Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons

Knoedler, Leonard and Dean, Jillian and Knoedler, Samuel and Kauke-Navarro, Martin and Hollmann, Katharina and Alfertshofer, Michael and Helm, Sabrina and Prantl, Lukas and Schliermann, Rainer (2024) Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons. FRONTIERS IN SURGERY, 11: 1361406. ISSN 2296-875X,

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Abstract

Background With the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being.Methods Utilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors.Results The study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness.Conclusion Mental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs.

Item Type: Article
Uncontrolled Keywords: ; mental toughness; mental health; resilience; robustness; psychology; surgery
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Jan 2026 10:16
Last Modified: 20 Jan 2026 10:16
URI: https://pred.uni-regensburg.de/id/eprint/64109

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