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Resilience training: no more is needed or desired
  1. David M Smith
  1. Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, UK
  1. Correspondence to Dr David M Smith, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield HD3 3EA,UK; davidmark.smith{at}

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In their recent report, Halliday et al1 seek to encourage the reader that ‘interventions to improve grit through resilience training should also be examined’. As a matter of concern to myself, this statement and the associated research in the report are likely to give fuel for National Health Service (NHS) employers to dive headlong into further rounds of deeply unpopular ‘resilience training’ for Junior Doctors.

On interrogation of the data presented in their report,1 specifically referring to Junior trainees (FY1-CT2): for ‘Grit versus Exhaustion’ in this group, the correlation is moderately negative (−0.391) with a p value of only 0.02. For ‘Grit versus Burnout’, the correlation is weakly negative (−0.254) with a borderline p value of only 0.03. For ‘Grit versus Disengagement’, the negative correlation is weak (−0.222) and not even statistically significant (p value=0.09). As mentioned by the authors, these data are seemingly in line with other such data produced. So with such weak evidence, with such a small degree of correlation, what is driving the current NHS employers obsession with improving ‘resilience’ as a mechanism for …

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