Mental toughness in surgeons: Is there room for improvement?

Autor:	Percy DB; From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Percy, Wong, Hameed); the Faculty of Medicine, University of Calgary, Calgary, Alta. (Streith); the Division of General Surgery, Department of Surgery, University of Calgary, Calgary, Alta. (Wong); the Interior Health Department of Emergency and Trauma Services, Kelowna, BC (Ball); and the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder)., Streith L; From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Percy, Wong, Hameed); the Faculty of Medicine, University of Calgary, Calgary, Alta. (Streith); the Division of General Surgery, Department of Surgery, University of Calgary, Calgary, Alta. (Wong); the Interior Health Department of Emergency and Trauma Services, Kelowna, BC (Ball); and the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder)., Wong H; From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Percy, Wong, Hameed); the Faculty of Medicine, University of Calgary, Calgary, Alta. (Streith); the Division of General Surgery, Department of Surgery, University of Calgary, Calgary, Alta. (Wong); the Interior Health Department of Emergency and Trauma Services, Kelowna, BC (Ball); and the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder)., Ball CG; From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Percy, Wong, Hameed); the Faculty of Medicine, University of Calgary, Calgary, Alta. (Streith); the Division of General Surgery, Department of Surgery, University of Calgary, Calgary, Alta. (Wong); the Interior Health Department of Emergency and Trauma Services, Kelowna, BC (Ball); and the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder)., Widder S; From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Percy, Wong, Hameed); the Faculty of Medicine, University of Calgary, Calgary, Alta. (Streith); the Division of General Surgery, Department of Surgery, University of Calgary, Calgary, Alta. (Wong); the Interior Health Department of Emergency and Trauma Services, Kelowna, BC (Ball); and the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder)., Hameed M; From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Percy, Wong, Hameed); the Faculty of Medicine, University of Calgary, Calgary, Alta. (Streith); the Division of General Surgery, Department of Surgery, University of Calgary, Calgary, Alta. (Wong); the Interior Health Department of Emergency and Trauma Services, Kelowna, BC (Ball); and the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder).
Jazyk:	angličtina
Zdroj:	Canadian journal of surgery. Journal canadien de chirurgie [Can J Surg] 2019 Dec 01; Vol. 62 (6), pp. 482-487.
DOI:	10.1503/cjs.010818
Abstrakt:	Background: Mental toughness is crucial to high-level performance in stressful situations. However, there is no formal evaluation or training in mental toughness in surgery. Our objective was to examine differences in mental toughness between staff and resident surgeons, and whether there is an interest in improving this attribute. Methods: We distributed a survey containing the Mental Toughness Index (domains of self-belief, attention regulation, emotion regulation, success mindset, context knowledge, buoyancy, optimism and adversity capacity) among general surgery residents and staff at 3 Canadian academic institutions. Responses were recorded on a 7-point Likert scale. Participants were also asked about techniques they used to help them perform under pressure and interest in further developing mental toughness. Results: Eighty-three of 193 surgeons participated: 56/105 (52.8%) residents and 27/87 (31.0%) staff. The average age was 29 (standard deviation 5) years and 42 (standard deviation 8) years, respectively. Residents scored significantly lower than staff in all mental toughness domains. Men scored significantly higher than women in attention regulation and emotion regulation. Age, staff experience and resident postgraduate year were not significantly associated with mental toughness scores. Twenty residents (36%) and 17 staff (63%) reported using specific techniques to deal with stressful situations; 49 (88%) and 15 (56%), respectively, were interested in further developing mental toughness. Conclusion: Staff surgeons scored significantly higher than residents in all mental toughness domains measured. Both groups expressed a desire to improve mental toughness. There are many techniques to improve mental toughness, and further research is needed to assess their effectiveness in surgical training. Competing Interests: C. Ball is coeditor in chief and S. Widder is an associate editor of CJS. Neither of them was involved in the review of this manuscript or in the decision to accept it for publication. No other competing interests declared. (© 2019 Joule Inc. or its licensors)
Databáze:	MEDLINE
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