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Personality Profiling of the Modern Surgical Trainee: Insights into Generation X. Jennifer A Swanson MD MPH Mara B Antonoff MD, Jonathan D’Cunha MD PhD, Michael A Maddaus MD. Apprenticeship Model. Large care teams Learn by osmosis One service at a time No duty hour restrictions.
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Personality Profiling of the Modern Surgical Trainee: Insights into Generation X Jennifer A Swanson MD MPH Mara B Antonoff MD, Jonathan D’Cunha MD PhD, Michael A Maddaus MD
Apprenticeship Model • Large care teams • Learn by osmosis • One service at a time • No duty hour restrictions
Changing Surgical Education • ACGME Core Competencies • Resident education and evaluation • Duty hour restrictions • Smaller care teams • Increased cross coverage
Generation • Defined by historical time • Similar events, icons, experiences • Generation X • 1965-1980 • Modern surgical trainee
Myers-Briggs Type Indicator • Myers Briggs Type Indicator (MBTI) • Determines personality type • Preferences for behaviors, reactions, perceptions, judgment • Based on pairs of opposite preferences
Myers-Briggs Type Indicator • Extraversion/Introversion (E/I) • Inward vs outward personal orientation • Sensing/iNtuition (S/N) • Perceived facts vs insight • Thinking/Feeling (T/F) • Logical vs subjective approach to reasoning • Judgment/Perception (J/P) • Planning / organization vs spontaneity
Myers-Briggs Type Indicator • Historically, surgeons have favored the ESTJ personality type: • Extroversion • Sensing • Thinking • Judging
Hypothesis Resident personality has changed
Methods • IRB approval • MBTI step I form M • 41 categorical surgical residents • Single institution
Methods • Data published by the Center for Applications of Psychological Type • Chi-square analysis used to determine difference between groups • =0.05
Results • 39 (95%) of residents completed the survey • 22 men and 17 women • PGY-5 (6) • PGY-4 (6) • PGY-3 (15) PGY-2 (6) PGY-1 (6)
Results • Residents represented 14 of the 16 personality types • Residentspreferred ISTJ: • Introversion • Sensing • Thinking • Judging • Remainderless frequentn4
Results • Historically, surgeons have favored the ESTJ personality type: • Extroversion • Sensing • Thinking • Judging
Conclusions • Validation of common perception of a new surgical resident • Evolution to different personality • Suggests attraction of new trainee
Future Implications • Important implications for care team structuring • Anticipate program expansion • Potential applications • Educational objectives • Curricular development • Relationship between trainees and staff