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Developing CLOUT: A Longitudinal, Cross-Program Chief Resident Curriculum to Increase Psychological Safety in the

Dana Dunne, Andrea Asnes, David Berg

    Academic Medicine : Journal of the Association of American Medical Colleges
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    Chief residents trained in a longitudinal curriculum improved their skills in promoting psychological safety. This professional development enhanced their self-efficacy and responses to workplace mistreatment for trainees.

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    Area of Science:

    • Medical Education
    • Psychology
    • Leadership Development

    Background:

    • Psychological safety is crucial for effective clinical learning environments.
    • Chief residents possess influence to foster positive learning climates.
    • Addressing workplace mistreatment and bias is vital for trainee well-being.

    Purpose of the Study:

    • To equip chief residents with tools to promote psychological safety.
    • To enhance chief residents' skills in managing mistreatment and bias.
    • To foster leadership capacity in improving the clinical learning environment.

    Main Methods:

    • A longitudinal, 5-workshop curriculum for 66 chief residents and 18 faculty allies.
    • Focus on skills: coaching, conflict management, and emotional self-regulation.
    • Assessment via self-reported efficacy and case scenario responses.

    Main Results:

    • Significant improvement in self-reported efficacy post-curriculum.
    • Demonstrated behavior change in case scenario responses.
    • Qualitative evidence of enhanced impact through cohort relationship building.

    Conclusions:

    • A longitudinal curriculum empowers chief residents as change agents.
    • This model enhances individual self-efficacy and response strategies.
    • Future assessment will evaluate program-level and institutional climate impact.