{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:11:58Z","timestamp":1790601118651,"version":"4.1.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1210","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100000646","name":"JSPS","doi-asserted-by":"publisher","award":["24\u00a0K13341"],"award-info":[{"award-number":["24\u00a0K13341"]}],"id":[{"id":"10.13039\/501100000646","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose of the study<\/jats:title>\n                    <jats:p>Charisma is a relational construct that may shape communication, leadership behavior, and team dynamics in healthcare settings. It remains unclear whether charisma profiles differ across residents\u2019 intended medical specialties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>This study examined the association between intended specialty choice and charisma profiles among Japanese postgraduate residents using a cross-sectional, nationwide, web-based survey conducted between 18 January and 31 March 2024 after a national in-training examination. Of the 9179 postgraduate year one and two residents invited, 5808 (63.3%) were included in the analysis. Charisma was assessed using a modified General Charisma Inventory with binary items. The primary outcome was the total modified inventory score and its association with the intended specialty was estimated using multivariate linear regression adjusted for age, sex, and hospital type (including university hospital affiliation).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among participants, aspirations for surgical-oriented specialties were associated with higher total charisma scores compared with internal medicine (Surgery: \u03b2\u2009=\u20090.26, P\u2009&amp;lt;\u2009.001; Neurosurgery: \u03b2\u2009=\u20090.37, P\u2009=\u2009.001). In contrast, aspirations for diagnostic specialties were associated with lower total charisma scores (Radiology: \u03b2\u2009=\u2009\u22120.25, P\u2009=\u2009.022; Pathology: \u03b2\u2009=\u2009\u22120.48, P\u2009=\u2009.011). Male sex (\u03b2\u2009=\u20090.20, P\u2009&amp;lt;\u2009.001) and university hospital affiliation (\u03b2\u2009=\u20090.14, P\u2009=\u2009.008) were also independently associated with higher total charisma scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Charisma profiles among Japanese residents varied according to their intended specialty, consistent with a potential person\u2013environment fit mechanism in early career preferences. Sex and institutional affiliation were also independently associated with charisma scores, suggesting socio-cultural and environmental influences. These findings can inform leadership development and career support strategies for residency training.<\/jats:p>\n                    <jats:p>Key messages \u2022\u2002What is already known on this topic \u2013 charisma is a relational construct that can influence communication, leadership behavior, and team dynamics in healthcare settings. \u2022\u2002What this study adds \u2013 in a nationwide cross-sectional web survey of 5808 residents, surgically oriented specialties were associated with higher total charisma scores, whereas diagnostic specialties were associated with lower scores (vs. internal medicine). Male sex and university hospital affiliations were independently associated with higher scores. \u2022\u2002How this study might affect research, practice, or policy \u2013 charisma profiles may differ according to the intended specialty, person\u2013environment fit, leadership development, and career support strategies in residency training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/postmj\/qgag048","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:46:01Z","timestamp":1775043961000},"page":"762-770","source":"Crossref","is-referenced-by-count":1,"title":["Charisma and career pathways: how specialty choice reflects personal charisma among medical residents"],"prefix":"10.1093","volume":"102","author":[{"given":"Takashi","family":"Watari","sequence":"first","affiliation":[{"name":"Integrated Clinical Education Centre, Kyoto University Hospital , 54 Shogoin-kawahara-cho, Sakyoku, Kyoto 606-8507,","place":["Japan"]},{"name":"Shimane University Hospital, General Medicine Centre , 89-1 Enya-cho, Izumo-shi, Shimane 693-8501,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kota","family":"Sakaguchi","sequence":"additional","affiliation":[{"name":"Shimane University Hospital, General Medicine Centre , 89-1 Enya-cho, Izumo-shi, Shimane 693-8501,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Ueno","sequence":"additional","affiliation":[{"name":"Shimane University Hospital, General Medicine Centre , 89-1 Enya-cho, Izumo-shi, Shimane 693-8501,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Michigan Medical School , 1500 East Medical Center Drive, 3110 Taubman Center, SPC 5368, Ann Arbor, MI 48109-5368,","place":["United States"]},{"name":"Medicine Service, VA Ann Arbor Healthcare System, Lieutenant Colonel Charles S. Kettles VA Medical Center , 2215 Fuller Road, Ann Arbor, MI 48105-2303,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiko","family":"Shiraishi","sequence":"additional","affiliation":[{"name":"Shimane University Hospital, General Medicine Centre , 89-1 Enya-cho, Izumo-shi, Shimane 693-8501,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9325-7934","authenticated-orcid":false,"given":"Yasuharu","family":"Tokuda","sequence":"additional","affiliation":[{"name":"Muribushi Okinawa Project for Teaching Hospitals, Muribushi Okinawa Clinical Training Center , 3-42-8 Iso, Marutoyo Mansion Shiro 901, Urasoe, Okinawa 901-2132,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6964-6702","authenticated-orcid":false,"given":"Yuji","family":"Nishizaki","sequence":"additional","affiliation":[{"name":"Division of Medical Education, Juntendo University School of Medicine, Juntendo University Hongo Ochanomizu Campus , 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"2026073006221700500_ref1","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1037\/pspp0000147","article-title":"The double-edged sword of leader charisma: understanding the curvilinear relationship between charismatic personality and leader effectiveness","volume":"114","author":"Vergauwe","year":"2018","journal-title":"J Pers Soc Psychol"},{"key":"2026073006221700500_ref2","doi-asserted-by":"publisher","first-page":"CD000072","DOI":"10.1002\/14651858.CD000072.pub2","article-title":"Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes","volume":"3","author":"Zwarenstein","year":"2009","journal-title":"Cochrane Database 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