Published in the International Journal of Healthcare Management, this article highlights the emergence of grit as an accurate predictor of retention than intelligence, physical aptitude, personality traits, or job tenure and represents a promising lens for identifying opportunities to strengthen physician engagement and retention. The authors posit that grit may effectively mitigate social, economic, and cultural factors of burnout. The following meta-analysis identifies interrelationships between physician engagement, job satisfaction, and burnout as components of resilience and grit and recommends operational strategies to improve physician retention.