{"id":"https://openalex.org/W4281763085","doi":"https://doi.org/10.1080/0142159x.2022.2058383","title":"The impact of clinical uncertainty in the graduate medical education (GME) learning environment: A mixed-methods study","display_name":"The impact of clinical uncertainty in the graduate medical education (GME) learning environment: A mixed-methods study","publication_year":2022,"publication_date":"2022-06-06","ids":{"openalex":"https://openalex.org/W4281763085","doi":"https://doi.org/10.1080/0142159x.2022.2058383","pmid":"https://pubmed.ncbi.nlm.nih.gov/35666840"},"language":"en","primary_location":{"id":"doi:10.1080/0142159x.2022.2058383","doi":"https://doi.org/10.1080/0142159x.2022.2058383","is_oa":false,"landing_page_url":"https://doi.org/10.1080/0142159x.2022.2058383","pdf_url":null,"source":{"id":"https://openalex.org/S135934248","display_name":"Medical Teacher","issn_l":"0142-159X","issn":["0142-159X","1466-187X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Teacher","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://figshare.com/articles/dataset/The_impact_of_clinical_uncertainty_in_the_graduate_medical_education_GME_learning_environment_A_mixed-methods_study/20009504","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Mark W. Johnson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark W. Johnson","raw_affiliation_strings":["Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043045640","display_name":"Galina Gheihman","orcid":"https://orcid.org/0000-0003-1599-3271","observed_orcids":["https://orcid.org/0000-0003-1599-3271"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Galina Gheihman","raw_affiliation_strings":["Department of Neurology, Brigham and Women\u2019s Hospital and Massachusetts General Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Brigham and Women\u2019s Hospital and Massachusetts General Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109614887","display_name":"Horatio R. Thomas","orcid":"https://orcid.org/0000-0002-9152-5739","observed_orcids":["https://orcid.org/0000-0002-9152-5739"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Horatio Thomas","raw_affiliation_strings":["Department of Radiation Oncology, University of California, San Francisco, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology, University of California, San Francisco, CA, USA","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068708746","display_name":"Gordon D. Schiff","orcid":"https://orcid.org/0000-0002-2821-3994","observed_orcids":["https://orcid.org/0000-0002-2821-3994"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gordon Schiff","raw_affiliation_strings":["Department of Medicine, Harvard Medical School, Boston, MA, USA","Division of General Internal Medicine, Center for Patient Safety Research and Practice, Brigham and Women's Hospital, Boston, MA, USA","Harvard Medical School Center for Primary Care, Hospitals and Health Care, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of General Internal Medicine, Center for Patient Safety Research and Practice, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School Center for Primary Care, Hospitals and Health Care, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031865414","display_name":"Andrew P. J. Olson","orcid":"https://orcid.org/0000-0002-7226-5783","observed_orcids":["https://orcid.org/0000-0002-7226-5783"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew P. J. Olson","raw_affiliation_strings":["Department of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA","Development and Scholarship, Medical Education Outcomes Center, University of Minnesota Medical School, Minneapolis, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA","institution_ids":["https://openalex.org/I130238516"]},{"raw_affiliation_string":"Development and Scholarship, Medical Education Outcomes Center, University of Minnesota Medical School, Minneapolis, MN, USA","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090004947","display_name":"Arabella Simpkin Begin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Arabella Simpkin Begin","raw_affiliation_strings":["Center for Educational Innovation and Scholarship, Massachusetts General Hospital, Boston, MA, USA","Department of Medicine, Harvard Medical School, Boston, MA, USA","Internal Medicine Residency at Massachusetts General Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Educational Innovation and Scholarship, Massachusetts General Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Internal Medicine Residency at Massachusetts General Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I4210087915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5090004947"],"corresponding_institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210087915"],"apc_list":null,"apc_paid":null,"fwci":2.6484,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.89289183,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"44","issue":"10","first_page":"1100","last_page":"1108"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.6420999765396118,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.6420999765396118,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.20350000262260437,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.1348000019788742,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-uncertainty","display_name":"clinical uncertainty","score":0.9359999895095825},{"id":"https://openalex.org/keywords/intolerance-of-uncertainty","display_name":"intolerance of uncertainty","score":0.9419999718666077},{"id":"https://openalex.org/keywords/postgraduate-medical-education","display_name":"graduate medical education","score":0.9509999752044678},{"id":"https://openalex.org/keywords/medical-residents","display_name":"medical residents","score":0.7889999747276306},{"id":"https://openalex.org/keywords/attending-physicians","display_name":"attending physicians","score":0.796999990940094},{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.8349999785423279},{"id":"https://openalex.org/keywords/clinical-learning-environment","display_name":"clinical learning environment","score":0.6330000162124634},{"id":"https://openalex.org/keywords/educational-settings","display_name":"educational environment","score":0.6510000228881836},{"id":"https://openalex.org/keywords/physician-anxiety","display_name":"physician anxiety","score":0.5289999842643738},{"id":"https://openalex.org/keywords/medical-curriculum","display_name":"medical curriculum","score":0.34200000762939453}],"concepts":[{"id":"https://openalex.org/C2777880217","wikidata":"https://www.wikidata.org/wiki/Q4674282","display_name":"Acknowledgement","level":2,"score":0.6618276834487915},{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.6304205656051636},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.5388308167457581},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4981403350830078},{"id":"https://openalex.org/C2779767262","wikidata":"https://www.wikidata.org/wiki/Q5592059","display_name":"Graduate medical education","level":3,"score":0.45701104402542114},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4389648735523224},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.43441396951675415},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.4264587461948395},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.406583309173584},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.38004326820373535},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2723875045776367},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.15226489305496216},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.11935725808143616},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.0},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000066491","descriptor_name":"Clinical Decision-Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D004503","descriptor_name":"Education, Medical, Graduate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D035501","descriptor_name":"Uncertainty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1080/0142159x.2022.2058383","doi":"https://doi.org/10.1080/0142159x.2022.2058383","is_oa":false,"landing_page_url":"https://doi.org/10.1080/0142159x.2022.2058383","pdf_url":null,"source":{"id":"https://openalex.org/S135934248","display_name":"Medical Teacher","issn_l":"0142-159X","issn":["0142-159X","1466-187X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Teacher","raw_type":"journal-article"},{"id":"pmid:35666840","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35666840","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical teacher","raw_type":"Journal Article"},{"id":"pmh:oai:figshare.com:article/20009504","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/dataset/The_impact_of_clinical_uncertainty_in_the_graduate_medical_education_GME_learning_environment_A_mixed-methods_study/20009504","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Dataset"},{"id":"doi:10.6084/m9.figshare.20009504.v1","doi":"https://doi.org/10.6084/m9.figshare.20009504.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.20009504.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Dataset"}],"best_oa_location":{"id":"pmh:oai:figshare.com:article/20009504","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/dataset/The_impact_of_clinical_uncertainty_in_the_graduate_medical_education_GME_learning_environment_A_mixed-methods_study/20009504","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Dataset"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8048999905586243,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Quality education","score":0.5,"id":"https://metadata.un.org/sdg/4"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320316940","display_name":"University of Minnesota Foundation","ror":null}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":45,"referenced_works":["https://openalex.org/W563261889","https://openalex.org/W1976976979","https://openalex.org/W1977882655","https://openalex.org/W1982042151","https://openalex.org/W1988441062","https://openalex.org/W1989434368","https://openalex.org/W1994106556","https://openalex.org/W2006177029","https://openalex.org/W2018645669","https://openalex.org/W2027134727","https://openalex.org/W2069273382","https://openalex.org/W2070504353","https://openalex.org/W2083836263","https://openalex.org/W2084085196","https://openalex.org/W2093073362","https://openalex.org/W2120230938","https://openalex.org/W2122036009","https://openalex.org/W2141222241","https://openalex.org/W2142225512","https://openalex.org/W2142584281","https://openalex.org/W2156435103","https://openalex.org/W2159448173","https://openalex.org/W2182493544","https://openalex.org/W2546534702","https://openalex.org/W2604185978","https://openalex.org/W2617276845","https://openalex.org/W2746652460","https://openalex.org/W2758245304","https://openalex.org/W2772614180","https://openalex.org/W2776240974","https://openalex.org/W2783570167","https://openalex.org/W2799386636","https://openalex.org/W2890627641","https://openalex.org/W2890851041","https://openalex.org/W2899410877","https://openalex.org/W2906151105","https://openalex.org/W2911979540","https://openalex.org/W2917302316","https://openalex.org/W2924697533","https://openalex.org/W2955744164","https://openalex.org/W2965706736","https://openalex.org/W2998319812","https://openalex.org/W3129091840","https://openalex.org/W3142492581","https://openalex.org/W4292157289"],"related_works":["https://openalex.org/W3087051240","https://openalex.org/W2944049805","https://openalex.org/W3021555711","https://openalex.org/W3160128686","https://openalex.org/W4401167858","https://openalex.org/W4210826258","https://openalex.org/W3095452991","https://openalex.org/W3198769772","https://openalex.org/W7125159652","https://openalex.org/W4411141143"],"abstract_inverted_index":{"Background":[0],"Uncertainty":[1,80],"is":[2,22],"ubiquitous":[3],"in":[4,28],"medicine.":[5],"Studies":[6],"link":[7],"intolerance":[8],"of":[9,41,92,128,184,188],"uncertainty":[10,26,42,108,121,145],"to":[11,35,79,107,119,122,143,179],"burnout,":[12],"ineffective":[13],"communication,":[14],"cognitive":[15],"bias,":[16],"and":[17,39,45,57,64,86,95,116,156,159,182,193],"inappropriate":[18],"resource":[19],"use.":[20],"Little":[21],"known":[23],"about":[24,113],"how":[25],"manifests":[27],"the":[29,37,100,134,162,199],"clinical":[30,200],"learning":[31,135,163,201],"environment.":[32,164,202],"We":[33,47],"aimed":[34],"explore":[36],"perceptions":[38],"experiences":[40],"among":[43],"residents":[44,63,94],"attendings.Methods":[46],"conducted":[48],"a":[49,53],"mixed-methods":[50],"study":[51],"including":[52],"survey,":[54],"semi-structured":[55],"interviews,":[56],"ethnographic":[58],"observations":[59],"during":[60],"rounds":[61],"with":[62,141],"attendings":[65,98,192],"at":[66],"an":[67],"academic":[68],"medical":[69],"center.":[70],"The":[71],"survey":[72],"included":[73],"three":[74],"validated":[75],"instruments:":[76],"Physicians\u2019":[77],"Reaction":[78],"Scale;":[81],"Maslach":[82],"Burnout":[83],"Inventory":[84],"2-item;":[85],"Educational":[87],"Climate":[88],"Inventory.Results":[89],"35/60":[90],"(58%)":[91],"eligible":[93],"14/21":[96],"(67%)":[97],"completed":[99],"survey.":[101],"Residents":[102,124],"reported":[103,125],"higher":[104,111],"anxiety":[105],"due":[106],"than":[109],"attendings,":[110],"concern":[112],"bad":[114],"outcomes,":[115],"greater":[117,170],"reluctance":[118,142],"disclose":[120,144],"patients.":[123],"increased":[126],"symptoms":[127],"burnout":[129],"(p":[130],"<":[131,150],".05).":[132],"Perceiving":[133],"environment":[136],"as":[137],"more":[138],"competitive":[139],"correlated":[140],"(r":[146],"=":[147],"\u22120.44;":[148],"p":[149],".01).":[151],"Qualitative":[152],"themes":[153],"included:":[154],"recognizing":[155],"facing":[157],"uncertainty,":[158,189],"consequences":[160],"for":[161],"Observations":[165],"revealed":[166],"senior":[167,194],"clinicians":[168],"have":[169],"comfort":[171],"acknowledging":[172],"uncertainty.Conclusions":[173],"Medical":[174],"curricula":[175],"should":[176],"be":[177],"developed":[178],"promote":[180],"recognition":[181],"acknowledgement":[183,187],"uncertainty.":[185],"Greater":[186],"specifically":[190],"by":[191],"residents,":[195],"may":[196],"positively":[197],"impact":[198]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-06-13T00:00:00"}