Internship experience and psychological symptoms among Chinese healthcare trainees: evidence from structural equation modeling - Scorecard - MDSpire

Internship experience and psychological symptoms among Chinese healthcare trainees: evidence from structural equation modeling

  • By

  • Xiaomin Xu

  • Guanguan Qiu

  • Oushan Tang

  • Guoping Zheng

  • July 14, 2026

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Clinical Scorecard: Exploring the Relationship Between Internship Experiences and Mental Health Symptoms in Chinese Healthcare Trainees: Insights from Structural Equation Modeling

At a Glance

CategoryDetail
ConditionMental Health Symptoms in Healthcare Trainees
Key MechanismsBurnout as a mediator between internship experience and psychological symptoms
Target PopulationChinese healthcare trainees undergoing clinical internships
Care SettingTeaching hospital

Key Highlights

  • Internship experience negatively associated with burnout
  • Burnout positively associated with anxiety and depression
  • High prevalence of anxiety and depression among healthcare trainees
  • Mediation analysis confirms burnout's role in linking internship experience to psychological symptoms
  • Need for supportive educational environments to enhance trainee well-being

Guideline-Based Recommendations

Diagnosis

  • Utilize the Symptom Checklist-90 (SCL-90) for assessing psychological symptoms

Management

  • Implement strategies to reduce burnout among healthcare trainees

Monitoring & Follow-up

  • Regularly assess mental health symptoms during internships

Risks

  • Inadequate supervisory support and role conflicts may exacerbate psychological symptoms

Patient & Prescribing Data

Healthcare trainees in clinical internships

Focus on enhancing internship experiences to mitigate burnout and improve mental health

Clinical Best Practices

  • Foster supportive educational environments
  • Encourage open communication about mental health among trainees
  • Provide resources for managing stress and burnout

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