《大地惊雷：美国综合整形外科住院医师申请者的故事》。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-01 DOI:10.1016/j.jsurg.2024.103371

Charalampos Siotos MD, PhD , John A. Toms III BS, MS , Michelle Y. Seu MD , Jubril Adepoju BS , Daniel Najafali BS , Ethan M. Ritz MS , Deana S. Shenaq MD , Keith C. Hood MD , David E. Kurlander MD

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引用次数: 0

摘要

简介：选择整形和重建外科（PRS）住院医师的候选人是复杂的，涉及学术指标和内在的个人素质。“坚毅”——对长期目标的坚持和热情可能是这些宝贵品质之一。本研究调查了毅力分数与获得PRS居住权的关系，假设更高的毅力与更大的匹配成功相关。方法：在比赛日结束后，对拉什大学医学中心2021-2022学年和2022-2023学年综合PRS项目的所有申请者进行电子邮件调查。这项调查包括比赛结果和一份经过验证的沙砾问卷。我们计算了研究参与者之间的基线差异。砂砾分数、学业成绩和匹配之间的相关性采用单变量分析，使用连续变量的Spearman相关和Wilcoxon秩和检验。结果：该项目收到了616份申请，其中132份（21%）回应了砂砾调查。在应答者中，97人（74%）报告与PRS匹配，而35人（27%）没有匹配。在对多个混杂因素进行调整后，发现较高的沙砾评分与显著较低的PRS居住匹配几率相关（OR 0.13， p值0.03）。较高的第1步和第2步CK得分、出版物数量和女性性别与较大的匹配几率相关。结论：我们的研究没有发现高粒度与PRS匹配成功之间的任何关联。在对混杂因素进行调整后，我们观察到，在与PRS不匹配的申请人中，毅力得分明显更高，这可能与人们在反思自己的失败时毅力增强的心理现象有关。证据等级：IV（横断面研究）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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True Grit: The Tale of American Integrated Plastic Surgery Residency Applicants

INTRODUCTION

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

LEVEL OF EVIDENCE

IV (Cross-sectional study)

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.