title: Grit as a predictor of risk of attrition in surgical residency.
abstract: BACKGROUND
  Grit, a measure of perseverance, has been shown to predict resident well-being. In this study we assess the relationship between grit and attrition.
  
  
  METHODS
  We collected survey data from residents in a single institution over two consecutive years. All residents in general surgery were invited to participate (N = 115). Grit and psychological well-being were assessed using validated measures. Risk of attrition was measured using survey items.
  
  
  RESULTS
  73 residents participated (63% response rate). Grit was positively correlated with general psychological well-being (r = 0.30, p < 0.05) and inversely correlated with depression (r = -0.25, p < 0.05) and risk of attrition (r = -0.37, p < 0.01). In regression analyses, grit was positively predictive of well-being (B = 0.77, t = 2.96, p < 0.01) and negatively predictive of depression (B = -0.28 t = -2.74, p < 0.01) and attrition (B = -0.99, t = -2.53, p < 0.05).
  
  
  CONCLUSIONS
  Attrition is a costly and disruptive problem in residency. Grit is a quick, reliable measure which appears to be predictive of attrition risk in this single-institution study.
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States. Electronic address: arghavan@alumni.stanford.edu.
authors.forename: Arghavan
authors.initials: A
authors.lastname: Salles
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States.
authors.forename: Dana
authors.initials: D
authors.lastname: Lin
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States.
authors.forename: Cara
authors.initials: C
authors.lastname: Liebert
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States.
authors.forename: Micaela
authors.initials: M
authors.lastname: Esquivel
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States.
authors.forename: James N
authors.initials: JN
authors.lastname: Lau
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States.
authors.forename: Ralph S
authors.initials: RS
authors.lastname: Greco
authors.affiliation: Stanford Health Care, 300 Pasteur Drive, MC H3591, Stanford, CA 94305, United States.
authors.forename: Claudia
authors.initials: C
authors.lastname: Mueller
mesh_terms: D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology; D002140:California; D003863:Depression / Q000523:psychology; D005260:Female; D013502:General Surgery / Q000193:education; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008603:Mental Health; D012044:Regression Analysis; D055500:Resilience, Psychological; D013332:Student Dropouts / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Attrition; Burnout; Depression; Grit; Well-being