Medical Trainees' Emotions and Their Effects on Perceptions of Performance and Team Mood in Team-Based Simulations
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| Title: | Medical Trainees' Emotions and Their Effects on Perceptions of Performance and Team Mood in Team-Based Simulations |
|---|---|
| Language: | English |
| Authors: | Keerat Grewal (ORCID |
| Source: | British Journal of Educational Psychology. 2026 96(1):306-336. |
| Availability: | Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us |
| Peer Reviewed: | Y |
| Page Count: | 31 |
| Publication Date: | 2026 |
| Document Type: | Journal Articles Reports - Research |
| Education Level: | Higher Education Postsecondary Education |
| Descriptors: | Medical Students, Trainees, Medical Education, Psychological Patterns, Performance, Teamwork, Simulation, Affective Measures, Questionnaires |
| DOI: | 10.1111/bjep.70017 |
| ISSN: | 0007-0998 2044-8279 |
| Abstract: | Background: Emotions affect performance in learning contexts; however, their effects on medical trainees' performance in highly ecologically valid settings, like team-based simulation training, are not well understood. It is therefore imperative to know which emotions are experienced by medical trainees and the impacts of these emotions on perceptions of performance and team mood. Aims: To extend the understanding of medical trainees' emotions in the context of team-based medical simulations using a new self-report tool (Situated Emotion Regulation Questionnaire; SERQ). Sample: Participants were 106 medical trainees participating in team-based simulations. Seventy-one participated in multiple simulations. Methods: A field-based, mixed-methods methodology was used. Medical trainees self-reported their emotions and perceptions of individual performance, team performance and team mood. Multi-level analyses were used to account for nestedness. Debriefings were qualitatively analysed to provide validity evidence for the SERQ. Results: Team leaders reported significantly higher levels of shame post-simulation than team members. A variable comprising post-simulation happiness and hopefulness was a significant predictor of perceptions of team performance and team mood. Post-simulation frustration was a significant predictor of perceptions of team mood. Participants' SERQ responses demonstrated alignment or mixed alignment with their debriefing responses. Conclusion: Using multi-level analyses, our research provides insight into medical trainees' emotions and their effects on perceptions in highly ecologically valid simulation trainings. Future medical education training may use these findings to develop curricula and simulations to induce specific emotions or practice emotion regulation. Additionally, the SERQ demonstrated promising validity evidence and may be a valuable future research and educational tool. |
| Abstractor: | As Provided |
| Entry Date: | 2026 |
| Accession Number: | EJ1496198 |
| Database: | ERIC |
| FullText | Text: Availability: 0 |
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| Header | DbId: eric DbLabel: ERIC An: EJ1496198 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Medical Trainees' Emotions and Their Effects on Perceptions of Performance and Team Mood in Team-Based Simulations – Name: Language Label: Language Group: Lang Data: English – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Keerat+Grewal%22">Keerat Grewal</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-0130-6015">0000-0002-0130-6015</externalLink>)<br /><searchLink fieldCode="AR" term="%22Sayed+Azher%22">Sayed Azher</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-8840-1981">0000-0001-8840-1981</externalLink>)<br /><searchLink fieldCode="AR" term="%22Matthew+Moreno%22">Matthew Moreno</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-7155-8103">0000-0002-7155-8103</externalLink>)<br /><searchLink fieldCode="AR" term="%22Reinhard+Pekrun%22">Reinhard Pekrun</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-4489-3827">0000-0003-4489-3827</externalLink>)<br /><searchLink fieldCode="AR" term="%22Jeffrey+Wiseman%22">Jeffrey Wiseman</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-3174-6617">0000-0003-3174-6617</externalLink>)<br /><searchLink fieldCode="AR" term="%22Jessica+Flake%22">Jessica Flake</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3498-615X">0000-0002-3498-615X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Susanne+Lajoie%22">Susanne Lajoie</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2814-3962">0000-0003-2814-3962</externalLink>)<br /><searchLink fieldCode="AR" term="%22Ning-Zi+Sun%22">Ning-Zi Sun</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-9751-1135">0000-0002-9751-1135</externalLink>)<br /><searchLink fieldCode="AR" term="%22Gerald+M%2E+Fri%22">Gerald M. Fri</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-6434-0555">0000-0001-6434-0555</externalLink>)<br /><searchLink fieldCode="AR" term="%22Elene+Khalil%22">Elene Khalil</searchLink><br /><searchLink fieldCode="AR" term="%22Jason+M%2E+Harley%22">Jason M. Harley</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-2061-9519">0000-0002-2061-9519</externalLink>) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="SO" term="%22British+Journal+of+Educational+Psychology%22"><i>British Journal of Educational Psychology</i></searchLink>. 2026 96(1):306-336. – Name: Avail Label: Availability Group: Avail Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: Pages Label: Page Count Group: Src Data: 31 – Name: DatePubCY Label: Publication Date Group: Date Data: 2026 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Reports - Research – Name: Audience Label: Education Level Group: Audnce Data: <searchLink fieldCode="EL" term="%22Higher+Education%22">Higher Education</searchLink><br /><searchLink fieldCode="EL" term="%22Postsecondary+Education%22">Postsecondary Education</searchLink> – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22Medical+Students%22">Medical Students</searchLink><br /><searchLink fieldCode="DE" term="%22Trainees%22">Trainees</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Education%22">Medical Education</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+Patterns%22">Psychological Patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Performance%22">Performance</searchLink><br /><searchLink fieldCode="DE" term="%22Teamwork%22">Teamwork</searchLink><br /><searchLink fieldCode="DE" term="%22Simulation%22">Simulation</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+Measures%22">Affective Measures</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink> – Name: DOI Label: DOI Group: ID Data: 10.1111/bjep.70017 – Name: ISSN Label: ISSN Group: ISSN Data: 0007-0998<br />2044-8279 – Name: Abstract Label: Abstract Group: Ab Data: Background: Emotions affect performance in learning contexts; however, their effects on medical trainees' performance in highly ecologically valid settings, like team-based simulation training, are not well understood. It is therefore imperative to know which emotions are experienced by medical trainees and the impacts of these emotions on perceptions of performance and team mood. Aims: To extend the understanding of medical trainees' emotions in the context of team-based medical simulations using a new self-report tool (Situated Emotion Regulation Questionnaire; SERQ). Sample: Participants were 106 medical trainees participating in team-based simulations. Seventy-one participated in multiple simulations. Methods: A field-based, mixed-methods methodology was used. Medical trainees self-reported their emotions and perceptions of individual performance, team performance and team mood. Multi-level analyses were used to account for nestedness. Debriefings were qualitatively analysed to provide validity evidence for the SERQ. Results: Team leaders reported significantly higher levels of shame post-simulation than team members. A variable comprising post-simulation happiness and hopefulness was a significant predictor of perceptions of team performance and team mood. Post-simulation frustration was a significant predictor of perceptions of team mood. Participants' SERQ responses demonstrated alignment or mixed alignment with their debriefing responses. Conclusion: Using multi-level analyses, our research provides insight into medical trainees' emotions and their effects on perceptions in highly ecologically valid simulation trainings. Future medical education training may use these findings to develop curricula and simulations to induce specific emotions or practice emotion regulation. Additionally, the SERQ demonstrated promising validity evidence and may be a valuable future research and educational tool. – Name: AbstractInfo Label: Abstractor Group: Ab Data: As Provided – Name: DateEntry Label: Entry Date Group: Date Data: 2026 – Name: AN Label: Accession Number Group: ID Data: EJ1496198 |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/bjep.70017 Languages: – Text: English PhysicalDescription: Pagination: PageCount: 31 StartPage: 306 Subjects: – SubjectFull: Medical Students Type: general – SubjectFull: Trainees Type: general – SubjectFull: Medical Education Type: general – SubjectFull: Psychological Patterns Type: general – SubjectFull: Performance Type: general – SubjectFull: Teamwork Type: general – SubjectFull: Simulation Type: general – SubjectFull: Affective Measures Type: general – SubjectFull: Questionnaires Type: general Titles: – TitleFull: Medical Trainees' Emotions and Their Effects on Perceptions of Performance and Team Mood in Team-Based Simulations Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Keerat Grewal – PersonEntity: Name: NameFull: Sayed Azher – PersonEntity: Name: NameFull: Matthew Moreno – PersonEntity: Name: NameFull: Reinhard Pekrun – PersonEntity: Name: NameFull: Jeffrey Wiseman – PersonEntity: Name: NameFull: Jessica Flake – PersonEntity: Name: NameFull: Susanne Lajoie – PersonEntity: Name: NameFull: Ning-Zi Sun – PersonEntity: Name: NameFull: Gerald M. Fri – PersonEntity: Name: NameFull: Elene Khalil – PersonEntity: Name: NameFull: Jason M. Harley IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 0007-0998 – Type: issn-electronic Value: 2044-8279 Numbering: – Type: volume Value: 96 – Type: issue Value: 1 Titles: – TitleFull: British Journal of Educational Psychology Type: main |
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