Association of residents’ personality traits with clinical performance in an orthopedic physical therapy residency program

Main Article Content

Kathleen T. Geist
https://orcid.org/0000-0002-9872-9785
Vincent Carter
https://orcid.org/0009-0006-8367-4415
Leda McDaniel
https://orcid.org/0009-0008-3241-1628
Zachary Walston
https://orcid.org/0000-0002-8034-9936

Abstract

Purpose: Despite the lack of validity and reliability, residency programs use various assessments to admit residents and anticipate their future performance that include admission interviews and letters of recommendation. The purpose of this study is to examine whether there is a valid, reliable, or predictive association between physical therapy residents’ personality traits and their clinical performance in the domains of live patient examination, clinical productivity, and patient satisfaction during residency training.


Methods: This study was an observational cohort study. Each resident completed a standardized 16 Personal Factors Questionnaire (16 PF) on their respective hire date prior to matriculation in the physical therapy residency program.


Results: Results of the Spearman’s rho correlation indicated there was a strong positive association between those residents who were classified as more even-keeled (r = 0.473; p = 0.02) and meeting clinical productivity goals at 3 months. Better performance on the live patient examination was associated with residents who were identified as being people-oriented (r = 0.531; p = 0.02), gregarious (r = 0.464; p = 0.04), and fearless (r = 0.521; p = 0.02), while worse performance was associated with residents who were self-disclosing (r = -0.673; p = 0.00) and self-confident (r = -0.520; p = 0.02).


Conclusions: Identification of residents’ personality traits may be helpful in determining whether residents are likely to meet expectations in the domains of clinical productivity and performance on a live patient examination during the first 3 months of a post-professional physical therapy residency program.

References

1. Harrington KL, Teramoto M, Black L, et al. Physical therapist residency competency-based education: development of an assessment instrument. Phys Ther (2022) 102(5): pzac019. doi: 10.1093/ptj/pzac019

2. Shepard R, Haines L, Abraham K, et al. Traits and attributes of a successful physical therapy resident: a Delphi study. J Phys Ther Educ (2021) 35(4): 315–23. doi: 10.3109/0142159X.2013.785654

3. Ferguson E, James D, Madeley L. Factors associated with success in medical school: systematic review of the literature. BMJ (2002) 324(7343): 952–7. doi: 10.1136/bmj.324.7343.952

4. Kanter SL. What are the most revealing interview questions? Acad Med (2012) 87(4): 387–8. doi: 10.1097/ACM.0b013e31824f619f

5. Zeleznik C, Hojat M, Veloski J. Levels of recommendation for students and academic performance in medical school. Psychol Rep (1983) 52(3): 851–8. doi: 10.2466/pr0.1983.52.3.851

6. Musson DM. Personality and medical education. Med Educ (2009) 43(5): 395–7. doi: 10.1111/j.1365-2923.2009.03358.x

7. Walton HJ. Personality assessment of future doctors: discussion paper. J R Soc Med (1987) 80(1): 27–30. doi: 10.1177/014107688708000112

8. Eveland AP, Wilhelm SR, Wong S, et al. A preliminary study of the probitive value of personality assessment in medical school admissions within the United States. BMC Med Educ (2022) 22(1): 890. doi: 10.1186/s12909-022-03901-x

9. Lievens F, Coetsier P, De Fruyt F, et al. Medical students’ personality characteristics and academic performance: a five-factor model perspective. Med Educ (2002) 36(11): 1050–6. doi: 10.1046/j.1365-2923.2002.01328.x

10. Rovezzi-Carroll S, Leavitt R. Personality characteristics and expressed career choice of graduating physical therapy students. Phys Ther (1984) 64(10): 1549–52. doi: 10.1093/ptj/64.10.1549

11. Gardner AK, Dunkin BJ. Evaluation of validity evidence for personality, emotional intelligence, and situational judgment tests to identify successful residents. JAMA Surg (2018) 153(5): 409–16. doi: 10.1001/jamasurg.2017.5013

12. Takacs EB, Tracy CR. Evaluating the whole applicant: use of situational judgment testing and personality testing to address disparities in resident selection. Curr Urol Rep (2022) 23(11): 309–18. doi: 10.1007/s11934-022-01115-8

13. Hojat M, Erdmann JB, Gonnella JS. Personality assessments and outcomes in medical education and the practice of medicine: AMEE Guide No. 79. Med Teach (2013) 35(7): e1267–301. doi: 10.3109/0142159x.2013.785654

14. Moore JG, Hartley GW, Osborne R, et al. Identifying perspectives on physical therapist residency program goals: hallmarks of success and excellence. Phys Ther (2024) 104(1): pzad142. doi: 10.1093/ptj/pzad142

15. Paans W, Wijkamp I, Wiltens E, Wolfensberger MV. What constitutes an excellent allied health care professional? A multidisciplinary focus group study. J Multidiscip Healthc (2013) 6: 347–56. doi: 10.2147/jmdh.S46784

16. Hughes BD, Perone JA, Cummins CB, et al. Personality testing may identify applicants who will become successful in general surgery residency. J Surg Res (2019) 233: 240–8. doi: 10.1016/j.jss.2018.08.003

17. Kang W, Guzman KL, Malvaso A. Big Five personality traits in the workplace: investigating personality differences between employees, supervisors, managers, and entrepreneurs. Front Psychol (2023) 14: 976022. doi: 10.3389/fpsyg.2023.976022

18. Cunningham S, Litwin B, Fernandez-Fernandez A, et al. Influence of residency training on the clinical reasoning development of Kenyan physiotherapists. J Man Manip Ther (2019) 27(4): 237–44. doi: 10.1080/10669817.2019.1597434

19. Cunningham S, McFelea J. The influence of an orthopedic, manual therapy residency program on improved knowledge, psychomotor skills, and clinical reasoning in Nairobi, Kenya. Front Public Health (2017) 5: 55. doi: 10.3389/fpubh.2017.00055

20. Rodeghero J, Wang YC, Flynn T, et al. The impact of physical therapy residency or fellowship education on clinical outcomes for patients with musculoskeletal conditions. J Orthop Sports Phys Ther (2015) 45(2): 86–96. doi: 10.2519/jospt.2015.5255

21. Furze JA. Physical therapy residency and fellowship education: reflections on the past, present, and future. Phys Ther (2016) 96(7): 949–60. doi: 10.2522/ptj.20150473

22. Cohen J. Statistical power analysis for the behavioral sciences. New York: Routledge; 2013.

23. Rodriguez KD, Bartoloni JA, Hendricson WD. Is dental students’ clinical productivity associated with their personality profile? J Dent Educ (2017) 81(12): 1436–43. doi: 10.21815/JDE.017.104

24. McPhilemy JJ, Siddiqi A, Piuzzi N, Chen AF. Personality assessment and emotional intelligence in orthopaedic surgery residency selection and training. J Am Acad Orthop Surg (2020) 28(10): 395–409. doi: 10.5435/jaaos-d-19-00633

Article Details

Keywords:
physical therapist, residency training
Section
Original Research Articles
How to Cite
Geist, K. T., Carter, V. ., McDaniel, L., & Walston, Z. (2025). Association of residents’ personality traits with clinical performance in an orthopedic physical therapy residency program. The Journal of Clinical Education in Physical Therapy, 7. https://doi.org/10.52214/jcept.v7.12377