Siotos Charalampos, Toms John A, Seu Michelle Y, Adepoju Jubril, Najafali Daniel, Ritz Ethan M, Shenaq Deana S, Hood Keith C, Kurlander David E
Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, Illinois 60607.
Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, Illinois 60607; Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, Illinois 61801.
J Surg Educ. 2025 Feb;82(2):103371. doi: 10.1016/j.jsurg.2024.103371. Epub 2024 Dec 30.
Selecting candidates for plastic and reconstructive surgery (PRS) residency is complex, involving academic metrics and intrinsic personal qualities. "Grit"-perseverance and passion for long-term goals may be one of these valued qualities. This study investigates how grit scores relate to securing a PRS residency, hypothesizing that higher grit correlates with greater matching success.
After match day, an email survey was distributed to all the applicants of Rush University Medical Center's integrated PRS program during the academic years 2021-2022 and 2022-2023. This survey included items regarding match results and a validated grit questionnaire. We calculated baseline differences among the study participants. Correlation between grit score, academic achievements, and match was performed with univariate analyses using the Spearman correlation for continuous variables and the Wilcoxon rank sum test.
The program received 616 applications, of which 132 (21%) responded to the grit survey. Among the responders, 97 (74%) reported matching into PRS, versus 35 (27%) who did not. After adjusting for multiple confounders, higher grit score was found to be associated with significantly lower odds of matching into PRS residency (OR 0.13, p-value 0.03). Higher Step 1 and 2 CK scores, number of publications, and female gender were associated with greater odds of matching.
Our study did not identify any association between higher grit and matching successfully in PRS. After adjusting for confounders, we observed significantly higher grit scores among applicants who did not match into PRS, which may be related to the psychological phenomenon of increased perseverance as people reflect on their perceived failures.
IV (Cross-sectional study).
为整形外科和重建外科（PRS）住院医师项目选拔候选人的过程很复杂，涉及学术指标和内在个人品质。“毅力”——对长期目标的坚持和热情可能是这些受重视的品质之一。本研究调查了毅力得分与获得PRS住院医师职位之间的关系，假设更高的毅力与更高的匹配成功率相关。
在录取结果公布后，向拉什大学医学中心2021 - 2022学年和2022 - 2023学年综合PRS项目的所有申请者发送了电子邮件调查。该调查包括有关录取结果的项目和一份经过验证的毅力问卷表。我们计算了研究参与者之间的基线差异。使用Spearman相关性对连续变量进行单变量分析，以及Wilcoxon秩和检验，对毅力得分、学术成就和录取情况之间的相关性进行了分析。
该项目收到了616份申请，其中132份（21%）回复了毅力调查。在回复者中，97人（74%）报告被PRS项目录取，而未被录取的有35人（27%）。在调整了多个混杂因素后，发现更高的毅力得分与进入PRS住院医师项目的几率显著降低相关（比值比0.13，p值0.03）。更高的第一步和第二步临床知识（CK）考试成绩、发表论文数量以及女性性别与更高的录取几率相关。
我们的研究未发现更高的毅力与成功匹配PRS项目之间存在任何关联。在调整混杂因素后，我们观察到未被PRS项目录取的申请者的毅力得分显著更高，这可能与人们在反思自身感知到的失败时毅力增强的心理现象有关。
IV（横断面研究）。
