Exploring variation in surgical practice: does surgeon personality influence anastomotic decision-making?

Anastomosis, Surgical Colorectal Neoplasms Female Humans Male Personality Surgeons / psychology Surveys and Questionnaires

Journal

The British journal of surgery
ISSN: 1365-2168
Titre abrégé: Br J Surg
Pays: England
ID NLM: 0372553

Informations de publication

Date de publication:
14 10 2022
Historique:
received: 08 03 2022
revised: 09 05 2022
accepted: 14 05 2022
pubmed: 20 7 2022
medline: 19 10 2022
entrez: 19 7 2022
Statut: ppublish

Résumé

Decision-making under uncertainty may be influenced by an individual's personality. The primary aim was to explore associations between surgeon personality traits and colorectal anastomotic decision-making. Colorectal surgeons worldwide participated in a two-part online survey. Part 1 evaluated surgeon characteristics using the Big Five Inventory to measure personality (five domains: agreeableness; conscientiousness; extraversion; emotional stability; openness) in response to scenarios presented in Part 2 involving anastomotic decisions (i.e. rejoining the bowel with/without temporary stomas, or permanent diversion with end colostomy). Anastomotic decisions were compared using repeated-measure ANOVA. Mean scores of traits domains were compared with normative data using two-tailed t tests. In total, 186 surgeons participated, with 127 surgeons completing both parts of the survey (68.3 per cent). One hundred and thirty-one surgeons were male (70.4 per cent) and 144 were based in Europe (77.4 per cent). Forty-one per cent (77 surgeons) had begun independent practice within the last 5 years. Surgeon personality differed from the general population, with statistically significantly higher levels of emotional stability (3.25 versus 2.97 respectively), lower levels of agreeableness (3.03 versus 3.74), extraversion (2.81 versus 3.38) and openness (3.19 versus 3.67), and similar levels of conscientiousness (3.42 versus 3.40 (all P <0.001)). Female surgeons had significantly lower levels of openness (P <0.001) than males (3.06 versus 3.25). Personality was associated with anastomotic decision-making in specific scenarios. Colorectal surgeons have different personality traits from the general population. Certain traits seem to be associated with anastomotic decision-making but only in specific scenarios. Further exploration of the association of personality, risk-taking, and decision-making in surgery is necessary.

Sections du résumé

BACKGROUND
Decision-making under uncertainty may be influenced by an individual's personality. The primary aim was to explore associations between surgeon personality traits and colorectal anastomotic decision-making.
METHODS
Colorectal surgeons worldwide participated in a two-part online survey. Part 1 evaluated surgeon characteristics using the Big Five Inventory to measure personality (five domains: agreeableness; conscientiousness; extraversion; emotional stability; openness) in response to scenarios presented in Part 2 involving anastomotic decisions (i.e. rejoining the bowel with/without temporary stomas, or permanent diversion with end colostomy). Anastomotic decisions were compared using repeated-measure ANOVA. Mean scores of traits domains were compared with normative data using two-tailed t tests.
RESULTS
In total, 186 surgeons participated, with 127 surgeons completing both parts of the survey (68.3 per cent). One hundred and thirty-one surgeons were male (70.4 per cent) and 144 were based in Europe (77.4 per cent). Forty-one per cent (77 surgeons) had begun independent practice within the last 5 years. Surgeon personality differed from the general population, with statistically significantly higher levels of emotional stability (3.25 versus 2.97 respectively), lower levels of agreeableness (3.03 versus 3.74), extraversion (2.81 versus 3.38) and openness (3.19 versus 3.67), and similar levels of conscientiousness (3.42 versus 3.40 (all P <0.001)). Female surgeons had significantly lower levels of openness (P <0.001) than males (3.06 versus 3.25). Personality was associated with anastomotic decision-making in specific scenarios.
CONCLUSION
Colorectal surgeons have different personality traits from the general population. Certain traits seem to be associated with anastomotic decision-making but only in specific scenarios. Further exploration of the association of personality, risk-taking, and decision-making in surgery is necessary.

Identifiants

DOI: 10.1093/bjs/znac200 PMID: 35851801 PMC: PMC10364753
pubmed: 35851801
pii: 6646048
doi: 10.1093/bjs/znac200
pmc: PMC10364753
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1156-1163

Subventions

Organisme : Bowel Research UK
Organisme : Ileostomy and Internal Pouch Association

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of BJS Society Ltd.

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Auteurs

Carly N Bisset (CN)

Department of General Surgery, Royal Alexandra Hospital, Paisley, UK.
Department of Medical Education, University of Aberdeen, Aberdeen, UK.

Eamonn Ferguson (E)

Department of Psychology, University of Nottingham, Nottingham, UK.
ORCID: 0000-0002-7678-1451

Ewan MacDermid (E)

Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Department of Colorectal Surgery, Bankstown-Lidcombe Hospital, Australia University of Sydney, Sydney, NSW, Australia.

Sharon L Stein (SL)

UHRISES: Research in Surgical Outcomes and Effectiveness, University Hospital Cleveland Medical Center, Cleveland, OH, USA.

Nuha Yassin (N)

Department of Colorectal Surgery, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.

Nicola Dames (N)

Association of Coloproctology of Great Britain & Ireland Patient Liaison Group, UK.

Deborah S Keller (DS)

Department of Colorectal Surgery, University of California Davis, Sacramento, CA, USA.

Raymond Oliphant (R)

Department of Medical Education, University of Aberdeen, Aberdeen, UK.
Department of Colorectal Surgery, Raigmore Hospital, Inverness, UK.

Simon H Parson (SH)

Department of Medical Education, University of Aberdeen, Aberdeen, UK.

Jennifer Cleland (J)

Medical Education Research and Scholarship Unit, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.

Susan J Moug (SJ)

Department of General Surgery, Royal Alexandra Hospital, Paisley, UK.
School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Anastomose chirurgicale › Exploring variation in surgical practice: does...
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies intestinales › Maladies du rectum › Tumeurs colorectales › Exploring variation in surgical practice: does...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Exploring variation in surgical practice: does...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Personnalité › Exploring variation in surgical practice: does...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Chirurgiens › Exploring variation in surgical practice: does...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Exploring variation in surgical practice: does...