title: Impact of personality, sex, and generation on resident operative role.
abstract: BACKGROUND
  The aim of this study was to determine if gender, generation, or personality traits influence resident perception of their operative role.
  
  
  METHODS
  Over a 4-wk period, daily surveys were sent to residents and staff to assess the Accreditation Council for Graduate Medical Education (ACGME) role of residents on operative cases. Personality was assessed on completion of the survey period using the big five inventory (BFI).
  
  
  RESULTS
  In 184 paired responses, resident perception of their operative role and staff reported resident role coincided in 82.1% surveys. In instances when resident perception differed from staff assessment, neither gender nor generation correlated with discrepancy between resident and staff assessment. High BFI agreeableness of staff was associated with more disparity, and high BFI neuroticism scores of staff translated to less disparity between resident-perceived and staff-assessed operative roles (odds ratio 2.63, P = 0.003 and odds ratio 0.44, P = 0.002, respectively).
  
  
  CONCLUSIONS
  This study demonstrates agreement between resident and staff reports of ACGME resident operative role in most cases; however, staff personality traits influenced resident's perception of their operative role. Perceived underparticipation in operative cases may influence a resident's experience during training, which may impact their reporting of operative experience to the ACGME.
authors.affiliation: Department of Surgery, Hennepin County Medical Center, Minneapolis, Minnesota.
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Daly
authors.affiliation: Department of Surgery, Hennepin County Medical Center, Minneapolis, Minnesota.
authors.forename: Rachel M
authors.initials: RM
authors.lastname: Nygaard
authors.affiliation: Department of Surgery, Hennepin County Medical Center, Minneapolis, Minnesota. Electronic address: joan.vancamp@hcmed.org.
authors.forename: Joan M
authors.initials: JM
authors.lastname: Van Camp
mesh_terms: D000068:Accreditation; D004503:Education, Medical, Graduate; D004521:Educational Measurement; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010465:Perception; D010551:Personality; D012727:Sex Characteristics
keywords: ACGME; General surgery residency; Graduate medical education; Operative role; Resident case volume; Resident education