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Grit in Surgeons

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Abstract

Background

Women in surgery are often told that they are not “tough enough” to be surgeons. A Grit Score provides a validated measure of passion and perseverance, which are aspects of “toughness.”

Methods

Survey data were collected from residents and attendings in all surgical fields through multiple surgical societies. Grit and burnout were measured using validated measures.

Results

Among surgeons, gender did not have an impact on Grit Score. Burnout had a statistically significant inverse relationship with Grit Score, and women were more likely to report burnout compared to men surgeons.

Conclusions

Women in surgery have just as much grit as their male counterparts. Grit should not be a factor in women pursuing a career in surgery.

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References

  1. AAMC, (2018) Active Physicians by Sex and Specialty, 2017. AMA Physician Masterfile December 2017. https://www.aamc.org/data-reports/workforce/interactive-data/active-physicians-sex-and-specialty-2017

  2. AM GL, Pories S, Parangi S et al (2019) Barriers to Pursuing a Career in Surgery: An Institutional Survey of Harvard Medical School Students. Ann Surg 273(6):1120–1126

  3. Cochran A, Neumayer LB, Elder WB (2019) Barriers to careers identified by women in academic surgery: a grounded theory model. Am J Surg 218(4):780–785

    Article  Google Scholar 

  4. Duckworth AL, Peterson C, Matthews MD et al (2007) Grit: perseverance and passion for long-term goals. J Pers Soc Psychol 92(6):1087–1101

    Article  Google Scholar 

  5. Reed AJ, Schmitz D, Baker E et al (2012) Association of “grit” and satisfaction in rural and nonrural doctors. J Am Board Fam Med 25(6):832–839

    Article  Google Scholar 

  6. Halliday L, Walker A, Vig S et al (2017) Grit and burnout in UK doctors: a cross-sectional study across specialties and stages of training. Postgrad Med J 93(1101):389–394

    Article  Google Scholar 

  7. Salles A, Lin D, Liebert C et al (2017) Grit as a predictor of risk of attrition in surgical residency. Am J Surg 213(2):288–291

    Article  Google Scholar 

  8. Duckworth A, Gross JJ (2014) Self-control and grit: related but separable determinants of success. Curr Dir Psychol Sci 23(5):319–325

    Article  Google Scholar 

  9. Duckworth AL, Quinn PD (2009) Development and validation of the short grit scale (grit–s). J Pers Assess 91(2):166–174

    Article  Google Scholar 

  10. Knox M, Willard-Grace R, Huang B et al (2018) Maslach Burnout Inventory and a self-defined, single-item burnout measure produce different clinician and staff burnout estimates. J Gen Intern Med 33(8):1344–1351

    Article  Google Scholar 

  11. Dolan ED, Mohr D, Lema M et al (2015) Using a single item to measure burnout in primary care staff: a psychometric evaluation. J Gen Intern Med 30(5):582–587

    Article  Google Scholar 

  12. Rojas JP, Reser JA, Usher EL et al (2012) Psychometric properties of the academic grit scale. University of Kentucky, Lexington

    Google Scholar 

  13. Jaeger B, Freeman S, Whalen R et al (2010) Successful students: smart or tough. In: Proceedings, ASEE Annual Convention, Paper AC. 1033, 26–29

  14. Batres I (2011) The relationship of grit, subjective happiness and meaning in life on alternative education students' GPA and attendance. University of La Verne

  15. Chang W, (2014) Grit and academic performance: Is being grittier better?. University of Miami Scholarly Repository

  16. Bazelais P, Lemay DJ, Doleck T (2016) How does grit impact college students’ academic achievement in science? Eur J Sci Math Educ 4(1):33–43

    Article  Google Scholar 

  17. Alzerwi NAN (2020) Effects of grit on the academic performance of medical students: a cross-sectional study at Majmaah University. Adv Med Educ Pract 11:419–425

    Article  Google Scholar 

  18. Percy DB, Streith L, Wong H et al (2019) Mental toughness in surgeons: Is there room for improvement? Canadian journal of surgery. J canadien de chirurgie 62(6):482–487

    Article  Google Scholar 

  19. Hu YY, Ellis RJ, Hewitt DB, Yang AD, Cheung EO, Moskowitz JT, Potts JR, Buyske J, Hoyt DB, Nasca TJ, Bilimoria KY (2019) Discrimination, abuse, harassment, and burnout in surgical residency training. N Engl J Med 381(18):1741–1752

    Article  Google Scholar 

  20. Pulcrano M, Evans SR, Sosin M (2016) Quality of life and burnout rates across surgical specialties: a systematic review. JAMA Surg 151(10):970–978

    Article  Google Scholar 

  21. Silver JK, (2020) Her Time is Now Report. Version 2. https://sheleadshealthcare.com/

  22. Gadjradj PS, Matawlie RH, Voigt I, Harhangi BS, Vieggeert-Lankamp CLAM (2020) Gender differences between male and female neurosurgeons: Is there equality for all? World Neurosurg 136:348–356

    Article  Google Scholar 

  23. Walker A, Hines J, Brecknell J (2016) Survival of the Grittiest? Consultant surgeons are significantly grittier than their junior trainees. J Surg Educ 73(4):730–734

    Article  Google Scholar 

  24. Wolfe MT, Patel PC (2016) Grit and self-employment: a multi-country study. Small Bus Econ 47(4):853–874

    Article  Google Scholar 

  25. Arco-Tirado JL, Bojica A, Fernandez-Martin F et al (2019) Grit as predictor of entrepreneurship and self-employment in Spain. Front Psychol 10:389

    Article  Google Scholar 

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Acknowledgements

The authors would like to thank Angela Duckworth and Paolo Terni for their help with the study design and questionnaire development, as well as with general advice and support throughout the study.

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Correspondence to Simone Betchen.

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Appendices

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Addendum B

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Betchen, S., Sarode, A., Pories, S. et al. Grit in Surgeons. World J Surg 45, 3033–3040 (2021). https://doi.org/10.1007/s00268-021-06222-0

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  • DOI: https://doi.org/10.1007/s00268-021-06222-0

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