特殊外科医院。
在进行了一整天的面试后，共有 56 名（100%）医学生申请者（平均年龄=27 岁）受邀参加我们的研究。45 名住院医师（平均年龄=31 岁）被要求参加，其中 32 名（72%）在 4 个月后完成了相同的调查。
医学生的坚毅程度（M=4.19，SD=0.34）和住院医师（M=3.86，SD=0.48）有显著差异；t(86)=3.76，p=0.000。医学生与住院医师在所有坚毅子量表上也有显著差异。医学生（尽责 M=4.60，SD=0.41；自我控制 M=3.51，SD=0.30）和住院医师（尽责 M=4.42，SD=0.53；自我控制 M=3.31，SD=0.73）在尽责量表上的得分相似 t(86)=1.75，p=0.084，在自我控制量表上的得分相似 t(86)=1.74，p=0.086。医学生申请者的学术表现指标，如 USMLE 分数和住院医师排名，也进行了比较。
尽责和自我控制的相似和高于平均水平表明，选择参加骨科住院医师项目的个体具有坚持不懈的特质。尽管医学生和住院医师的坚毅程度不同，但他们都处于较高水平，这再次表明愿意参加骨科住院医师项目的个体类型。这项研究首次在竞争激烈的项目中展示了高绩效学生与住院医师之间的坚毅程度，这似乎表明坚毅程度会随时间而变化。未来的研究将调查这些非认知变量在预测住院医师项目中表现的有效性。
