Psychological safety and perceived organizational support in emergency medicine residencies

被引：0

作者：

Goodrich, Margaret ^{[1
]}

Mccabe, Kerry ^{[2
,3
]}

Basford, Jesse ^{[4
]}

Bambach, Kimberly ^{[5
]}

Kraut, Aaron ^{[6
]}

Love, Jeffrey N. ^{[7
]}

机构：

[1] Univ Missouri, Sch Med, Dept Emergency Med, DC029-10, Columbia, MO 65212 USA

[2] Boston Univ, Chobanian & Avedisian Sch Med, Dept Emergency Med, Boston, MA USA

[3] Boston Med Ctr, Dept Emergency Med, Boston, MA USA

[4] Southeast Hlth, Dept Emergency Med, Dothan, AL USA

[5] Ohio State Univ, Dept Emergency Med, Columbus, OH USA

[6] Univ Wisconsin, Sch Med & Publ Hlth, BerbeeWalsh Dept Emergency Med, Madison, WI USA

[7] Georgetown Univ, Sch Med, Dept Emergency Med, Washington, DC USA

来源：

AEM EDUCATION AND TRAINING | 2024年 / 8卷 / 02期

关键词：

clinical learning environment; graduate medical education; psychological safety; perceived organizational support; burnout; resident well-being;

D O I：

10.1002/aet2.10964

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

BackgroundThe clinical learning environment (CLE) is a key focus of the Accreditation Council of Graduate Medical Education. It impacts knowledge acquisition and professional development. A previous single-center study evaluated the psychological safety and perceived organizational support of the CLE across different specialties. Building on this work, we explored and evaluated psychological safety and perceived organizational support across multiple heterogeneous emergency medicine (EM) residencies to identify trends and factors affecting perceptions of the CLE.MethodsUsing the Psychological Safety Scale (PSS) and Survey of Perceived Organizational Support (SPOS), residents from seven U.S. EM residencies were surveyed using REDCap software from September through November 2021, with 300 potential respondents. As an adjunct to these surveys, three open-ended questions were included regarding features of their learning environments.ResultsA total of 137 out of 300 residents completed the survey. The overall response rate was 45.7%. There was a variable response rate across programs (26.0%-96.7%). Pooled results demonstrate an overall positive perception of CLEs, based on positive mean responses (i.e., "Members of my department are able to bring up problems and tough issue" had a mean of 4.2 on a 5-point Likert scale). Open responses identified teaching, collegiality, and support from program leadership as supportive features of the CLE. Confrontational interdisciplinary communication, a sense of being devalued, and off-service rotations were identified as threats or areas for improvement to the CLE.ConclusionsPSS and SPOS scores were generally positive in this multi-institution study, consistent with the prior single-institution study indicating that EM is often considered psychologically safe and supportive. EM training programs can consider using the PSS/SPOS to audit their own programs to identify areas for improvement and foster supportive features already in place.

引用

页数：8