ArticleJournal of graduate medical education2016
Does Psychological Safety Impact the Clinical Learning Environment for Resident Physicians? Results From the VA's Learners' Perceptions Survey.
Article in Journal of graduate medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- A Novel 5-Item Survey Tool to Assess Psychological Safety Among Graduate Medical Education Trainees.Journal of graduate medical education · 2026Article
- What It Takes to Leave Home: Psychological Safety Influence on Resident Interest in Academic Medicine.Family medicine · 2026Article
- Medical Student Perceptions of Psychological Safety in the Clinical Learning Environment.The clinical teacher · 2026Article
- Conceptual Framework and Methods for Evaluating an Intervention to Improve Psychological Safety in Graduate Medical Education.Family medicine · 2026Article
- A Mixed-Methods Pilot Evaluation of Undergraduate Medical Students' Perceptions of a Gameshow-Style Teaching Intervention: Implications for Continuing Professional Development.Journal of CME · 2026Article
- Systems thinking as the integrative competency in undergraduate Family Medicine education: a cross-sectional evaluation of an integrated primary care block.Frontiers in medicine · 2026Article
- Psychological safety and its influencing factors among elderly patients following traumatic fracture surgery: a cross-sectional study.BMC geriatrics · 2025Article
- The Use of a Ward Round Teaching Tool in a Paediatric Oncology Department.Journal of paediatrics and child health · 2025Article
- Barriers and Facilitators to Surgical Trainee Psychological Safety.JAMA network open · 2025Article
- Public perceptions toward primary care in Kuwait: a cross-sectional study.Frontiers in medicine · 2025Article
- Psychological Safety in Medical Education, Another Challenge to Tackle?Journal of general internal medicine · 2025Article
- The ABCs of Cultivating Psychological Safety for Clinical Learner Growth.Journal of graduate medical education · 2024Article
- What the experts see: A qualitative analysis of the behaviors of master adaptive learners in emergency medicine.AEM education and training · 2024Article
- Coaching in Competence by Design: A New Model of Coaching in the Moment and Coaching Over Time to Support Large Scale Implementation.Perspectives on medical education · 2024Article
- Psychological safety and accountability in longitudinal integrated clerkships: a dual institution qualitative study.BMC medical education · 2023Article
- Group Feedback for Faculty: Turning the Wheels of Change.ATS scholar · 2023Article
- The resident experience with psychological safety during interprofessional critical event debriefings.AEM education and training · 2023Article
- "I never should have been a doctor": a qualitative study of imposter phenomenon among internal medicine residents.BMC medical education · 2023Article
- Psychological safety in European medical students' last supervised patient encounter: A cross-sectional survey.PloS one · 2023Article
- Assessing Interpersonal Relationships in Medical Education: the Connection Index.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2022Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological safety (PS) is the perception that it is safe to take interpersonal risks in the work environment. In teaching hospitals, PS may influence the clinical learning environment for trainees.
objectiveWe assessed whether resident physicians believe they are psychologically safe, and if PS is associated with how they rate satisfaction with their clinical learning experience.
methodsData were extracted from the Learners' Perceptions Survey (LPS) of residents who rotated through a Department of Veterans Affairs health care facility for academic years 2011-2014. Predictors of PS and its association with resident satisfaction were adjusted to account for confounding and response rate biases using generalized linear models.
resultsThe 13 044 respondents who completed the LPS (30% response rate) were comparable to nonpediatric, non-obstetrics-gynecology residents enrolled in US residency programs. Among respondents, 11 599 (89%) agreed that ". . . members of the clinical team of which I was part are able to bring up problems and tough issues." Residents were more likely to report PS if they were male, were in a less complex clinical facility, in an other medicine or psychiatry specialty, or cared for patients who were aged, had multiple illnesses, or had social supports. Nonpsychiatric residents felt safer when treating patients with no concurrent mental health diagnoses. PS was strongly associated with how residents rated their satisfaction across 4 domains of their clinical learning experience (
conclusionsPS appears to be an important factor in resident satisfaction across 4 domains that evaluators of graduate medical education programs should consider when assessing clinical learning experiences.
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