Bitar Aziz, Boman Jens, Kristoffersson Emelie
Department of Clinical Science, Professional Development, Umeå University, Umeå, Sweden.
J Med Educ Curric Dev. 2025 Jul 20;12:23821205251359380. doi: 10.1177/23821205251359380. eCollection 2025 Jan-Dec.
Psychological safety-defined as the perception that a group environment is safe for interpersonal risk-taking-could influence the development of burnout among medical students. This study, therefore, sought to investigate the prevalence of burnout, the level of psychological safety, and their association in this population.
We surveyed undergraduate medical students ( = 944) enrolled in semesters 2 to 10 at a Swedish medical school using a questionnaire containing the Burnout Assessment Tool (BAT-12), Amy Edmondson's Team Psychological Safety Survey, and socio-demographic questions. Data were analyzed using descriptive statistics, -tests, one-way ANOVA, Pearson's correlation, and hierarchical regression analysis.
A total of 457 medical students (62.6% women) completed the questionnaire (response rate: 48%). Of the participants, 51.4% scored above the cut-off for burnout risk, and among these, 25.6% were at very high risk. Women scored significantly higher on burnout and lower on psychological safety than men. A significant negative association was found between psychological safety and burnout, with psychological safety accounting for an additional 14.3% of the variance in burnout scores.
Our findings suggest that more than half of the surveyed medical students are at risk for burnout and that lower levels of psychological safety are associated with higher levels of burnout. Furthermore, women appear to be at higher risk for burnout and perceive medical school as less psychologically safe than male students. While longitudinal studies are needed to assess the causality between low psychological safety and burnout, our results provide impetus for developing interventions to prevent burnout and addressing an eventual lack of psychological safety in medical school.
心理安全感被定义为个体认为群体环境对于人际冒险行为是安全的这种认知，它可能会影响医学生职业倦怠的发展。因此，本研究旨在调查该群体职业倦怠的患病率、心理安全感水平及其关联。
我们使用一份包含职业倦怠评估工具（BAT - 12）、艾米·埃德蒙森的团队心理安全感调查问卷以及社会人口学问题的问卷，对瑞典一所医学院第2至10学期注册的本科医学生（n = 944）进行了调查。数据采用描述性统计、t检验、单因素方差分析、皮尔逊相关分析和分层回归分析。
共有457名医学生（62.6%为女性）完成了问卷（回复率：48%）。在参与者中，51.4%的人职业倦怠风险得分高于临界值，其中25.6%处于极高风险。女性在职业倦怠方面得分显著高于男性，在心理安全感方面得分低于男性。心理安全感与职业倦怠之间存在显著的负相关，心理安全感能够额外解释职业倦怠得分中14.3%的变异。
我们的研究结果表明，超过一半的受访医学生存在职业倦怠风险，较低的心理安全感水平与较高的职业倦怠水平相关。此外，女性似乎职业倦怠风险更高，并且认为医学院的心理安全感低于男学生。虽然需要纵向研究来评估低心理安全感与职业倦怠之间的因果关系，但我们的结果为制定预防职业倦怠的干预措施以及解决医学院最终可能出现的心理安全感缺失问题提供了动力。
