Street Smarts and a Scalpel: Emotional Intelligence in Surgical Education

Erdman, Mary Kate; Bonaroti, Alisha R.; Md, Gina Provenzano; Appelbaum, Rachel; Browne, Marybeth

doi:10.1016/j.jsurg.2016.09.004

Cited by 18 publications

(4 citation statements)

References 24 publications

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“…Those who are extroverted tend to be increasingly energetic, can effectively network, and engage in interpersonal activities such as collaborative research, while those who are conscientious may be more reliable and self-controlled with a focus on planning, organizing, and satisfying responsibilities [ 7 , 8 ]. Finally, those with a high degree of emotional intelligence are less likely to succumb to burnout [ 19 , 20 ]. Taken together, the narrow range of relatively high credit scores of surgery trainees who successfully matched may explain the lack of significance for predicting low performance with lower credit history.…”

Section: Discussionmentioning

confidence: 99%

Predictive Value of Credit Score on Surgery Resident and Fellow Academic and Professional Performance

Berry¹,

Marotta²,

Savla³

et al. 2021

Cureus

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IntroductionSurgical specialties consistently remain among the most competitive residency and fellowship programs with some of the highest rates of unmatched applicants. Attrition in surgical specialties is as high as 30% and particularly problematic given the extended duration of training and limited number of positions. Applicants are traditionally evaluated using a streamlined set of objective metrics, such as board scores, class rank, leadership, letters of recommendation, research productivity, and volunteerism. Consumer credit scores have been shown to be predictors of personality and work performance, however, the literature has yet to explore consumer credit histories in the context of surgical resident and fellow performance. This study aims to determine whether consumer credit scores of surgery residents and fellows are predictive of academic and professional performance. MethodsThis is a multi-institutional observational survey study across all American Council of Graduate Medical Education and Royal College of Physicians and Surgeons accredited surgical residency and fellowship programs in the United States and Canada. Ninety-nine surgical residents and fellows with educational status of post-graduate year two or higher participated in this study. Dichotomous (yes or no) survey items were formulated to assess performance indicators in the domains of notable achievements and awards, research output, written examination performance, professionalism, and surgical/technical skills. Threedigit Fair Isaac Corporation (FICO) credit scores, a widely accepted consumer reporting score, were collected to avoid calculation variability between algorithms. ResultsSurgical residents and fellows reported credit scores between 611( fair) and 853 (exceptional) with a median (interquartile range) of 774 (715-833). The majority of participants 51.5%(51) reported very good credit scores. Those with higher credit scores (very good/exceptional) were 377% more likely to have one or more positive performance indicators OR (95% CI) = 3.77 (1.43-9.97). Similarly, residents with lower credit scores (fair/good) were only 40% more likely to have one or more negative performance indicators. The credit score has a moderate ability to distinguish between the presence and absence of positive performance indicators (area under the curve {AUC} = 0.70, p = 0.001). The use of 753 as a credit score cutoff is 78.9% sensitive and 52.4% specific for discerning surgery residents and fellows with one or more positive performance indicators. The credit score did not significantly discern those with negative performance indicators. ConclusionsWhile credit score was significantly functional in discerning those with and without positive performance indicators, sensitivity and specificity rates leave much to be desired. This study suggests credit score may have a utility as a companion to traditional metrics used in identifying candidates for surgery residencies and fellowships who will have positive performance in the domains of research productivi...

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Section: Discussionmentioning

confidence: 99%

Predictive Value of Credit Score on Surgery Resident and Fellow Academic and Professional Performance

Berry¹,

Marotta²,

Savla³

et al. 2021

Cureus

View full text Add to dashboard Cite

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“…Emotional intelligence is considered to be partially innate, but studies have shown that it can be improved with training, 48 and many programs that aim to develop physician leaders focus, at least in part, on improving emotional intelligence. 49,50 …”

Section: Discussionmentioning

confidence: 99%

The Affordable Care Act and Its Effects on Physician Leadership: A Qualitative Systematic Review

Sterbenz

Chung

2017

Quality Management in Health Care

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The Affordable Care Act (ACA) shifted the focus in medical care from quantity to quality. This qualitative systematic review determined the key skills to be an effective physician leader after the implementation of the ACA and to compare them to the key skills identified prior to its implementation. A qualitative systematic review collects qualitative data and can be analyzed in a number of ways, including thematic analysis that constructs themes from the pooled data. A systematic literature search on leadership skills for physicians resulted in 26 papers. Thematic analysis was used to categorize the data presented in each paper. The results from these 26 papers were then compared to a similar paper published prior to the implementation of the ACA. Teamwork and team-building, communication, and self-awareness skills were mentioned the most often. The percentage of papers mentioning teamwork and team-building skills (61.5%) was significantly greater than the percentage (25%) reported prior to the implementation of the ACA (p≤0.04). With the shift towards quality of patient care, healthcare workers at all levels should strive to work as a team to provide the best quality of care at all stages of patient care.

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“…within the domain of personality), an ability (which involves a cognitive perspective) or a mixed model which encompasses both personality and ability components. 14,15 Previous reports on EI in surgery have been conducted in the context of surgical education, 16 academic and career achievement, 17 and descriptive evaluation of the importance of EI to surgery. 5 However, it is unclear as to how EI has been applied in a surgical context at large.…”

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confidence: 99%

“…Previous reports on EI in surgery have been conducted in the context of surgical education, 16 academic and career achievement, 17 and descriptive evaluation of the importance of EI to surgery 5 . However, it is unclear as to how EI has been applied in a surgical context at large.…”

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confidence: 99%

Measuring and Improving Emotional Intelligence in Surgery

et al. 2021

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Objective: Evaluate how emotional intelligence (EI) has been measured among surgeons and to investigate interventions implemented for improving EI. Summary Background: EI has relevant applications in surgery given its alignment with nontechnical skills. In recent years, EI has been measured in a surgical context to evaluate its relationship with measures such as surgeon burnout and the surgeon-patient relationship. Methods: A systematic review was conducted by searching MEDLINE, EMBASE, CINAHL, and PSYCINFO databases using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. MeSH terms and keywords included ''emotional intelligence,'' ''surgery,'' and ''surgeon.'' Eligible studies included an EI assessment of surgeons, surgical residents, and/or medical students within a surgical context. Results: The initial search yielded 4627 articles. After duplicate removal, 4435 articles were screened by title and abstract and 49 articles proceeded to a full-text read. Three additional articles were found via hand search. A total of 37 articles were included. Studies varied in surgical specialties, settings, and outcome measurements. Most occurred in general surgery, residency programs, and utilized self-report surveys to estimate EI. Notably, EI improved in all studies utilizing an intervention. Conclusions: The literature entailing the intersection between EI and surgery is diverse but still limited. Generally, EI has been demonstrated to be beneficial in terms of overall well-being and job satisfaction while also protecting against burnout. EI skills may provide a promising modifiable target to achieve desirable outcomes for both the surgeon and the patient. Future studies may emphasize the relevance of EI in the context of surgical teamwork.

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Street Smarts and a Scalpel: Emotional Intelligence in Surgical Education

Cited by 18 publications

References 24 publications

Predictive Value of Credit Score on Surgery Resident and Fellow Academic and Professional Performance

Predictive Value of Credit Score on Surgery Resident and Fellow Academic and Professional Performance

The Affordable Care Act and Its Effects on Physician Leadership: A Qualitative Systematic Review

Measuring and Improving Emotional Intelligence in Surgery

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