谁是“理想的外科实习生”？：对亚专科外科奖学金推荐信的定性分析

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-03-01 DOI:10.1016/j.jsurg.2025.103479

Jonathan S. Abelson MD, MS , Ali Al Jabri MD , Hina Bhat MD , Elizabeth M. Breen MD , Angela H. Kuhnen MD , Sharon L. Stein MD , Emily Steinhagen MD , Julia T. Saraidaridis MD, MMSc

{"title":"谁是“理想的外科实习生”？：对亚专科外科奖学金推荐信的定性分析","authors":"Jonathan S. Abelson MD, MS , Ali Al Jabri MD , Hina Bhat MD , Elizabeth M. Breen MD , Angela H. Kuhnen MD , Sharon L. Stein MD , Emily Steinhagen MD , Julia T. Saraidaridis MD, MMSc","doi":"10.1016/j.jsurg.2025.103479","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>It is unknown what traits practicing surgeons value in those wishing to become colorectal surgeons. The objective of this study was determine the most common qualities used to describe applicants to colorectal surgery residency.</div></div><div><h3>Design</h3><div>Letters of a recommendation (LOR) qualitatively analyzed to determine how writers described applicants. Letters were analyzed, coded, and categorized to understand the qualities most admired and devalued by reviewers.</div></div><div><h3>Setting</h3><div>LOR submitted to Lahey Hospital and Medical Center in Massachusetts</div></div><div><h3>Participants</h3><div>111 applicants to colorectal surgery residency at Lahey during the 2019 to 2020 cycle including 658 letters and 409 letter writers. There were 315 standardized LOR and 343 narrative LOR.</div></div><div><h3>Results</h3><div>75% of letters described some aspect of “grindstone” or hard-working attributes as being a positive. Other LORs valued attributes including being likeable and having good clinical and technical skills. The most frequent applicant flaws identified in the LOR included poor leadership skills and lack of delegation skills. Several letter writers also expressed concerns when an applicant was too soft spoken.</div></div><div><h3>Conclusions</h3><div>This study codifies the qualities valued by letter writers in describing colorectal surgery applicants. The descriptors used by surgeons in LOR can be thought of as a portrayal of the qualities composing an “ideal surgical trainee.” This cohort of LOR emphasized grindstone characteristics as a positive and poor leadership as a negative. As work-life integration becomes increasingly important to early career surgeons, intergenerational conflict may arise if the qualities lauded in the “ideal applicant” focus on work at all cost.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103479"},"PeriodicalIF":2.1000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Who is the “Ideal Surgical Trainee?”: A Qualitative Analysis of Letters of Recommendation to Subspecialty Surgical Fellowship\",\"authors\":\"Jonathan S. Abelson MD, MS , Ali Al Jabri MD , Hina Bhat MD , Elizabeth M. Breen MD , Angela H. Kuhnen MD , Sharon L. Stein MD , Emily Steinhagen MD , Julia T. Saraidaridis MD, MMSc\",\"doi\":\"10.1016/j.jsurg.2025.103479\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>It is unknown what traits practicing surgeons value in those wishing to become colorectal surgeons. The objective of this study was determine the most common qualities used to describe applicants to colorectal surgery residency.</div></div><div><h3>Design</h3><div>Letters of a recommendation (LOR) qualitatively analyzed to determine how writers described applicants. Letters were analyzed, coded, and categorized to understand the qualities most admired and devalued by reviewers.</div></div><div><h3>Setting</h3><div>LOR submitted to Lahey Hospital and Medical Center in Massachusetts</div></div><div><h3>Participants</h3><div>111 applicants to colorectal surgery residency at Lahey during the 2019 to 2020 cycle including 658 letters and 409 letter writers. There were 315 standardized LOR and 343 narrative LOR.</div></div><div><h3>Results</h3><div>75% of letters described some aspect of “grindstone” or hard-working attributes as being a positive. Other LORs valued attributes including being likeable and having good clinical and technical skills. The most frequent applicant flaws identified in the LOR included poor leadership skills and lack of delegation skills. Several letter writers also expressed concerns when an applicant was too soft spoken.</div></div><div><h3>Conclusions</h3><div>This study codifies the qualities valued by letter writers in describing colorectal surgery applicants. The descriptors used by surgeons in LOR can be thought of as a portrayal of the qualities composing an “ideal surgical trainee.” This cohort of LOR emphasized grindstone characteristics as a positive and poor leadership as a negative. As work-life integration becomes increasingly important to early career surgeons, intergenerational conflict may arise if the qualities lauded in the “ideal applicant” focus on work at all cost.</div></div>\",\"PeriodicalId\":50033,\"journal\":{\"name\":\"Journal of Surgical Education\",\"volume\":\"82 5\",\"pages\":\"Article 103479\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Education\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1931720425000601\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Education","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1931720425000601","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}

引用次数: 0

摘要

目的对于那些希望成为结直肠外科医生的人，目前尚不清楚执业外科医生看重哪些特征。本研究的目的是确定最常见的素质用于描述申请人结肠直肠外科住院医师。设计推荐信（LOR）定性分析，以确定作者如何描述申请人。对信件进行分析、编码和分类，以了解评论者最欣赏和最贬低的品质。SettingLOR向马萨诸塞州Lahey医院和医疗中心提交了一项研究，研究对象是2019年至2020年期间111名Lahey结直肠外科住院医师申请人，其中包括658名信函和409名信函撰写者。有315例标准化的LOR， 343例叙述性的LOR。75%的信件将“磨砺”或勤奋的特质描述为积极的一面。其他LORs看重的属性包括讨人喜欢、有良好的临床和技术技能。在LOR中发现的最常见的申请人缺陷包括糟糕的领导技能和缺乏授权技能。几位写信人也表达了对申请人说话过于温和的担忧。结论本研究整理了写信者在描述结肠直肠手术申请人时所看重的品质。外科医生在LOR中使用的描述符可以被认为是构成“理想外科实习生”的素质的写照。这群LOR强调磨刀石特征是积极的，而糟糕的领导是消极的。随着工作与生活的融合对早期职业外科医生变得越来越重要，如果“理想求职者”所赞美的品质不惜一切代价地专注于工作，代际冲突可能会出现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Who is the “Ideal Surgical Trainee?”: A Qualitative Analysis of Letters of Recommendation to Subspecialty Surgical Fellowship

Objective

It is unknown what traits practicing surgeons value in those wishing to become colorectal surgeons. The objective of this study was determine the most common qualities used to describe applicants to colorectal surgery residency.

Design

Letters of a recommendation (LOR) qualitatively analyzed to determine how writers described applicants. Letters were analyzed, coded, and categorized to understand the qualities most admired and devalued by reviewers.

Setting

LOR submitted to Lahey Hospital and Medical Center in Massachusetts

Participants

111 applicants to colorectal surgery residency at Lahey during the 2019 to 2020 cycle including 658 letters and 409 letter writers. There were 315 standardized LOR and 343 narrative LOR.

Results

75% of letters described some aspect of “grindstone” or hard-working attributes as being a positive. Other LORs valued attributes including being likeable and having good clinical and technical skills. The most frequent applicant flaws identified in the LOR included poor leadership skills and lack of delegation skills. Several letter writers also expressed concerns when an applicant was too soft spoken.

Conclusions

This study codifies the qualities valued by letter writers in describing colorectal surgery applicants. The descriptors used by surgeons in LOR can be thought of as a portrayal of the qualities composing an “ideal surgical trainee.” This cohort of LOR emphasized grindstone characteristics as a positive and poor leadership as a negative. As work-life integration becomes increasingly important to early career surgeons, intergenerational conflict may arise if the qualities lauded in the “ideal applicant” focus on work at all cost.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.