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Grit Does Not Predict Burnout among First-Year Internal Medicine Residents
Andrew J Klein1, Thomas Grau1, Carla L Spagnoletti1
1From the Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Southern Medical Journal
|May 4, 2021
Summary
Grit did not prevent burnout in first-year Internal Medicine residents. Baseline burnout scores, however, effectively identified residents at higher risk for future burnout, suggesting a focus on early identification and intervention.
Area of Science:
- Medical Education
- Psychology
- Internal Medicine Residency
Background:
- Grit, characterized by passion and perseverance for long-term goals, is often linked to preventing burnout.
- Burnout is a significant concern among medical residents, impacting well-being and performance.
Purpose of the Study:
- To investigate the relationship between grit and burnout among first-year Internal Medicine residents.
- To determine if grit influences emotional exhaustion and cynicism over a 12-month period.
Main Methods:
- 75 first-year Internal Medicine residents completed the Short Grit Scale (Grit-S) and Maslach Burnout Inventory General Survey (MBI-GS).
- Data were collected at baseline, 6 months, and 12 months.
- Linear mixed models and logistic regression analyses were used to assess associations.
Main Results:
- No significant association was found between grit and emotional exhaustion or cynicism.
- High baseline burnout scores (emotional exhaustion and cynicism) predicted higher burnout later in the year.
- Grit and professional efficacy scores remained stable, while burnout symptoms increased significantly over time.
Conclusions:
- Grit was not associated with reduced burnout in this cohort of first-year Internal Medicine residents.
- Baseline burnout assessment is crucial for identifying residents at risk for developing persistent burnout.
- Interventions should focus on early identification and support for at-risk residents.
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