Department of Orthopaedic Surgery, William Beaumont Army Medical Center, 5005 North Piedras Street, El Paso, TX 79902.
Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, 5001 El Paso Drive, El Paso, TX 79905.
Mil Med. 2020 Sep 18;185(9-10):e1603-e1607. doi: 10.1093/milmed/usaa101.
The intangible personal characteristic grit has become a popular topic of concentration within contemporary psychology studies. Grit is defined as persistent work on a focused topic for an extended period of time until a desired goal is achieved. Its application to physician selection and development is not well known. We sought to determine which factors were considered most important among leadership within the U.S. Army's orthopedic surgical training programs when selecting applications and ascertain if grit was one of the primary factors.
A standardized, 18-question survey was sent to all program chairs, program directors, and assistant program directors at the six U.S. Army orthopedic surgery residency programs. Questions included demographic factors pertaining to both the individual and their respective training program. Participants were asked to rank, in order, the 10 most important variables when considering applicants. Each variable was ranked using a point system (1-10 with 10 as the best score), referred to as the factor score (FS). Further statistical analyses using descriptive statistics, paired t-test, and ANOVA were performed and reported.
The response rate was 83% (15/18). The most important variable considered was the applicant's performance on their audition rotation (FS = 9.8), which was significantly more important than any other variable (P = 0.001). The second most important variable was the applicant's USMLE scores (FS = 7.13), followed by involvement in research (FS = 5.60) and conscientiousness (FS = 4.73), respectively. Grit was considered the fifth most important variable (FS = 4.27). There was no significant difference in the ranking of grit among the different programs (P = 0.282). In applicants with low United States Medical Licensing Examination scores according to leadership idiosyncrasy, their audition rotation was considered a redeeming portion of their application (P = 0.02) followed by their level of grit.
The most important factor when considering an orthopedic surgery applicant was how well the applicant performed on an audition rotation, followed by their United States Medical Licensing Examination scores. Grit has become an important consideration in resident selection.
无形的个人特质——坚毅，已成为当代心理学研究的热门话题。坚毅被定义为在一个聚焦的主题上持续工作很长一段时间，直到达到预期的目标。它在医生选拔和发展中的应用还不太为人所知。我们试图确定在美国陆军骨科外科培训项目中，领导力认为哪些因素最重要，并确定坚毅是否是主要因素之一。
向美国陆军 6 个骨科外科住院医师培训项目的所有项目主席、项目主任和项目副主任发送了一份标准化的 18 个问题的调查问卷。问题包括与个人及其所在培训项目相关的人口统计学因素。参与者被要求按顺序排列考虑申请人时的 10 个最重要的变量。每个变量都使用评分系统（1-10，10 为最佳分数），即因素评分（FS）进行排名。进一步使用描述性统计、配对 t 检验和 ANOVA 进行了统计分析，并报告了结果。
回复率为 83%（15/18）。被认为最重要的变量是申请人在试听轮次的表现（FS=9.8），这比任何其他变量都重要（P=0.001）。第二个最重要的变量是申请人的美国医师执照考试（USMLE）成绩（FS=7.13），其次是参与研究（FS=5.60）和认真程度（FS=4.73）。坚毅被认为是第五个最重要的变量（FS=4.27）。不同项目对坚毅的排名没有显著差异（P=0.282）。根据领导层特质，在 USMLE 成绩较低的申请人中，他们的试听轮次被认为是他们申请的一个亮点（P=0.02），其次是他们的坚毅程度。
在考虑骨科外科申请人时，最重要的因素是申请人在试听轮次的表现，其次是他们的 USMLE 成绩。坚毅已成为住院医师选拔的一个重要考虑因素。
