INTRODUCTION: The objective of this study was to examine the mindsets (mastery, performance approach, performance avoidance) of early-career family physicians following graduation from a competency-based education residency program. METHODS: This was a longitudinal, cohort, survey study of family medicine residents at a large Canadian university. The 2015-2017 cohort of family medicine residents was surveyed at three time points: (1) at the end of residency training; (2) at 1 year in clinical practice; and (3) at 3 years in clinical practice. We used Baranik et al's instrument to measure three types of mindsets. We performed descriptive and multivariate analyses using SPSS 26.0 software. RESULTS: Irrespective of the time in practice, mean scores were the highest on the mastery mindset and the lowest on the performance avoidance mindset measures (P<.001). Over time, the mastery mindset scores tended to decrease (P=.04). CONCLUSION: Family physicians trained in competency-based education continued to be mastery-oriented in the first 3 years of clinical practice. This finding is reassuring given that the mastery mindset is associated with professional well-being and long-term success. Nonetheless, because mastery mindset scores appeared to decrease over time, residency programs need to ensure graduating residents are equipped with knowledge and tools to remain mastery-oriented throughout the course of their professional careers.
INTRODUCTION: The objective of this study was to examine the mindsets (mastery, performance approach, performance avoidance) of early-career family physicians following graduation from a competency-based education residency program. METHODS: This was a longitudinal, cohort, survey study of family medicine residents at a large Canadian university. The 2015-2017 cohort of family medicine residents was surveyed at three time points: (1) at the end of residency training; (2) at 1 year in clinical practice; and (3) at 3 years in clinical practice. We used Baranik et al's instrument to measure three types of mindsets. We performed descriptive and multivariate analyses using SPSS 26.0 software. RESULTS: Irrespective of the time in practice, mean scores were the highest on the mastery mindset and the lowest on the performance avoidance mindset measures (P<.001). Over time, the mastery mindset scores tended to decrease (P=.04). CONCLUSION: Family physicians trained in competency-based education continued to be mastery-oriented in the first 3 years of clinical practice. This finding is reassuring given that the mastery mindset is associated with professional well-being and long-term success. Nonetheless, because mastery mindset scores appeared to decrease over time, residency programs need to ensure graduating residents are equipped with knowledge and tools to remain mastery-oriented throughout the course of their professional careers.
Authors: Jason R Frank; Linda S Snell; Olle Ten Cate; Eric S Holmboe; Carol Carraccio; Susan R Swing; Peter Harris; Nicholas J Glasgow; Craig Campbell; Deepak Dath; Ronald M Harden; William Iobst; Donlin M Long; Rani Mungroo; Denyse L Richardson; Jonathan Sherbino; Ivan Silver; Sarah Taber; Martin Talbot; Kenneth A Harris Journal: Med Teach Date: 2010 Impact factor: 3.650
Authors: Andrew G Lee; H Culver Boldt; Karl C Golnik; Anthony C Arnold; Thomas A Oetting; Hilary A Beaver; Richard J Olson; Keith Carter Journal: Surv Ophthalmol Date: 2005 Nov-Dec Impact factor: 6.048
Authors: Maggie W Hansell; Ross M Ungerleider; Courtney A Brooks; Mark P Knudson; Julienne K Kirk; Jamie D Ungerleider Journal: Fam Med Date: 2019-05 Impact factor: 1.756
Authors: Andrew W Phillips; Benjamin T Friedman; Amol Utrankar; Andrew Q Ta; Shalini T Reddy; Steven J Durning Journal: Acad Med Date: 2017-02 Impact factor: 6.893
Authors: Liselotte N Dyrbye; Colin P West; Daniel Satele; Sonja Boone; Litjen Tan; Jeff Sloan; Tait D Shanafelt Journal: Acad Med Date: 2014-03 Impact factor: 6.893