Abstract
BackgroundIncreasing concerns about depression and burnout in residents have led to a recent focus on assessing “non-cognitive” traits in residents and residency applicants. One attribute that has received significant attention is grit, defined as trait-level perseverance and passion for long-term goals. With an objective measure available, an important question is under what circumstances of administration is that measure reliable and accurate. The goal of this study was to ascertain whether internal medicine residents and their faculty mentors were congruent in their ratings of resident grit, or if not, how the ratings differed. MethodsSubjects were internal medicine residents (N=42) at a community-based university-affiliated hospital internal medicine residency program. Near the end of the academic year 2019, residents completed the GRIT-S (short form). As each resident is assigned a mentor during their training, each resident’s mentor was also asked to complete the GRIT-S based on their view of their mentee. ResultsThis study failed to find a significant correlation between resident self-ratings of grit and those of their mentors.ConclusionsThe results of these two studies underscore the difficulty in obtaining accurate assessments of non-cognitive traits. These results further the understanding of the role of grit and raise important questions about how assessments might be used to assure validity. Further areas of inquiry into this potentially important characteristic are suggested.
Highlights
Perhaps due to increasing concerns about stress, depression, and burnout in residents, there has been a recent focus on assessing and monitoring which are being called “non-cognitive” traits in residents and residency applicants [1, 2]
As each resident is assigned a mentor during their training, each resident’s mentor was asked to complete the grit scale (GRIT-S) based on their view of their mentee
This study failed to find a significant correlation between resident self-ratings of grit and those of their mentors
Summary
Perhaps due to increasing concerns about stress, depression, and burnout in residents, there has been a recent focus on assessing and monitoring which are being called “non-cognitive” traits in residents and residency applicants [1, 2]. Much effort is expended in attempting to elucidate them because they are thought to be essential for performance and success One such attribute that has received significant attention in medical training is that of grit, which is defined as trait-level perseverance and passion for long-term goals [3]. Increasing concerns about depression and burnout in residents have led to a recent focus on assessing “non-cognitive” traits in residents and residency applicants. One attribute that has received significant attention is grit, defined as trait-level perseverance and passion for long-term goals. The goal of this study was to ascertain whether internal medicine residents and their faculty mentors were congruent in their ratings of resident grit, or if not, how the ratings differed
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