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Related Experiment Videos

Undermining Confidence: Examining Trainees' Perspectives on Confidence in General Surgery.

Meghna Kurup1, Dawn Elfenbein2, Claire Wendland3

  • 1General Surgery PGY-2, Department of Surgery, Hennepin Healthcare, 730 S 8th St, Minneapolis, Minnesota.

Journal of Surgical Education
|January 24, 2026
PubMed
Summary

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Confidence in surgery is complex and influenced by gender. Women and non-White trainees face social costs for confidence, and stereotypes undermine it. Dialogue on intersectional identities is crucial for fair evaluation.

Area of Science:

  • Medical Education
  • Surgical Training
  • Qualitative Research

Background:

  • Confidence is vital for general surgeons in high-pressure environments.
  • Previous research has not clearly defined trainee confidence or its link to gendered social norms.
  • Understanding trainee confidence is crucial for effective surgical education.

Purpose of the Study:

  • To examine general surgery trainees' perspectives on confidence.
  • To define the relationship between confidence and gender among surgical trainees.
  • To explore how gender and other identities impact confidence in surgical training.

Main Methods:

  • Qualitative study using anonymous online surveys and semi-structured interviews.
  • Grounded theory approach with iterative thematic coding for interview data.
Keywords:
confidencegendersurgical educationtrainee evaluation

Related Experiment Videos

  • Purposive sampling of general surgery residents and medical students.
  • Main Results:

    • Confidence definitions varied and were linked to gendered behaviors.
    • Women and non-White trainees experienced social costs for displaying confidence.
    • Gender stereotypes negatively impacted trainee confidence.

    Conclusions:

    • Perceptions of confidence are intertwined with cultural attitudes.
    • Avoid using perceived confidence as a sole evaluation metric.
    • Promote open dialogue on how intersectional identities affect confidence in surgical training.