{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:04:48Z","timestamp":1784009088107,"version":"3.55.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the pathways linking internship experience to psychological symptoms among Chinese healthcare trainees, with a particular focus on the mediating role of burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single-center cross-sectional survey was conducted among 241 Chinese healthcare trainees at a teaching hospital. Data were collected using a self-developed Internship Experience Scale, the Maslach Burnout Inventory\u2013Student Survey (MBI-SS), and the Symptom Checklist-90 (SCL-90). Structural equation modeling (SEM) was applied to examine the hypothesized relationships, and mediation effects were tested using bootstrap procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Internship experience was negatively associated with burnout, whereas burnout showed positive associations with anxiety and depression. Anxiety and depression were highly correlated, and mediation analysis confirmed burnout as a significant intermediary linking internship experience and psychological symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the critical role of burnout in shaping the mental health outcomes of healthcare trainees, emphasizing the need for supportive educational environments to foster resilience and well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1760463","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T05:37:13Z","timestamp":1784007433000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Internship experience and psychological symptoms among Chinese healthcare trainees: evidence from structural equation 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