Gardner Aimee K, Willis Ross E
Baylor College of Medicine, MS: BCM115, DeBakey Building, M108K, One Baylor Plaza, Houston, TX 77030 USA.
SurgWise Consulting, Houston, TX USA.
Global Surg Educ. 2022;1(1):6. doi: 10.1007/s44186-022-00005-4. Epub 2022 Feb 28.
Leaders in surgery have posited that passion for the surgery profession is diminishing among entering trainees, and that its scarcity is related to the high levels of attrition observed in general surgery training. This study explores trends in passion for the profession among applicants to general surgery training.
Applicants to a large midwestern academic general surgery program were invited to complete a voluntary, anonymous 12-item Passion for Surgery Index (PSI) as part of their supplementary application package during the 2020-2021 and 2021-2022 residency selection seasons. The PSI is adapted from a generic work-related passion index and is based on the dualistic model of passion, organizing scores into harmonious passion and consuming passion. Applicants completed the index on a stand-alone website which automatically generated results pertaining to overall passion, harmonious passion, and consuming passion for the surgery profession. Applicants were provided with their results and provided feedback.
Sixty-one percent (871/1428) of invited applicants completed the PSI. Approximately 67.4% ( = 587) of these applicants reported an overall high level of passion for surgery, while 31.1% ( = 271) reported a moderate level and the remaining 1.5% ( = 13) reported a low level. When comparing the two different types of passion, the vast majority of applicants (92.8%; = 808) reported a high level of harmonious passion and only 7.1% ( = 62) reported a moderate level of harmonious passion. The results for consuming passion were much more varied, with 36.9% ( = 321) reporting a high level, 47.5% ( = 414) reporting a moderate level, and 15.6% ( = 136) reporting a low level of consuming passion for the profession.
These results suggest that there is substantial variation in passion for the profession among those pursuing a career in surgery. While the majority of applicants reported a high level of harmonious passion for surgery, less than half of applicants reported a high level of consuming passion for surgery. This variability in consuming passion among entering trainees is concerning, as individuals with low or only moderate passion for the profession may not have the motivation or drive to persist in demanding training environments.
外科领域的领导者认为，新入职的实习生对外科职业的热情正在减退，而这种热情的稀缺与普通外科培训中观察到的高流失率有关。本研究探讨了普通外科培训申请者对该职业的热情趋势。
在2020 - 2021年和2021 - 2022年住院医师选拔季期间，邀请中西部一所大型学术性普通外科项目的申请者，作为补充申请材料的一部分，完成一份自愿、匿名的包含12个项目的外科热情指数（PSI）。PSI改编自一个通用的与工作相关的热情指数，基于热情的二元模型，将分数分为和谐热情和强迫性热情。申请者在一个独立的网站上完成该指数，该网站会自动生成与对外科职业的总体热情、和谐热情和强迫性热情相关的结果。向申请者提供了他们的结果并给予反馈。
61%（871/1428）的受邀申请者完成了PSI。这些申请者中约67.4%（n = 587）报告对外科有较高的总体热情，31.1%（n = 271）报告为中等水平，其余1.5%（n = 13）报告为低水平。在比较两种不同类型的热情时，绝大多数申请者（92.8%；n = 808）报告有较高水平的和谐热情，只有7.1%（n = 62）报告有中等水平的和谐热情。强迫性热情的结果差异更大，36.9%（n = 321）报告为高水平，47.5%（n = 414）报告为中等水平，15.6%（n = 136）报告对该职业的强迫性热情为低水平。
这些结果表明，在追求外科职业的人群中，对该职业的热情存在很大差异。虽然大多数申请者报告对外科有较高水平的和谐热情，但不到一半的申请者报告对外科有较高水平的强迫性热情。新入职实习生中这种强迫性热情的差异令人担忧，因为对该职业热情低或仅为中等的个体可能没有动力或驱动力在要求苛刻的培训环境中坚持下去。
