Objective Predictors of Grit, Self-Control, and Conscientiousness in Orthopaedic Surgery Residency Applicants

J Am Acad Orthop Surg. 2019 Mar 1;27(5):e227-e234. doi: 10.5435/JAAOS-D-17-00545.

Abstract

Introduction: The purpose of this study was to identify objective predictors of grit, self-control, and conscientiousness in orthopaedic surgery residency applicants.

Methods: The following attributes were assessed in 455 applicants: grit, self-control, conscientiousness, consistency of interest, perseverance of effort, and ambition. These measures were correlated with standard, objective demographics obtained during the application process.

Results: Alpha Omega Alpha status, additional degrees, and number of publications did not predict any of the studied attributes. Grit increased with age (P < 0.001) but decreased with increasing board scores (P = 0.004). Former collegiate athletes demonstrated greater grit (P < 0.001), consistency of interest (P = 0.007), perseverance (P = 0.006), and self-control (P = 0.019). Female applicants demonstrated more grit (P = 0.044), consistency of interest (P = 0.003), and conscientiousness (P = 0.029) than males. Applicants with military experience had increased ambition (P = 0.033) and conscientiousness (P = 0.001).

Conclusion: Overall, orthopaedics applicants possess increased grit compared with the general public, and a number of objective variables reliably predicted the studied attributes.

Level of evidence: Level III, Cross-sectional study.

MeSH terms

  • Adult
  • Age Factors
  • Conscience*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Identification, Psychological*
  • Internship and Residency*
  • Male
  • Middle Aged
  • Motivation*
  • Orthopedic Surgeons / psychology*
  • Orthopedics / education*
  • Self-Control*
  • Sex Factors