Residency culture often prizes intelligence and competitive drive, and humility may be an important personality trait to foster. Although this study evaluates correlation only and not causation, we speculate that residents who seek reconciliation and practice humility may have other qualities that foster healthful relationships, perhaps an ability to identify with others or the confidence to seek forgiveness. The humility/personal application domain explores themes of relationship and reconciliation, asking questions like, “When I wrong someone, I make an effort to apologize,” and “When I am ashamed of something I have done, I tell someone about it.” This finding is interesting and has not previously been reported in the literature. Only the SIBS domain of personal application and humility affected all 3 burnout domains: emotional exhaustion, depersonalization, and personal accomplishment. In particular, the domain of personal accomplishment correlated with the SIBS score, as well as the internal/fluid, existential, and humility/personal application spirituality domains. Most importantly, these data suggest that residents who place a high priority on healthful relationships, engage in an active spiritual life, and practice humility may have important personality traits that protect against burnout. Several aspects of our residents' emotional and spiritual coping correlated significantly with the burnout domains.
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