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      Psychological safety in health professions education: insights and strategies from a global community of practice

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          Abstract

          Psychological safety is the belief that one will not be punished or humiliated for speaking up, sharing ideas, raising concerns, or making mistakes. There are various threats to psychological safety in health professions education (HPE). This commentary applies Clark’s model of psychological safety (Inclusion Safety, Learner Safety, Contributor Safety, Challenger Safety) to five different HPE settings (classroom instructions, clinical training, simulation-based training, online instructions, interprofessional education). Setting-specific threats and strategies for enhancing psychological safety are discussed.

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          PSYCHOLOGICAL CONDITIONS OF PERSONAL ENGAGEMENT AND DISENGAGEMENT AT WORK.

          W. A. Kahn (1990)
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            Psychological Safety: The History, Renaissance, and Future of an Interpersonal Construct

            Psychological safety describes people’s perceptions of the consequences of taking interpersonal risks in a particular context such as a workplace. First explored by pioneering organizational scholars in the 1960s, psychological safety experienced a renaissance starting in the 1990s and continuing to the present. Organizational research has identified psychological safety as a critical factor in understanding phenomena such as voice, teamwork, team learning, and organizational learning. A growing body of conceptual and empirical work has focused on understanding the nature of psychological safety, identifying factors that contribute to it, and examining its implications for individuals, teams, and organizations. In this article, we review and integrate this literature and suggest directions for future research. We first briefly review the early history of psychological safety research and then examine contemporary research at the individual, group, and organizational levels of analysis. We assess what has been learned and discuss suggestions for future theoretical development and methodological approaches for organizational behavior research on this important interpersonal construct.
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              Critical Inquiry in a Text-Based Environment: Computer Conferencing in Higher Education

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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2864788/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Role: Role: Role:
                URI : https://loop.frontiersin.org/people/2867298/overviewRole: Role: Role:
                Role: Role: Role:
                URI : https://loop.frontiersin.org/people/2910904/overviewRole: Role:
                URI : https://loop.frontiersin.org/people/2898525/overviewRole: Role:
                Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Journal
                Front Med (Lausanne)
                Front Med (Lausanne)
                Front. Med.
                Frontiers in Medicine
                Frontiers Media S.A.
                2296-858X
                24 January 2025
                2024
                : 11
                : 1508992
                Affiliations
                [1] 1Sengkang General Hospital, Education Office , Singapore, Singapore
                [2] 2New York University School of Medicine , New York, NY, United States
                [3] 3Aichi Medical University School of Medicine , Nagoya, Japan
                [4] 4Orthopaedic Surgery Department, Khoo Teck Puat Hospital , Singapore, Singapore
                [5] 5Faculty of Medicine, University of Khartoum , Khartoum, Sudan
                [6] 6Department of Psychiatry, Sengkang General Hospital , Singapore, Singapore
                [7] 7Medical Education Development, Global Consulting , New York, NY, United States
                Author notes

                Edited by: Lynn Valerie Monrouxe, The University of Sydney, Australia

                Reviewed by: Sen Xu, Xi’an Jiaotong University, China

                *Correspondence: Chaoyan Dong, dong.chaoyan@ 123456skh.com.sg
                Article
                10.3389/fmed.2024.1508992
                11802526
                315dcd1d-5df4-4fcf-8604-39b9261034e7
                Copyright © 2025 Dong, Altshuler, Ban, Wong, Mohammed, Tang and Kachur.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 10 October 2024
                : 17 December 2024
                Page count
                Figures: 0, Tables: 1, Equations: 0, References: 51, Pages: 7, Words: 5704
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Medicine
                Perspective
                Custom metadata
                Healthcare Professions Education

                health professions education,psychological safety,interprofessional education,simulation-based medical education,team-based learning

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