“…Given that research suggests that there is a kind of confidence-perhaps even a kind of narcissism-required to be a surgeon (Myers, Lu-Myers, and Ghaferi, 2018;Newman, 2019;Lanz, Gregory, Menendez, and Harmon, 2018;Kaafarani and Itani, 2005;Forrest and Smith, 2019), how is it possible to meaningfully engage surgeons in CPD activities? While researchers have investigated how to support the CPD of surgeons (Sachdeva, 2005;Hathaway and Heinsohn, 2019;Ghaderi et al, 2017;Stewart et al, 2008;Pradarelli et al 2020;Maher et al, 2017), we were unable to find any literature that recognizes how the surgical ego can impact surgeons' engagement in CPD activities. This is an important gap to address since it leaves unanswered a question of DeMartelaere S, Merkebu J, Harvey E, Varpio L MedEdPublish https://doi.org/10.15694/mep.2021.000166.1 foundational importance: Does the surgical ego that underpins individuals' development into effective surgeons simultaneously inhibit those individuals from meeting certification expectations of being lifelong learners?…”