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Resilience in Residency and Beyond.

James H Dove1, Michael J Kutschke, Paul D Fadale

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Resilience, a key trait for success, is built on grit, competence, and hope. This characteristic is vital for orthopaedic surgeons to navigate professional challenges effectively.

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Area of Science:

  • Orthopaedic Surgery
  • Professional Development
  • Psychology

Background:

  • Burnout and wellness are critical concerns in high-stress professions.
  • Resilience is a distinct, developable characteristic crucial for sustained success.
  • Orthopaedic surgery presents unique and overwhelming professional challenges.

Purpose of the Study:

  • To define resilience as a dynamic trait beyond the burnout continuum.
  • To propose a conceptual model for clinical resilience.
  • To emphasize the importance of building resilience during surgical training and practice.

Main Methods:

  • Conceptual framework development.
  • Literature synthesis on resilience, grit, competence, and hope.
  • Application of the resilience model to orthopaedic surgery.

Main Results:

  • Resilience is characterized by three core components: grit, competence, and hope.
  • Resilience is not a static trait but a dynamic characteristic that can be cultivated.
  • A clinical resilience triangle model is proposed.

Conclusions:

  • Resilience is a developed characteristic essential for personal and professional success in orthopaedic surgery.
  • Cultivating grit, competence, and hope is key to building resilience.
  • Continuous fortification of resilience is necessary for orthopaedic surgeons to manage inevitable challenges.