Beyond the image: The hidden problem of maladaptive mindsets in radiology residency and how to fix it

Abstract

Purpose

Burnout, anxiety, and imposter syndrome are prevalent in radiology residency, where high clinical demands and a culture of perfectionism can reinforce maladaptive cognitive patterns. This study examines the prevalence of maladaptive and growth mindsets among residents and evaluates the impact of a brief educational intervention.

Methods

A 45-min didactic lecture on mindset theory was delivered to radiology trainees at five institutions. The lecture introduced three maladaptive mindsets - “Cog in the Wheel,” “Survival,” and “Perfectionist” - and one growth mindset, “Growth.” An anonymous post-lecture survey assessed mindset prevalence and the perceived importance of growth mindset development. Pearson's chi-square test was used for statistical analysis.

Results

Among 48 resident responses, 65 % identified with the “Perfectionist”, 62 % with “Survival,” and 56 % with “Cog in the Wheel” mindset. Only 6 % identified exclusively with the “Growth” mindset, while 35 % endorsed both growth and maladaptive mindsets. Only 8 % of respondents reported high familiarity with mindset theory pre-lecture. Ninety-percent of respondents rated growth mindset development as “very” or “extremely important” (p < 0.001) post-lecture, compared to 39 % retrospective rating pre-lecture. Additionally, 88 % found the session very helpful, and 75 % expressed high interest in further mindset training.

Conclusion

Maladaptive mindsets are prevalent among radiology residents, contributing to stress and burnout. A brief educational intervention significantly increased awareness and motivation to adopt a growth mindset. These findings underscore the need for structured mindset training, faculty modeling of growth-oriented behaviors, and institutional support to foster resilience and professional fulfillment. Future research should explore the long-term impact of mindset interventions.