Mayo Clinic, Department of Orthopedic Surgery, Rochester, Minnesota.
University of Cincinnati, Department of Orthopedic Surgery, Cincinnati, Ohio.
J Surg Educ. 2019 Jul-Aug;76(4):924-930. doi: 10.1016/j.jsurg.2019.01.010. Epub 2019 Apr 3.
The purpose of this study was to determine overall levels of grit, self-control, and conscientiousness among orthopedic surgery residents, to compare levels of grit across orthopedic resident training levels, and to identify common applicant variables which may correlate with these valuable noncognitive attributes.
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 Orthopedic residents and fellows.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN; a tertiary medical center.
Grit, ambition, consistency of interest, perseverance of effort, self-control, and conscientiousness were assessed in orthopedic surgery residents and fellows. The survey was distributed to program coordinators of ACGME accredited Orthopedic Surgery residency programs and fellowship. 431 (431 out of 621, 69.4%) respondents completed the assessment.
Orthopedic residents demonstrated high baseline levels of grit (4.0 of 5.0), self-control (3.8 of 5.0), and conscientiousness (4.4 of 5.0). The grit score of 4.0 places them in the 65th percentile of the general adult population. There were no significant differences in scores between training levels of orthopedic residents and fellows. Significantly higher self-control scores were seen in female trainees (p = 0.042), inductees of Alpha Omega Alpha honor society (p = 0.008), and those with higher numbers of publications (p = 0.037). Orthopedic trainees with more publications scored higher in the ambition sub-score (0 publications: 4.0 ± 0.7; 1-3 publications: 4.2 ± 0.5, 3 or more publications: 4.3 ± 0.5; p < 0.001).
Orthopedic surgery residents demonstrated high levels of grit compared to the general population. Key objective variables utilized in the residency application process including Alpha Omega Alpha status and volume of research publications were predictive of these qualities.
本研究旨在确定骨科住院医师的总体毅力、自我控制和尽责程度，比较不同骨科住院医师培训水平的毅力水平，并确定可能与这些有价值的非认知属性相关的常见申请人变量。
一项横断面研究，由一份包含 17 项毅力量表、10 项自我控制量表和 9 项尽责量表的机密电子调查组成，由骨科住院医师和研究员完成。
明尼苏达州罗切斯特市梅奥诊所骨科；一家三级医疗中心。
在骨科住院医师和研究员中评估了毅力、野心、兴趣一致性、努力坚持、自我控制和尽责程度。该调查分发给 ACGME 认证的骨科住院医师培训计划和奖学金的项目协调员。431 名（431 名中有 621 名，占 69.4%）受访者完成了评估。
骨科住院医师表现出较高的基本毅力（5 分中的 4.0 分）、自我控制（5 分中的 3.8 分）和尽责程度（5 分中的 4.4 分）。4.0 的分数将他们置于一般成年人口的第 65 个百分位。骨科住院医师和研究员之间的分数没有显著差异。女性受训者的自我控制评分明显更高（p=0.042），阿尔法欧米茄阿尔法荣誉学会（p=0.008）的入选者，以及发表论文数量较高的人（p=0.037）。发表论文数量较多的骨科受训者在野心子量表中的得分更高（无论文：4.0±0.7；1-3 篇论文：4.2±0.5，3 篇或更多论文：4.3±0.5；p<0.001）。
与一般人群相比，骨科住院医师表现出较高的毅力水平。住院医师申请过程中使用的关键目标变量，包括阿尔法欧米茄阿尔法状态和研究出版物数量，可预测这些素质。
