The association between Myers-Briggs Type Sign and Psychiatry as the specialty choice

Goals
The purpose of this pilot study is to take a look at the association in between Myers-Briggs Type Indication (MBTI) and potential psychiatry homeowners.

Techniques
Forty-six American medical schools were gotten in touch with and asked to get involved in this research study. The data includes 835 American medical students who completed the MBTI survey and matched into a residency training program in the United States.

Results
The possibility of an introvert matching to a psychiatry residency is no different than that of an extravert (p= 0.30). The possibility of an instinctive specific matching to a psychiatry residency is no various than that of a picking up type (p= 0.20). The probability of a sensation type matching to a psychiatry residency is no different than that of a believing type (p= 0.50). The probability of a perceiving type matching to a psychiatry residency is no various than that of a judging type (p= 0.60).

Conclusions
Further analyses may elicit more accurate details regarding the personality profile of prospective psychiatry citizens. The improvement in interaction, team dynamics, mentor-mentee relationships and decrease in work environment disputes are possible with the awareness of MBTI personality profiles.

Keywords: Character, Myers-Briggs Type Sign, MBTI, Psychiatry, medical trainees
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Introduction
The Myers-Briggs Type Indicator (MBTI) is a psychometric test developed in the 1940s by Isabel Myers and her mother Katherine Briggs.1 Based on the theory of psychological type by Carl G. Jung, the MBTI is an useful tool that assists people recognize their personality choices. It provides a description of the person’s decision-making process, understanding of the world and system of engaging with the external environment.

The current version of the MBTI form M consists of 93 concerns and requires 15-25 minutes to finish the questionnaire. The outcomes exist through 4 dichotomies: Extraversion vs Introversion, Sensing vs Intuition, Thinking vs Feeling and Evaluating vs Perceiving. These four dimensions lead to 16 different possible combinations, or types. Considering that the very first publication in 1962, the MBTI tool has actually been administered to countless people worldwide as a tool for team building, management and coaching, conflict management and profession advancement.1.

Medical trainees, resident physicians and attendings have all been surveyed with the MBTI in the past. Myers and McCaulley surveyed medical students with the MBTI during the 1960s and 1970s.2 Stilwell et al. checked out additional concerns with information gathered from the 1980s and 1990s.2 Stilwell explored differences in MBTI profiles of current medical students (comparing their data to information collected from the 1970s), determined distinctions between MBTI profiles of males and females and explored associations between particular types and medical profession options. Individuals with a personality choice of Introversion and Feeling were more likely to pick primary care specialties. People with a personality choice of Extraversion and Thinking are more likely to pick surgical specializeds. Stilwell likewise determined a trend towards more Judging types in the medical profession.

Markert et al. likewise examined the association between character attributes and specialized option.3 Markert administered the Neuroticism-Extraversion-Openness Personality Inventory Revised (NEO PI-R) to 4 Tulane University School of Medicine classes. One distinction among the specializeds was the higher openness ratings for graduates getting in psychiatry. Markert specified openness as the focus on intellectual curiosity and independent judgment (example elements: fantasy, aesthetic appeals, and feelings).

Others have focused on the MBTI profiles of a particular medical specialized.4,5,6,7 Zardouz et al. identified Introversion, Sensing, Thinking and Evaluating as the most prevalent personality type in potential otolargyngology candidates.4 Swanson et al. reported Introversion, Sensing, Believing and Judging as the most common personality type in surgical treatment residents.5 Boyd and Brown identified Extraversion, Intuition, Believing and Judging to be the most typical character profile of Emergency situation Department medical staff.6 Nevertheless, there are no studies taking a look at the MBTI profile of prospective psychiatry residents in the medical literature.

The aim of this pilot study is to examine the association in between MBTI and potential psychiatry homeowners. In the past, published research identified the MBTI profiles of various medical specialties.4,5,6,7 However, the information are dated with newest information gathered prior to the year 2000 and therefore it may not reflect the present medical school population.

There are significant changes in both medical schools and residency programs given that the year 2000 that make this research beneficial. The strong effort to increase the variety of medical schools and medical school graduates in the United States might change the culture of residency programs. Another factor to take into factor to consider is the Accreditation Council for Graduate Medical Education (ACGME) new work hour limitations and new guidance requirements that went into effect July 2011.8 Swanson et al. proposed that as residency training programs continue to evolve their curriculum to please ACGME standards, the personality profiles of citizens might alter. A modification appeared in their research study as Introversion, Sensing, Believing and Judging was determined to be the most common character profile of cosmetic surgeons. Previous research studies determined Extraversion, Sensing, Believing and Judging as the most common personality type of surgeons.5.

Previous research studies analyzed various variables in the medical trainee’s decision to choose a specialty.9-12 Vaidya et al. determined the relative impact of personality and character in association with specialty choice.9 Sierles determined academic rank of the medical trainee’s training director in psychiatry as the greatest predictor of the medical trainee’s interest in selecting psychiatry as the profession option.10 Gowans et al. explained the early interest in psychiatry as the greatest predictor for whether a trainee selects psychiatry as a profession.11 Education debt is also another variable that has been analyzed in association with specialized option.12 However, the association in between Myers-Briggs Type Indication and Psychiatry as the specialty option has not been analyzed to our understanding.

The authors believe that aiming psychiatrists have the tendency to favor the MBTI mix of Introversion, Instinct, Feeling and Evaluating. The reserved and independent nature of introverts might supply additional convenience for patients who disclose secret information in the traditional, personal 1 to 1 setting. Intuition is predicted as psychiatrists try to process information using more abstract information and subjective measures compared to their other colleagues in medicine. Thinking-Feeling is a function of decision-making as ‘thinkers’ prefer to make decisions with reasoning and reason while ‘feelers’ prefer to make decision based upon compassion. As compassion is a hallmark characteristic for psychiatrist, the authors anticipate a greater tendency for Feeling amongst potential psychiatry residents. The assumption for Judging over Perceiving is based on previous studies concerning MBTI and different specialties in medication.2,4,5,6 The choice for organization and plan is a shared quality among all medical trainees and doctors.

The recognition of personality types in medical trainees who pursue psychiatry residency training has its benefits. The findings may serve an extra resource for medical trainees who are interested in psychiatry and likewise for psychiatry program directors as they inform their psychiatry interns according to their strengths. Educational objectives and curricular advancement are future considerations that may benefit from this research study. The improvement in communication, group dynamics, mentor-mentee relationships and decrease in work environment disputes are possible with the awareness of MBTI character profiles.

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Techniques.
Individuals.
In 2011, the Association of American Medical Colleges (AAMC) surveyed all M.D. medical schools in the United States to figure out if any personality procedures were administered to their medical trainees. Sixty-three percent of the schools reacted to the study and 61% of these medical schools (N= 46) reported using the MBTI. These forty-six medical schools were gotten in touch with and asked to take part in this study.

Ethical approval.
The research project is ruled out to be human subjects research study. This research study was thought about to be “Not Human Subjects Research Study” per IRB Pro00031551 on 2/20/2014. The research study has been approved through the PHARR process at Palmetto Health on 2/21/2014.

Information collection.
We gathered data between January 1-May 31, 2014 and an aggregated list was assembled that consisted of the following de-identified details: date of MBTI administration, academic year, MBTI form/version, residency match details (medical specialty, type of residency training program– academic or community-based) and student market info (sex, age, race/ethnicity). American medical schools certified by the Liaison Committee on Medical Education that administered the MBTI from 2000-present and had data offered for usage were encouraged to take part in the study.

Information analyses.
All analyses were performed utilizing R 3.1.2 (R Foundation for Statistical Computing, Vienna, Austria).13 The data did not contain any variables which allows for the recognition of the medical students, their medical schools or the residency training programs to which they had actually been accepted.

The authors originally made the presumption that 23 of the 46 medical schools would consent to take part, with an average of 120 trainees per school matching each year. It was assumed that 5% would match to psychiatry, offering an overall of 27,600 observations (1,380 of whom match to psychiatry and 26,220 of whom did not match to psychiatry-most of whom did not apply to psychiatry programs). As the response rate was lower than anticipated and this is the first study to investigate the association in between character factors and being accepted into a psychiatry residency program, the analyses were more exploratory and detailed in nature.

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Results.
The authors collected MBTI information from 4 medical schools in the United States: Virginia Commonwealth University School of Medicine, University of Illinois College of Medicine at Peoria, University of Nevada School of Medication and University of South Carolina School of Medication. Twenty eight (28) of the 835 medical trainees matched into a psychiatry residency program.

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