Abstract: |
INTRODUCTION: Although much is known about the perceived motivating factors and barriers to individuals pursuing postgraduate year-one (PGY1) residency training, determinants for pursuit of further training after PGY1 are unclear. METHODS: Residents at accredited programs were surveyed regarding grit, residency program and resident characteristics, and pursuit of additional post-graduate training (PGT) intentions and behaviors. Two respondent groups were developed: Pursued Additional PGT and Did Not Pursue Additional PGT. Grit-S scores were compared. A multivariable logistic regression was conducted to determine predictors of additional PGT pursuit. RESULTS: Of 542 participating residents (response rate 14.9%), 332 (61.3%) pursued additional PGT. Residents in the Pursued Additional PGT group scored higher in overall Grit-S (median 3.875, interquartile range (IQR) 3.5-4.25 vs. median 3.75, IQR 3.375-4.125, p?=?0.0006) and perseverance of effort (median 4.25, IQR 4-4.5 vs. median 4, IQR 3.75-4.5, p?=?0.008) and consistency of interest (median 3.5, IQR 3-4 vs. median 3.5, IQR 2.75-3.75, p?=?0.002) domains. Residents who early committed to a PGY2 had higher Grit-S scores than those who did not (median 4, IQR 3.625-4.25 vs. median 3.875, IQR 3.375-4.125, p?=?0.012). Following multivariable logistic regression analysis, Grit-S score was the only variable associated with pursuit of additional PGT (odds ratio 17.8, 95% confidence interval 1.59-199.38). CONCLUSIONS: Grit-S scores are associated with PGY1 resident decisions to pursue further PGT and to early commit to PGY2 programs. |