Psychological Safety and Support: Assessing Resident Perceptions of the Clinical Learning Environment
Assessments of the clinical learning environment could allow early interventions to improve graduate medical education. To date, measurement tools for this have not been identified. We established the concurrent validity of 2 instruments that assess cultural facets of the clinical learning environme...
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| Veröffentlicht in: | Journal of graduate medical education 2018-12, Vol.10 (6), p.651-656 |
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| container_title | Journal of graduate medical education |
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| creator | Appelbaum, Nital P Santen, Sally A Aboff, Brian M Vega, Ryan Munoz, Jose L Hemphill, Robin R |
| description | Assessments of the clinical learning environment could allow early interventions to improve graduate medical education. To date, measurement tools for this have not been identified.
We established the concurrent validity of 2 instruments that assess cultural facets of the clinical learning environment by correlating them with external program evaluation data.
In 2017 we surveyed residents across 19 training programs on their perceptions of organizational support by using the Short Survey of Perceived Organizational Support (SPOS), and psychological safety by using the Psychological Safety Scale (PSS). Data were aggregated to the program level and correlated with results from the Accreditation Council for Graduate Medical Education (ACGME) Resident Survey.
Of 511 residents, 322 (63%) completed the survey, and 496 of 516 residents (96%) completed the ACGME Resident Survey. Perceived organizational support correlated positively with overall program evaluation score (
= 0.75,
|
| doi_str_mv | 10.4300/jgme-d-18-00286.1 |
| format | Article |
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We established the concurrent validity of 2 instruments that assess cultural facets of the clinical learning environment by correlating them with external program evaluation data.
In 2017 we surveyed residents across 19 training programs on their perceptions of organizational support by using the Short Survey of Perceived Organizational Support (SPOS), and psychological safety by using the Psychological Safety Scale (PSS). Data were aggregated to the program level and correlated with results from the Accreditation Council for Graduate Medical Education (ACGME) Resident Survey.
Of 511 residents, 322 (63%) completed the survey, and 496 of 516 residents (96%) completed the ACGME Resident Survey. Perceived organizational support correlated positively with overall program evaluation score (
= 0.75,
< .001); faculty (
= 0.72,
< .001); evaluation (
= 0.73,
< .001); educational content (
= 0.52,
= .022); and resources domains (
= 0.55,
= .014). Psychological safety had a positive correlation with overall program evaluation (
= 0.57,
= .011); faculty (
= 0.50,
= .028); and evaluation (
= 0.62,
< .005).
The SPOS and PSS correlated with key ACGME Resident Survey domains. Programs showing greater support of residents were likely to show more positive ratings on program evaluation metrics. Teaching institutions may benefit from actively monitoring and improving aspects of their learning environment through internal assessments.</description><identifier>ISSN: 1949-8349</identifier><identifier>EISSN: 1949-8357</identifier><identifier>DOI: 10.4300/jgme-d-18-00286.1</identifier><identifier>PMID: 30619522</identifier><language>eng</language><publisher>United States: The Accreditation Council for Graduate Medical Education</publisher><subject>Education, Medical, Graduate - methods ; Humans ; Internship and Residency - methods ; Internship and Residency - organization & administration ; Organizational Culture ; Original Research ; Surveys and Questionnaires ; Virginia</subject><ispartof>Journal of graduate medical education, 2018-12, Vol.10 (6), p.651-656</ispartof><rights>Accreditation Council for Graduate Medical Education 2018 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3801-94846ed93de3773bfa11c73712d7dc6ab21e098e96fa6e5210bd966f465a38e63</citedby><cites>FETCH-LOGICAL-c3801-94846ed93de3773bfa11c73712d7dc6ab21e098e96fa6e5210bd966f465a38e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314376/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314376/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30619522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Appelbaum, Nital P</creatorcontrib><creatorcontrib>Santen, Sally A</creatorcontrib><creatorcontrib>Aboff, Brian M</creatorcontrib><creatorcontrib>Vega, Ryan</creatorcontrib><creatorcontrib>Munoz, Jose L</creatorcontrib><creatorcontrib>Hemphill, Robin R</creatorcontrib><title>Psychological Safety and Support: Assessing Resident Perceptions of the Clinical Learning Environment</title><title>Journal of graduate medical education</title><addtitle>J Grad Med Educ</addtitle><description>Assessments of the clinical learning environment could allow early interventions to improve graduate medical education. To date, measurement tools for this have not been identified.
We established the concurrent validity of 2 instruments that assess cultural facets of the clinical learning environment by correlating them with external program evaluation data.
In 2017 we surveyed residents across 19 training programs on their perceptions of organizational support by using the Short Survey of Perceived Organizational Support (SPOS), and psychological safety by using the Psychological Safety Scale (PSS). Data were aggregated to the program level and correlated with results from the Accreditation Council for Graduate Medical Education (ACGME) Resident Survey.
Of 511 residents, 322 (63%) completed the survey, and 496 of 516 residents (96%) completed the ACGME Resident Survey. Perceived organizational support correlated positively with overall program evaluation score (
= 0.75,
< .001); faculty (
= 0.72,
< .001); evaluation (
= 0.73,
< .001); educational content (
= 0.52,
= .022); and resources domains (
= 0.55,
= .014). Psychological safety had a positive correlation with overall program evaluation (
= 0.57,
= .011); faculty (
= 0.50,
= .028); and evaluation (
= 0.62,
< .005).
The SPOS and PSS correlated with key ACGME Resident Survey domains. Programs showing greater support of residents were likely to show more positive ratings on program evaluation metrics. Teaching institutions may benefit from actively monitoring and improving aspects of their learning environment through internal assessments.</description><subject>Education, Medical, Graduate - methods</subject><subject>Humans</subject><subject>Internship and Residency - methods</subject><subject>Internship and Residency - organization & administration</subject><subject>Organizational Culture</subject><subject>Original Research</subject><subject>Surveys and Questionnaires</subject><subject>Virginia</subject><issn>1949-8349</issn><issn>1949-8357</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUFv1DAQhS0EolXpD-CCfOSS4rETx-aAVC1LW7SIisLZ8tqTXVeJHexspf33ZNuygrnMSPPeNyM9Qt4Cu6gFYx_uNwNWvgJVMcaVvIAX5BR0rSslmvblca71CTkv5Z7NJTRXwF-TE8Ek6IbzU4K3Ze-2qU-b4GxP72yH057a6OndbhxTnj7Sy1KwlBA39AeW4DFO9Bazw3EKKRaaOjptkS76EB8RK7Q5HtTL-BByisNseENedbYveP7cz8ivL8ufi-tq9f3qZnG5qpxQDCpdq1qi18KjaFux7iyAa0UL3LfeSbvmgEwr1LKzEhsObO21lF0tGysUSnFGPj1xx916QO_m09n2ZsxhsHlvkg3m_00MW7NJD0YKqEV7ALx_BuT0e4dlMkMoDvveRky7YjjIhtWzls9SeJK6nErJ2B3PADOHhMzXq29L89mAMo8JGZg97_797-j4m4f4A6QPjuY</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Appelbaum, Nital P</creator><creator>Santen, Sally A</creator><creator>Aboff, Brian M</creator><creator>Vega, Ryan</creator><creator>Munoz, Jose L</creator><creator>Hemphill, Robin R</creator><general>The Accreditation Council for Graduate Medical Education</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201812</creationdate><title>Psychological Safety and Support: Assessing Resident Perceptions of the Clinical Learning Environment</title><author>Appelbaum, Nital P ; Santen, Sally A ; Aboff, Brian M ; Vega, Ryan ; Munoz, Jose L ; Hemphill, Robin R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3801-94846ed93de3773bfa11c73712d7dc6ab21e098e96fa6e5210bd966f465a38e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Education, Medical, Graduate - methods</topic><topic>Humans</topic><topic>Internship and Residency - methods</topic><topic>Internship and Residency - organization & administration</topic><topic>Organizational Culture</topic><topic>Original Research</topic><topic>Surveys and Questionnaires</topic><topic>Virginia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Appelbaum, Nital P</creatorcontrib><creatorcontrib>Santen, Sally A</creatorcontrib><creatorcontrib>Aboff, Brian M</creatorcontrib><creatorcontrib>Vega, Ryan</creatorcontrib><creatorcontrib>Munoz, Jose L</creatorcontrib><creatorcontrib>Hemphill, Robin R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of graduate medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Appelbaum, Nital P</au><au>Santen, Sally A</au><au>Aboff, Brian M</au><au>Vega, Ryan</au><au>Munoz, Jose L</au><au>Hemphill, Robin R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological Safety and Support: Assessing Resident Perceptions of the Clinical Learning Environment</atitle><jtitle>Journal of graduate medical education</jtitle><addtitle>J Grad Med Educ</addtitle><date>2018-12</date><risdate>2018</risdate><volume>10</volume><issue>6</issue><spage>651</spage><epage>656</epage><pages>651-656</pages><issn>1949-8349</issn><eissn>1949-8357</eissn><abstract>Assessments of the clinical learning environment could allow early interventions to improve graduate medical education. To date, measurement tools for this have not been identified.
We established the concurrent validity of 2 instruments that assess cultural facets of the clinical learning environment by correlating them with external program evaluation data.
In 2017 we surveyed residents across 19 training programs on their perceptions of organizational support by using the Short Survey of Perceived Organizational Support (SPOS), and psychological safety by using the Psychological Safety Scale (PSS). Data were aggregated to the program level and correlated with results from the Accreditation Council for Graduate Medical Education (ACGME) Resident Survey.
Of 511 residents, 322 (63%) completed the survey, and 496 of 516 residents (96%) completed the ACGME Resident Survey. Perceived organizational support correlated positively with overall program evaluation score (
= 0.75,
< .001); faculty (
= 0.72,
< .001); evaluation (
= 0.73,
< .001); educational content (
= 0.52,
= .022); and resources domains (
= 0.55,
= .014). Psychological safety had a positive correlation with overall program evaluation (
= 0.57,
= .011); faculty (
= 0.50,
= .028); and evaluation (
= 0.62,
< .005).
The SPOS and PSS correlated with key ACGME Resident Survey domains. Programs showing greater support of residents were likely to show more positive ratings on program evaluation metrics. Teaching institutions may benefit from actively monitoring and improving aspects of their learning environment through internal assessments.</abstract><cop>United States</cop><pub>The Accreditation Council for Graduate Medical Education</pub><pmid>30619522</pmid><doi>10.4300/jgme-d-18-00286.1</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Education, Medical, Graduate - methods Humans Internship and Residency - methods Internship and Residency - organization & administration Organizational Culture Original Research Surveys and Questionnaires Virginia |
| title | Psychological Safety and Support: Assessing Resident Perceptions of the Clinical Learning Environment |
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