Over the last decade, the description, associations, and conceptual understanding of grit has focused our attention on this construct, especially as it relates to burnout and wellness. 1,2 The personality trait of grit was originally defined by Duckworth and colleagues as "perseverance and passion for long-term goals." 3(p1087) Across a broad range of contexts, grit has predicted achievement and commitment over and above intelligence, physical capability, and the "Big Five" personality traits. 4 Grit has a strong association with conscientiousness, higher levels of hope, positive affect, self-efficacy, and engagement. In health care, higher grit scores have been associated with lower burnout scores and lower attrition rates. 1,2,4 Further, in surgery residents, grit has been found to predict greater psychological well-being and lower rates of depression and burnout. However, these studies are from single institutions or small groups of residents.In this issue of JAMA Surgery, Hewitt and colleagues have reported on the association of grit scores with burnout, thoughts of attrition, and suicide ideation. 5 Using the opportunity to test residents after the 2018 American Board of Surgery In-Training Examination, the authors captured virtually all clinically active surgical resident grit scores. Grit scores varied between residents and residency programs. Residents with higher grit scores were 47% less likely to experience burnout, 39% less likely to have thoughts of attrition, and 42% less likely to report suicidal thoughts. This study strongly affirms that residents, like faculty, continue to have unacceptable signs and rates of burnout, thoughts about leaving surgical practice, and even (in 4.5%) thoughts of suicidal ideation. Given that higher grit scores are associ-