ArticleJournal of general internal medicine2025
The Moderating Effects of Moral Injury and Discrimination Trauma on Women Physician Trainees' Well-Being.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundGraduate medical trainees are positioned to experience high rates of negative well-being due to the demanding and hierarchical nature of this time in their careers. Focusing on the well-being of physician trainees is required to ensure a better future of medicine. A novel avenue of examining physician trainee well-being is through understanding the effects of moral injury and discrimination trauma in overall well-being.
objectiveThis secondary data analysis examines the moderating role of discrimination trauma and moral injury on six well-being metrics cross-sectionally at baseline and 4 months postcoaching intervention, respectively.
designThis is a secondary, cross-sectional analysis using survey data collected at two time points.
participantsThe participants in this study (n = 1017) are women physician trainees in the USA. MAIN MEASURES: The predictor measures are as follows: Moral Injury Symptom Scale- Healthcare Providers and Trauma Symptoms of Discrimination Scale. The outcome measures are as follows: Maslach's Burnout Inventory, Young Impostor Scale, Self-Compassion Scale, and Secure Flourishing Index. KEY
resultsAt baseline, discrimination trauma moderates the relationship among moral injury with impostor syndrome and self-compassion. After the coaching intervention, moral injury moderates the effect of the intervention on impostor syndrome.
conclusionsThe results of this secondary analysis emphasize the role moral injury and discrimination play in overall well-being, specifically through the experiences of self-compassion and impostor syndrome. This study calls for early measurement and mitigation efforts of both moral injury and discrimination trauma, which may effect well-being for graduate medical trainees and lessen the impact of our coaching intervention.
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