Grit as a predictor of risk of attrition in surgical residency

Salles, Arghavan; Lin, Dana T.; Liebert, Cara A.; Esquivel, Micaela; Lau, James N.; Greco, Ralph S.; Mueller, Claudia

doi:10.1016/j.amjsurg.2016.10.012

Cited by 115 publications

(84 citation statements)

References 16 publications

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“…Given what is known about the reasons for leaving or considering leaving, as well as the insight from the work by Orri et al ., is it possible to predict the characteristics of surgical trainees who are most at risk of attrition?…”

Section: Can Trainees Considering Leaving Be Identified?mentioning

confidence: 99%

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Leaving surgical training: some of the reasons are in surgery

Forel

Vandepeer

Duncan

et al. 2018

ANZ Journal of Surgery

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In 2014, the Royal Australasian College of Surgeons identified, through internal analysis, a considerable attrition rate within its Surgical Education and Training programme. Within the attrition cohort, choosing to leave accounted for the majority. Women were significantly over-represented. It was considered important to study these 'leavers' if possible. An external group with medical education expertise were engaged to do this, a report that is now published and titled 'A study exploring the reasons for and experiences of leaving surgical training'. During this time, the Royal Australasian College of Surgeons came under serious external review, leading to the development of the Action Plan on Discrimination, Bullying and Sexual Harassment in the Practice of Surgery, known as the Building Respect, Improving Patient Safety (BRIPS) action plan. The 'Leaving Training Report', which involved nearly one-half of all voluntary 'leavers', identified three major themes that were pertinent to leaving surgical training. Of these, one was about surgery itself: the complexity, the technical, decision-making and lifestyle demands, the emotional aspects of dealing with seriously sick patients and the personal toll of all of this. This narrative literature review investigates these aspects of surgical education from the trainees' perspective.

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Section: Can Trainees Considering Leaving Be Identified?mentioning

confidence: 99%

“…Actual attrition was also measured. After controlling for trainee age, gender, ethnicity and marital status, the authors found that grit was not a predictor of completion …”

Section: Can Trainees Considering Leaving Be Identified?mentioning

confidence: 99%

Leaving surgical training: some of the reasons are in surgery

Forel

Vandepeer

Duncan

et al. 2018

ANZ Journal of Surgery

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“…After assessing 73 surgical residents' psychological states, Grit-S score, self-reported measure attrition risk, and actual attrition rates, Salles et al (2017) found that grit did not significantly predict actual residency completion (p = 0.08) but was negatively associated with how often participants thought about leaving residency (β = -0.99, t = -2.53, p < 0.05). A study of pharmacy students found that Grit-S scores did not correlate with GPA, though the test had low statistical power, but did predict attainment of postgraduate fellowship and training.…”

Section: Grit and Completion Ratesmentioning

confidence: 99%

Grit, Mindset, and Academic Performance: A Study of Pre-University Science Students

Bazelais

Lemay

Doleck

et al. 2018

EURASIA J MATH SCI T

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Recent studies in educational psychology highlight the role of motivational variables such as trait-like perseverance. Studies have linked such variables (e.g., grit and mindset) to academic performance. However, research has reported inconsistent findings in explaining academic achievement differences. Drawing from a sample of pre-university students (N = 309), the present study assesses the efficacy of both grit and mindset in predicting academic achievement. The results suggest that neither grit, nor mindset was predictive of academic achievement. These findings have significant theoretical and practical implications.

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“…However, studies evaluating grit in medicine are limited, especially with respect to achievement in graduate medical education. Grittier medical students have been found to have higher class ranks and to be more successful in gross anatomy and grit correlates with surgical residents’ psychological well‐being . However, to the best of our knowledge, there has been little research evaluating grit’s correlation with academic achievement in graduate medical education, and no study to date has assessed the association of grit and achievement in EM residents.…”

Section: Introductionmentioning

confidence: 99%

The Correlation Between Emergency Medicine Residents’ Grit and Achievement

Olson

Williamson

Hartman

et al. 2019

AEM Education and Training

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Background: 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. Study Design and Methods: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.Results: 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, n = 382, p = 0.025). There was no correlation between grit and remediation (r = À0.04, n = 378, p = 0.46) or grit and MCAT percentiles (r =À 0.08, n = 262, p = 0.22). Conclusions: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.

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Grit as a predictor of risk of attrition in surgical residency

Cited by 115 publications

References 16 publications

Leaving surgical training: some of the reasons are in surgery

Leaving surgical training: some of the reasons are in surgery

Grit, Mindset, and Academic Performance: A Study of Pre-University Science Students

The Correlation Between Emergency Medicine Residents’ Grit and Achievement

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