谨慎行事：评估和增加妇产科住院医师教学和学习环境的心理安全

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-08-25 DOI:10.1016/j.jsurg.2025.103653

Giuliana Guarna HBSc, MD, Jessica Murphy MSc, PhD, Sapna Sharma BHSc, MD

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引用次数: 0

摘要

目的：本研究的主要目的是了解加拿大安大略省一个大型妇产科项目的住院医师对心理安全的看法。第二个目标是描述一次教育会议对心理安全的影响。DESIGNA向所有住院医师发送了一份包含九个问题的调查问卷，以评估他们对培训期间心理安全的看法。Fischer的精确检验被用来探讨住院学生年级（大三和大四）与心理安全相关观点之间的关系。基于第一次调查中表达的观点，设计了一个教育会议，讨论心理安全的概念、增加心理安全的策略以及与资源的联系。该调查被发送给麦克马斯特大学的所有妇产科住院医师，这是加拿大第三大培训项目。培训课程在一个虚拟的大回合中进行；会议前和会议后的调查分发给与会者。结果19名居民（56%）完成了第一次调查。研究发现，年龄与学习环境在心理上是安全的信念之间存在显著关联。结果表明，青少年比老年人更不同意这一说法。没有发现其他显著的关联；然而，有一种模式表明，初级住院医师的心理安全感较低。18名（43%）大轮次参与者完成了干预前调查。教育课程导致更高比例的人声称了解心理安全，在工作环境中感到心理安全，并了解与心理安全相关的资源。结论总体而言，低龄住院医师的心理安全水平可能低于老年住院医师。此外，教育会议可以提高对教育概念和获取资源的认识。

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Proceed with Caution: Assessing for and Increasing Psychological Safety in Obstetrics and Gynecology Residency Teaching and Learning Environments

OBJECTIVE

The primary objective of this study was to understand resident perspectives on psychological safety in a large Obstetrics/Gynecology program in Ontario, Canada. The secondary objective was to describe the impact of an educational session on psychological safety.

DESIGN

A nine-question survey was sent to all residents to assess perspectives on psychological safety during training. Fischer’s exact test was used to explore associations between resident year (junior and senior) and associated perspectives on psychological safety. Based on perspectives expressed in the first survey, an educational session discussing the concept of psychological safety, strategies for increasing psychological safety, and links to resources was designed.

SETTING

The survey was sent to all Obstetrics/Gynecology residents at McMaster, University, the third largest training program in Canada. The training session was presented at a virtual grand round; a pre- and post-session survey was distributed to attendees.

RESULTS

Nineteen residents (56%) completed the first survey. A significant association was found between year and belief that the learning environment was psychologically safe. Results suggested that juniors tended to disagree more with this statement than senior residents. No other significant associations were found; however, there was a pattern suggesting that junior residents had lower perceptions of psychological safety. Eighteen (43%) grand rounds participants completed the pre-intervention survey. The education session resulted in a higher percentage of people claiming knowledge of psychological safety, feeling psychologically safe in their work environment, and knowledge of resources related to psychological safety.

CONCLUSION

Overall, results suggest that junior residents may have lower levels of psychological safety than senior residents. In addition, an education session can increase awareness of educational concepts and where to access resources.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.