Grit and burnout in UK doctors: a cross-sectional study across specialties and stages of training

Halliday, Laura; Walker, Abigail; Vig, S.; Hines, John; Brecknell, John

doi:10.1136/postgradmedj-2015-133919

Cited by 99 publications

(104 citation statements)

References 23 publications

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“…Their finding that high levels of grit are associated with lower levels of burnout in UK doctors serves as an interesting observation and provides useful information to medical students and doctors alike. Notably, as the authors conclude, an understanding of an individual’s level of grit may be useful to identify doctors at a greater risk of burnout 1. Put another way, realising one’s level of grit may enable an individual to optimise their environment and thus help them achieve success, both personally and professionally.…”

mentioning

confidence: 94%

“…We read with great interest the recent paper by Halliday et al ,1 who evaluated the relationship between grit and burnout in a group of UK hospital doctors and general practitioners. Their finding that high levels of grit are associated with lower levels of burnout in UK doctors serves as an interesting observation and provides useful information to medical students and doctors alike.…”

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confidence: 99%

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Grit and tidiness: could what we know help us achieve success?

Penny

Kurien

Fowler

et al. 2017

Postgraduate Medical Journal

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confidence: 94%

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confidence: 99%

Grit and tidiness: could what we know help us achieve success?

Penny

Kurien

Fowler

et al. 2017

Postgraduate Medical Journal

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“…On interrogation of the data presented in their report,1 specifically referring to Junior trainees (FY1-CT2): for ‘Grit versus Exhaustion’ in this group, the correlation is moderately negative (−0.391) with a p value of only 0.02. For ‘Grit versus Burnout’, the correlation is weakly negative (−0.254) with a borderline p value of only 0.03.…”

mentioning

confidence: 94%

“…I feel that the data provided by Halliday et al 1 highlight just how little the benefits of further emphasis on resilience training are likely to be, particularly in our Junior Doctor cohort.…”

mentioning

confidence: 95%

“…In their recent report, Halliday et al 1 seek to encourage the reader that ‘interventions to improve grit through resilience training should also be examined’. As a matter of concern to myself, this statement and the associated research in the report are likely to give fuel for National Health Service (NHS) employers to dive headlong into further rounds of deeply unpopular ‘resilience training’ for Junior Doctors.…”

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confidence: 99%

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Resilience training: no more is needed or desired

Smith¹

2017

Postgraduate Medical Journal

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In their recent report, Halliday et al1 seek to encourage the reader that ‘interventions to improve grit through resilience training should also be examined’. As a matter of concern to myself, this statement and the associated research in the report are likely to give fuel for National Health Service (NHS) employers to dive headlong into further rounds of deeply unpopular ‘resilience training’ for Junior Doctors.

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National Evaluation of Surgical Resident Grit and the Association With Wellness Outcomes

et al. 2021

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IMPORTANCE Grit, defined as perseverance and passion for long-term goals, is predictive of success and performance even among high-achieving individuals. Previous studies examining the effect of grit on attrition and wellness during surgical residency are limited by low response rates or single-institution analyses.OBJECTIVES To characterize grit among US general surgery residents and examine the association between resident grit and wellness outcomes. DESIGN, SETTING, AND PARTICIPANTSA cross-sectional national survey study of 7464 clinically active general surgery residents in the US was administered in conjunction with the 2018 American Board of Surgery In-Training Examination and assessed grit, burnout, thoughts of attrition, and suicidal thoughts during the previous year. Multivariable logistic regression models were constructed to assess the association of grit with resident burnout, thoughts of attrition, and suicidal thoughts. Statistical analyses were performed from June 1 to August 15, 2019.EXPOSURES Grit was measured using the 8-item Short Grit Scale (scores range from 1 [not at all gritty] to 5 [extremely gritty]). MAIN OUTCOMES AND MEASURESThe primary outcome was burnout. Secondary outcomes were thoughts of attrition and suicidal thoughts within the past year. RESULTS Among 7464 residents (7413 [99.3%] responded; 4469 men [60.2%]) from 262 general surgery residency programs, individual grit scores ranged from 1.13 to 5.00 points (mean [SD], 3.69 [0.58] points). Mean (SD) grit scores were significantly higher in women (3.72 [0.56] points), in residents in postgraduate training year 4 or 5 (3.72 [0.58] points), and in residents who were married (3.72 [0.57] points; all P Յ .001), although the absolute magnitude of the differences was small. In adjusted analyses, residents with higher grit scores were significantly less likely to report duty hour violations (odds ratio [OR], 0.85; 95% CI, 0.77-0.93), dissatisfaction with becoming a surgeon (OR, 0.53; 95% CI, 0.48-0.59), burnout (OR, 0.53; 95% CI, 0.49-0.58), thoughts of attrition (OR, 0.61; 95% CI, 0.55-0.67), and suicidal thoughts (OR, 0.58; 95% CI, 0.47-0.71). Grit scores were not associated with American Board of Surgery In-Training Examination performance. For individual residency programs, mean program-level grit scores ranged from 3.18 to 4.09 points (mean [SD], 3.69 [0.13] points). CONCLUSIONS AND RELEVANCEIn this national survey evaluation, higher grit scores were associated with a lower likelihood of burnout, thoughts of attrition, and suicidal thoughts among general surgery residents. Given that surgical resident grit scores are generally high and much remains unknown about how to employ grit measurement, grit is likely not an effective screening instrument to select residents; instead, institutions should ensure an organizational culture that promotes and supports trainees across this elevated range of grit scores.

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Grit and burnout in UK doctors: a cross-sectional study across specialties and stages of training

Cited by 99 publications

References 23 publications

Grit and tidiness: could what we know help us achieve success?

Grit and tidiness: could what we know help us achieve success?

Resilience training: no more is needed or desired

National Evaluation of Surgical Resident Grit and the Association With Wellness Outcomes

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