%0 Journal Article
%T Understanding resident wellness: A path analysis of the clinical learning environment at three institutions.
%A Savage NM
%A Santen SA
%A Rawls M
%A Marzano DA
%A Wong JH
%A Burrows HL
%A Hicks RA
%A Aboff BM
%A Hemphill RR
%J Med Teach
%V 0
%N 0
%D 2024 Apr 1
%M 38557254
%F 4.277
%R 10.1080/0142159X.2024.2331038
%X <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.