The influence of surgeon personality factors on risk tolerance: a pilot study

J Surg Educ. 2013 Nov-Dec;70(6):806-12. doi: 10.1016/j.jsurg.2013.07.014.

Abstract

Objective: This study attempts to assess the association between surgeon personality factors (measured by the Myers-Briggs Type Indicator personality inventory (MBTI(®))) and risk tolerance (measured by the Revised Physicians' Reactions to Uncertainty (PRU) and Physician Risk Attitude (PRA) scales).

Design: Instrument assessing surgeon personality profile (MBTI) and 2 questionnaires measuring surgeon risk tolerance and risk aversion (PRU and PRA).

Setting: Saint Raphael campus of Yale New Haven Hospital in New Haven, Connecticut.

Participants: Twenty categorical surgery residents and 7 surgical core faculty members.

Results: The following findings suggest there might be a relationship between surgeon personality factors and risk tolerance.

Conclusions: In certain areas of risk assessment, it appears that surgeons with personality factors E (Extravert), T (Thinking), and P (Perception) demonstrated higher tolerance for risk. Conversely, as MBTI(®) dichotomies are complementary, surgeons with personality factors I (Introvert), F (Feeling), and J (Judgment) suggest risk aversion on these same measures. These findings are supported by at least 2 studies outside medicine demonstrating that personality factors E, N, T, and P are associated with risk taking. This preliminary research project represents an initial step in exploring what may be considered a fundamental component in a "successful" surgical personality.

Keywords: Myers-Briggs Type Indicator; Patient Care; Practice-Based Learning and Improvement; Systems-Based Practice; physician reaction to uncertainty; risk aversion; risk tolerance.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attitude of Health Personnel
  • Clinical Competence*
  • Cohort Studies
  • Female
  • Humans
  • Internship and Residency
  • Medical Staff, Hospital
  • Middle Aged
  • Outcome Assessment, Health Care
  • Personality
  • Personality Assessment*
  • Pilot Projects
  • Practice Patterns, Physicians'*
  • Problem-Based Learning
  • Risk-Taking*
  • Surgical Procedures, Operative / methods
  • Surgical Procedures, Operative / psychology*
  • Treatment Outcome