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Landscapes of psychological trauma in residency education: Exploring lived experiences.

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Title: Landscapes of psychological trauma in residency education: Exploring lived experiences.
Authors: Roze des Ordons, Amanda1 alrozede@ucalgary.ca, Kassam, Aliya2, Ellaway, Rachel3
Source: Medical Education. Sep2025, Vol. 59 Issue 9, p983-995. 13p.
Subject Terms: *Medical education, *Internship programs, *Universities & colleges, *Artificial intelligence, *Research methodology, *Student attitudes, Research funding, Psychological distress, Mental health, Mental illness, Interviewing, Judgment sampling, Emergency medicine, Hospital medical staff, Emotional trauma, Physicians
Abstract: Introduction: Resident physicians may experience psychological trauma both at work and in their personal lives. Injury from trauma can impact learning, patient care, relationships, mental health and well‐being. Residents' experiences of traumatic injury have not been well‐described in the literature. The purpose of this study was to explore residents' lived experiences of psychological traumatic injury. Methods: The research employed a hermeneutic phenomenological methodology. All residents at a single Canadian medical school and support professionals who work with them were invited to participate in semi‐structured interviews. Anonymized transcripts were analysed in duplicate and findings interpreted through discussion amongst the research team. Results: Thirteen residents and three support professionals participated. Four core domains of lived experience within participant narratives were identified, each with multiple dimensions: impacts of traumatic injury (multifaceted, internal reactions, layered judgements), adaptations to traumatic injury (shifts in mindset and behaviour), traumatic injury over time (acknowledging, oscillation, meaning‐making) and modifiers of traumatic injury (previous life experiences, internal resources, contextual circumstances). Three metanarratives intersecting these dimensions of experience were complexity, sociocultural influences and existential tensions. Conclusion: In summary, residents' experiences of trauma and the associated traumatic injury are complex, highly individual and difficult to anticipate or resolve with linear support models. This research will help guide ways to better support residents while addressing problematic aspects of medical education that may contribute to experiences of trauma. This study draws attention to experiences of psychological trauma in residents along with the multidimensional impacts and complex issues to consider in providing support. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Landscapes of psychological trauma in residency education: Exploring lived experiences.
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  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Sep2025, Vol. 59 Issue 9, p983-995. 13p.
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  Data: Introduction: Resident physicians may experience psychological trauma both at work and in their personal lives. Injury from trauma can impact learning, patient care, relationships, mental health and well‐being. Residents' experiences of traumatic injury have not been well‐described in the literature. The purpose of this study was to explore residents' lived experiences of psychological traumatic injury. Methods: The research employed a hermeneutic phenomenological methodology. All residents at a single Canadian medical school and support professionals who work with them were invited to participate in semi‐structured interviews. Anonymized transcripts were analysed in duplicate and findings interpreted through discussion amongst the research team. Results: Thirteen residents and three support professionals participated. Four core domains of lived experience within participant narratives were identified, each with multiple dimensions: impacts of traumatic injury (multifaceted, internal reactions, layered judgements), adaptations to traumatic injury (shifts in mindset and behaviour), traumatic injury over time (acknowledging, oscillation, meaning‐making) and modifiers of traumatic injury (previous life experiences, internal resources, contextual circumstances). Three metanarratives intersecting these dimensions of experience were complexity, sociocultural influences and existential tensions. Conclusion: In summary, residents' experiences of trauma and the associated traumatic injury are complex, highly individual and difficult to anticipate or resolve with linear support models. This research will help guide ways to better support residents while addressing problematic aspects of medical education that may contribute to experiences of trauma. This study draws attention to experiences of psychological trauma in residents along with the multidimensional impacts and complex issues to consider in providing support. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/medu.15747
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        Text: English
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      – SubjectFull: Universities & colleges
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      – SubjectFull: Artificial intelligence
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      – SubjectFull: Student attitudes
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      – SubjectFull: Psychological distress
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Emergency medicine
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      – SubjectFull: Hospital medical staff
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      – SubjectFull: Emotional trauma
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      – SubjectFull: Physicians
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      – TitleFull: Landscapes of psychological trauma in residency education: Exploring lived experiences.
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              M: 09
              Text: Sep2025
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