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Exploring interventions for fostering resilience among medical educators

Linda Chan^1,2,3, Paul Po Ling Chan^1,2, Emma Victoria Marianne Bilney¹

¹Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Medical Teacher

|October 24, 2025

Summary

Systemic and institutional factors significantly shape medical educators' resilience. Interventions focusing on relationships, communication, and supportive environments are crucial for fostering resilience in diverse cultural settings.

Area of Science:

Medical Education
Psychology
Sociology

Background:

Resilience is vital for medical educators' performance.
Existing research often emphasizes individual well-being, neglecting systemic influences.
The impact of institutional interventions on resilience in diverse cultural contexts remains under-explored.

Purpose of the Study:

To investigate interventions perceived by Hong Kong medical educators as fostering resilience.
To explore the systemic and institutional factors influencing medical educator resilience.
To understand resilience-building strategies within a specific cultural context.

Main Methods:

Purposive sampling of 20 medical educators from two Hong Kong medical schools.
Semi-structured online interviews analyzed using abductive reflective thematic analysis.
Application of Bronfenbrenner's Process-Person-Context-Time (PPCT) model for interpretation.

Main Results:

Nine themes emerged across the four PPCT domains.
Resilience is influenced by personal factors (self-care), relational dynamics (supportive communication), institutional conditions (support), and temporal changes (life stages, events).
Process- and Context-level interventions were identified as essential for enhancing medical educator resilience.

Conclusions:

Resilience interventions must integrate relational, institutional, systemic, and cultural dimensions.
Key areas for intervention include professional recognition, communication, resource allocation, and psychologically safe environments.
Culturally-specific resilience strategies are needed for educators in multicultural settings.

Keywords:

PPCT model Resilience interventions medical educators well-being

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