To the Editor I enjoyed reading Dr Elfenbein’s review on confidence among surgery residents.1 Elfenbein summarizes the currently available data and describes the limitations to interpreting these data. Specifically, she notes that there are a number of varying definitions of confidence that make the data difficult to interpret. She also suggests that perhaps confidence is not the appropriate construct to measure; rather, she proposes studying self-efficacy.
Salles A. Self-Efficacy as a Measure of Confidence. JAMA Surg. Published online March 08, 2017. doi:10.1001/jamasurg.2017.0035