Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY.
J Bone Joint Surg Am. 2019 Jul 17;101(14):e71. doi: 10.2106/JBJS.18.00275.
The training process and practice of orthopaedic surgery is demanding and arduous. Accordingly, grit, self-control, and conscientiousness are desirable qualities in orthopaedic surgeons. Some established orthopaedists have expressed concern that the future generation of surgeons may not possess the same level of grit as their predecessors. The purpose of this study was to evaluate levels of grit among attending orthopaedic surgeons, identify predictors of grit in orthopaedic surgeons, and compare grit scores between attending surgeons and orthopaedic residency applicants. We hypothesized that applicants would demonstrate lower grit and self-control scores but greater conscientiousness scores than attending surgeons.
A total of 2,342 attending orthopaedic surgeons and 895 orthopaedic residency applicants from the 2016-2017 National Resident Matching Program (NRMP) were given surveys that quantified their grit, self-control, and conscientiousness. Demographic and career information also was collected.
Assessments were completed by 655 (28%) of 2,342 practicing orthopaedic surgeons and 455 (50.8%) of 895 orthopaedic residency applicants. The residency applicants demonstrated higher mean grit scores (4.12 of 5.0) than the attending orthopaedic surgeons (4.03) (p < 0.01). These average scores placed applicants and attending surgeons at the 70th and 65th percentile, respectively, when compared with the general population. There were no differences in self-control (p = 0.68) or conscientiousness (p = 0.93) between the 2 groups. Attending surgeons with more publications had increased grit (p < 0.01), self-control (p = 0.04), and conscientiousness (p = 0.01) scores. Attending surgeons who had been inducted into the Alpha Omega Alpha honor society as medical students demonstrated greater conscientiousness scores than those who were not members (p = 0.04).
Orthopaedic residency applicants were at least as gritty, consistent in their interest, persevering in their efforts, and ambitious as currently practicing orthopaedic surgeons. Although these results may be encouraging and diverge from some preconceived perceptions of "millennials," it is unclear if they will be predictive of career success in the next generation of orthopaedists.
骨科手术的培训过程和实践要求很高且艰巨。因此，坚毅、自我控制和尽责是骨科医生的理想品质。一些资深的骨科医生担心，未来的外科医生可能不会像他们的前辈那样有同样的坚毅程度。本研究的目的是评估主治骨科医生的坚毅程度，确定影响骨科医生坚毅程度的因素，并比较主治医生和骨科住院医师申请者之间的坚毅程度评分。我们假设申请者的坚毅和自我控制得分较低，但尽责得分较高。
共有 2342 名主治骨科医生和 2016-2017 年全国住院医师匹配计划（NRMP）的 895 名骨科住院医师申请者接受了问卷调查，评估他们的坚毅、自我控制和尽责程度。还收集了人口统计学和职业信息。
共有 2342 名执业骨科医生中的 655 名（28%）和 895 名骨科住院医师申请者中的 455 名（50.8%）完成了评估。住院医师申请者的平均坚毅得分（5.0 分制中的 4.12 分）高于主治骨科医生（4.03 分）（p < 0.01）。与普通人群相比，这些平均得分分别使申请者和主治医生处于第 70 和第 65 百分位。两组之间的自我控制（p = 0.68）或尽责（p = 0.93）没有差异。发表论文较多的主治医生具有更高的坚毅（p < 0.01）、自我控制（p = 0.04）和尽责（p = 0.01）评分。作为医学生被选入阿尔法欧米茄阿尔法荣誉协会的主治医生比没有成为会员的医生表现出更高的尽责得分（p = 0.04）。
骨科住院医师申请者至少和目前执业的骨科医生一样坚毅，兴趣持久，努力不懈，有抱负。尽管这些结果可能令人鼓舞，与一些对“千禧一代”的先入为主的看法不同，但尚不清楚它们是否能预测下一代骨科医生的职业成功。
