Abstract：
UNASSIGNED: The clinical learning environment (CLE) affects resident physician well-being. This study assessed how aspects of the learning environment affected the level of resident job stress and burnout.
UNASSIGNED: Three institutions surveyed residents assessing aspects of the CLE and well-being via anonymous survey in fall of 2020 during COVID. Psychological safety (PS) and perceived organizational support (POS) were used to capture the CLE, and the Mini-Z Scale was used to assess resident job stress and burnout. A total of 2,196 residents received a survey link; 889 responded (40% response rate). Path analysis explored both direct and indirect relationships between PS, POS, resident stress, and resident burnout.
UNASSIGNED: Both POS and PS had significant negative relationships with experiencing a great deal of job stress; the relationship between PS and stress was noticeably stronger than POS and stress (POS: B= -0.12, p=.025; PS: B= -0.37, p<.001). The relationship between stress and residents\' level of burnout was also significant (B = 0.38, p<.001). The overall model explained 25% of the variance in resident burnout.
UNASSIGNED: Organizational support and psychological safety of the learning environment is associated with resident burnout. It is important for educational leaders to recognize and mitigate these factors.
UNASSIGNED: Three institutions surveyed residents assessing aspects of the CLE and well-being via anonymous survey in fall of 2020 during COVID. Psychological safety (PS) and perceived organizational support (POS) were used to capture the CLE, and the Mini-Z Scale was used to assess resident job stress and burnout. A total of 2,196 residents received a survey link; 889 responded (40% response rate). Path analysis explored both direct and indirect relationships between PS, POS, resident stress, and resident burnout.
UNASSIGNED: Both POS and PS had significant negative relationships with experiencing a great deal of job stress; the relationship between PS and stress was noticeably stronger than POS and stress (POS: B= -0.12, p=.025; PS: B= -0.37, p<.001). The relationship between stress and residents\' level of burnout was also significant (B = 0.38, p<.001). The overall model explained 25% of the variance in resident burnout.
UNASSIGNED: Organizational support and psychological safety of the learning environment is associated with resident burnout. It is important for educational leaders to recognize and mitigate these factors.
摘要：
■临床学习环境(CLE)影响住院医师的幸福感。这项研究评估了学习环境的各个方面如何影响居民工作压力和倦怠的水平。
■三个机构在2020年秋季COVID期间通过匿名调查对居民进行了调查，以评估CLE和福祉的各个方面。心理安全(PS)和感知的组织支持(POS)被用来捕捉CLE，Mini-Z量表用于评估居民工作压力和倦怠。共有2,196名居民收到了调查链接；889人做出了回应（回应率为40％）。路径分析探讨了PS之间的直接和间接关系，POS,居民压力，和居民倦怠。
■POS和PS都与经历大量工作压力有显著的负相关关系；PS与压力的关系明显强于POS和压力(POS:B=-0.12,p=.025;PS:B=-0.37,p<.001)。压力与居民倦怠水平之间的关系也显着（B=0.38，p<.001）。总体模型解释了居民倦怠中25%的方差。
■学习环境的组织支持和心理安全性与居民倦怠有关。对于教育领导者来说，认识和减轻这些因素很重要。
■三个机构在2020年秋季COVID期间通过匿名调查对居民进行了调查，以评估CLE和福祉的各个方面。心理安全(PS)和感知的组织支持(POS)被用来捕捉CLE，Mini-Z量表用于评估居民工作压力和倦怠。共有2,196名居民收到了调查链接；889人做出了回应（回应率为40％）。路径分析探讨了PS之间的直接和间接关系，POS,居民压力，和居民倦怠。
■POS和PS都与经历大量工作压力有显著的负相关关系；PS与压力的关系明显强于POS和压力(POS:B=-0.12,p=.025;PS:B=-0.37,p<.001)。压力与居民倦怠水平之间的关系也显着（B=0.38，p<.001）。总体模型解释了居民倦怠中25%的方差。
■学习环境的组织支持和心理安全性与居民倦怠有关。对于教育领导者来说，认识和减轻这些因素很重要。
