Olson Adriana Segura, Williamson Kelly, Hartman Nicholas, Cheema Navneet, Olson Nathan
Department of Medicine Section of Emergency Medicine University of Chicago Chicago IL.
Department of Emergency Medicine University of Texas Health San Antonio San Antonio TX.
AEM Educ Train. 2019 Nov 3;4(1):24-29. doi: 10.1002/aet2.10399. eCollection 2020 Jan.
Early identification of emergency medicine (EM) residents who struggle with educational attainment is difficult. In-training examination (ITE) scores predict success on the American Board of Emergency Medicine (ABEM) Qualifying Examination; however, results are not available until late in the academic year. The noncognitive trait "grit," defined as "perseverance and passion for long-term goals," predicts achievement in high school graduation rates, undergraduate GPA, and gross anatomy. Grit-S is a validated eight-question scale scored 1 to 5; the average of responses represents a person's grit. Our objective was to determine the correlation between EM resident Grit-S scores and achievement, as measured by MCAT percentiles, ITE scores, and remediation rates.
This was a 1-year prospective, multicenter trial involving ten EM residencies from 2017 to 2018. Subjects were PGY-1 to -4 EM residents. Grit-S scores, MCAT percentile, remediation rates, ITE scores, and the ITE score's prediction of passing the ABEM Qualifying Examination were collected. Correlation coefficients were computed to assess the relationship between residents' grit and achievement.
A total 385 of 434 (88.7%) residents participated who completed the Grit-S as part of a larger study. The mean Grit-S score was 3.62. Grit positively correlated with the predicted likelihood of passing the ABEM Qualifying Examination (r = 0.134, = 382, p = 0.025). There was no correlation between grit and remediation (r = -0.04, = 378, p = 0.46) or grit and MCAT percentiles (r =- 0.08, = 262, p = 0.22).
The positive correlation between Grit-S scores and percent likelihood of passing the ABEM Qualifying Examination demonstrates grit's potential to assist residency leadership in early identification of residents who may attain a lower ITE score.
早期识别在学业成绩方面存在困难的急诊医学（EM）住院医师具有挑战性。培训期间考试（ITE）成绩可预测美国急诊医学委员会（ABEM）资格考试的通过情况；然而，直到学年后期才能获得考试结果。非认知特质“毅力”被定义为“对长期目标的坚持不懈和热情”，它能预测高中毕业率、本科平均绩点以及大体解剖学方面的成绩。毅力量表（Grit-S）是一个经过验证的包含八个问题的量表，评分从1到5；各问题答案的平均值代表一个人的毅力水平。我们的目的是确定EM住院医师的Grit-S分数与成绩之间的相关性，成绩通过医学院入学考试（MCAT）百分位数、ITE分数和补考率来衡量。
这是一项为期1年的前瞻性多中心试验，于2017年至2018年涉及10个EM住院医师培训项目。研究对象为1至4年级的EM住院医师。收集了Grit-S分数、MCAT百分位数、补考率、ITE分数以及ITE分数对通过ABEM资格考试的预测情况。计算相关系数以评估住院医师的毅力与成绩之间的关系。
在作为一项更大规模研究的一部分完成Grit-S量表的434名住院医师中，共有385名（88.7%）参与。Grit-S分数的平均值为3.62。毅力与通过ABEM资格考试的预测可能性呈正相关（r = ০.134，n = 382，p = ০.025）。毅力与补考情况（r = -০.04，n = 378，p = ০.46）或毅力与MCAT百分位数（r = -০.08，n = 262，p = ০.22）之间均无相关性。
Grit-S分数与通过ABEM资格考试的可能性百分比之间的正相关表明，毅力有可能帮助住院医师培训项目负责人早期识别那些ITE分数可能较低的住院医师。
