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Measuring Uncertainty Intolerance in Surgical Residents Using Standardized Assessments.

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Physician stress from uncertainty (UI) impacts practice and well-being. This pilot study suggests the Judging personality type may tolerate surgical uncertainty better, aiding targeted training for residents.

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Area of Science:

  • Medical Education
  • Psychology
  • Surgical Training

Background:

  • Physicians face significant psychological stress due to uncertainty in medical decision-making.
  • Uncertainty Intolerance (UI) negatively affects physician practice quality and mental health.
  • Current methods for measuring UI and intervention effectiveness are lacking.

Purpose of the Study:

  • To assess Uncertainty Intolerance (UI) in surgical residents using the Physician Reaction to Uncertainty (PRU) and Physician Risk Attitude (PRA) scales.
  • To explore the association between Myers-Briggs Type Indicator (MBTI) personality factors and UI.
  • To identify potential methods for identifying residents who would benefit most from UI training.

Main Methods:

  • Administered PRU, PRA scales, and MBTI assessment to 71 general surgery residents.
  • Collected demographic data including gender and training stage (junior/senior).
  • Analyzed PRU and PRA scores in relation to MBTI personality factors.

Main Results:

  • High completion rates for PRU and PRA scales (98.6%) and MBTI (80.4% male, 72% female).
  • No significant differences in UI scores based on gender or training stage.
  • A trend indicated higher UI among individuals identifying with the Judging personality preference.

Conclusions:

  • PRU and PRA scales are practical tools for measuring UI and intervention effectiveness in surgical residency.
  • The Judging personality type may be associated with better tolerance of uncertainty in surgical practice.
  • Further research with larger cohorts is needed to confirm the link between MBTI factors and UI in surgical residents.