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Medical student stress

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James S Gordon
BACKGROUND: For several decades, psychological stress has been observed to be a significant challenge for medical students. The techniques and approach of mind-body medicine and group support have repeatedly demonstrated their effectiveness at reducing stress and improving the quality of the education experience. DISCUSSION: Mind-Body Skills Groups provide medical students with practical instruction in and scientific evidence for a variety of techniques that reduce stress, promote self-awareness and self-expression, facilitate imaginative solutions to personal and professional problems, foster mutual understanding among students, and enhance confidence in and optimism about future medical practice...
2014: BMC Medical Education
B F Mulder, M H Erich, J C C Borleffs, A F Elgersma, J Cohen-Schotanus
The extent to which students feel involved in their education positively influences academic achievement. Individual student-faculty meetings can foster student involvement. To be effective, faculty acknowledgement of the benefit of these meetings is a prerequisite. The aim of this study was to explore faculty perceptions of individual student-faculty meetings. In addition we investigated students' perceptions. As part of the undergraduate programme, mandatory individual intake and follow-up meetings between first-year medical students (n = 425) and senior faculty members (n = 34) have been implemented from 2009 onwards...
May 2012: Perspectives on Medical Education
Diane Thompson, Deborah Goebert, Junji Takeshita
PURPOSE: Although depressive symptoms and suicidal ideation are common in medical students, few programs address this serious problem. The authors developed, and then tested the effectiveness of, an intervention meant to reduce reported depressive symptoms and suicidal ideation. METHOD: To reduce the alarming reported rates of depression and suicidal ideation among medical students, the University of Hawaii John A. Burns School of Medicine implemented the following interventions: increased individual counseling for students, faculty education, and a specialized curriculum including lectures and a student handbook...
October 2010: Academic Medicine: Journal of the Association of American Medical Colleges
Jessica A Gold, Benjamin Johnson, Gary Leydon, Robert M Rohrbaugh, Kirsten M Wilkins
OBJECTIVE: The authors characterize medical student help-seeking behaviors and examine the relationship with stress, burnout, stigma, depression, and personal health behaviors. METHODS: In 2013, the authors administered an electronic survey of all enrolled students at Yale School of Medicine (183 responders, response rate=35 %), inquiring about students' primary medical and mental health care, personal health behaviors, support systems, and help-seeking behaviors...
February 2015: Academic Psychiatry
Colleen O'Connor Grochowski, Matt Cartmill, Jerry Reiter, Jean Spaulding, James Haviland, Fidel Valea, Patricia L Thibodeau, Stacey McCorison, Edward C Halperin
To study anxiety levels in first-year medical students taking gross anatomy. Thirty medical students per year, for 2 years, completed the Beck Anxiety Inventory (BAI) 10 times during a 13-week gross anatomy course. In addition, behavioral observations were made by a psychiatrist during gross anatomy for demonstrations of assertive, destructive, neutral, or passive behavior. Additional qualitative outcome measures were group exit interviews with the faculty and students. The mean BAI for all 60 students per year, for 2 years, was 2...
September 2014: Clinical Anatomy
Kenneth I Mavor, Kathleen G McNeill, Katrina Anderson, Annelise Kerr, Erin O'Reilly, Michael J Platow
CONTEXT: Problematic stress levels among medical students have been well established. This stress can lead to depression, suicidal ideation, substance abuse, burnout and cynicism, having a negative effect on students and their patients. METHODS: We propose to move towards examining the processes underlying well-being in some medical students and vulnerability in others. We draw upon social psychological literature to propose that self-complexity, medical student identity and associated norms all have the capacity to influence medical students' well-being in both positive and negative ways...
April 2014: Medical Education
Runye Gan, Linda Snell
PURPOSE: Despite widespread implementation of policies to address mistreatment, high rates of mistreatment during clinical training are reported, prompting the question of whether "mistreatment" means more to students than delineated in official codes of conduct. Understanding "mistreatment" from students' perspective and as it relates to the learning environment is needed before effective interventions can be implemented. METHOD: The authors conducted focus groups with final-year medical students at McGill University Faculty of Medicine in 2012...
April 2014: Academic Medicine: Journal of the Association of American Medical Colleges
Liselotte N Dyrbye, Colin P West, Daniel Satele, Sonja Boone, Litjen Tan, Jeff Sloan, Tait D Shanafelt
PURPOSE: To compare the prevalence of burnout and other forms of distress across career stages and the experiences of trainees and early career (EC) physicians versus those of similarly aged college graduates pursuing other careers. METHOD: In 2011 and 2012, the authors conducted a national survey of medical students, residents/fellows, and EC physicians (≤ 5 years in practice) and of a probability-based sample of the general U.S. population. All surveys assessed burnout, symptoms of depression and suicidal ideation, quality of life, and fatigue...
March 2014: Academic Medicine: Journal of the Association of American Medical Colleges
Daniel Pagnin, Valéria De Queiroz, Márcio Amaral De Oliveira Filho, Naira Vanessa Anomal Gonzalez, Ana Emília Teófilo Salgado, Bernardo Cordeiro e Oliveira, Caio Silva Lodi, Raquel Muniz Da Silva Melo
BACKGROUND: Burnout is a stress-induced syndrome, which affects medical students. Some environmental and personal factors can favor burnout onset and its serious consequences as dropping out, sleep disorders, depression, and suicide. The motivation for choosing medicine is a personal aspect that can modulate the distress with academic demands. METHODS: We applied self-administered questionnaires in 277 medical students to investigate the predictive role of career choice motivations on burnout dimensions...
May 2013: Medical Teacher
Malan T Shiralkar, Toi B Harris, Florence F Eddins-Folensbee, John H Coverdale
OBJECTIVE: Because medical students experience a considerable amount of stress during training, academic leaders have recognized the importance of developing stress-management programs for medical students. The authors set out to identify all controlled trials of stress-management interventions and determine the efficacy of those interventions. METHOD: The authors searched the published English-language articles on PsycINFO and PubMed, using a combination of the following search terms: stress-management, distress, burnout, coping, medical student, wellness...
May 1, 2013: Academic Psychiatry
Sergio Baldassin, Nilson Silva, Tânia Correa de Toledo Ferraz Alves, João Mauricio Castaldelli-Maia, Dinesh Bhugra, Maria Cezira Fantini Nogueira-Martins, Arthur Guerra de Andrade, Luiz Antonio Nogueira-Martins
BACKGROUND: Rates of depression among medical students have been shown to be high and related to year of study and other factors. We report on cluster of symptoms related to depression and their association with other difficulties in specific domains. METHODS: 481 (Response rate=79.8%) medical students completed a questionnaire about areas of difficulty in the medical school (studies, leisure, colleagues, professors, and patients), and Beck Depression Inventory (BDI)...
August 15, 2013: Journal of Affective Disorders
Ruchi Singh, Manish Goyal, Sunita Tiwari, Archana Ghildiyal, Shankar M Nattu, Shobha Das
Stress produces definable mental and physiological reactions in the body. Mild stress is beneficial in cognitive tasks and performance but persistently high stress may lead to neuropsychiatric illnesses like anxiety and depression. Examinations act as stressor and activate hypothalamic-pituitary adrenal axis causing an increase in cortisol level, which is reflected in saliva. Present study was done on 35 medical students. Their mood parameters were assessed, using Depression Anxiety Stress Scale (DASS) scoring, and salivary cortisol levels using quantitative ELISA...
January 2012: Indian Journal of Physiology and Pharmacology
Edméa Fontes de Oliva Costa, Shirley Andrade Santos, Ana Teresa Rodrigues de Abreu Santos, Enaldo Vieira de Melo, Tarcísio Matos de Andrade
OBJECTIVES: To assess the prevalence and levels of burnout syndrome among medical students at the Universidade Federal de Sergipe-Brazil and to identify associated factors. METHODS: A cross-sectional study was performed with randomly selected students in 2009. The Maslach Burnout Inventory/Student Survey (MBI-SS) and a structured questionnaire on socio-demographic characteristics, the educational process, and individual aspects were used. Statistical evaluation of multiple variables was performed through backward stepwise logistic regression analysis...
2012: Clinics
Jochanan Benbassat
The objective of this narrative review of the literature is to draw attention to four undesirable features of the medical learning environment (MLE). First, students' fears of personal inadequacy and making errors are enhanced rather than alleviated by the hidden curriculum of the clinical teaching setting; second, the MLE projects a denial of uncertainty, although to a lesser degree than in the past; third, many students feel publicly belittled and subject to other forms of abuse; and fourth, the MLE fails in overcoming students' prejudice against mental illness and reluctance to seek help when emotionally distressed...
August 2013: Advances in Health Sciences Education: Theory and Practice
Hamza M Abdulghani, Norah A Alrowais, Norah S Bin-Saad, Nourah M Al-Subaie, Alhan M A Haji, Ali I Alhaqwi
BACKGROUND: Medical students are exposed to a significant level of pressure due to academic demands. Their sleep pattern is characterized by insufficient sleep duration, delayed sleep onset, and occurrence of napping episodes during the day. OBJECTIVE: To examine the prevalence of sleep disorder among medical students and investigate any relationship between sleep disorder and academic performance. METHODS: This is a cross-sectional self-administered questionnaire-based study...
2012: Medical Teacher
Liselotte N Dyrbye, William Harper, Steven J Durning, Christine Moutier, Matthew R Thomas, F Stanford Massie, Anne Eacker, David V Power, Daniel W Szydlo, Jeff A Sloan, Tait D Shanafelt
BACKGROUND: How multiple forms of psychological distress coexist in individual medical students has not been formally studied. AIM: To explore the prevalence of various forms of distress in medical students and their relationship to recent suicidal ideation or serious thoughts of dropping out of school. METHODS: All medical students at seven US schools were surveyed with standardized instruments to evaluate burnout, depression, stress, mental quality of life (QOL), physical QOL, and fatigue...
2011: Medical Teacher
Christina A Lee, Anna Chang, Calvin L Chou, Christy Boscardin, Karen E Hauer
BACKGROUND: Use of web-based standardized patient (SP) modules is associated with improved medical student history-taking and physical examination skills on clinical performance examinations (CPX), but a benefit for communication skills has not been shown. AIM: We describe an innovative web-based SP module using detailed SP and faculty commentary to teach communication skills. SETTING: A public medical school in 2008-2009. PARTICIPANTS: Fourth-year medical students...
November 2011: Journal of General Internal Medicine
Liselotte N Dyrbye, David V Power, F Stanford Massie, Anne Eacker, William Harper, Matthew R Thomas, Daniel W Szydlo, Jeff A Sloan, Tait D Shanafelt
CONTEXT: Burnout is prevalent among medical students and is a predictor of subsequent serious consideration of dropping out of medical school and suicide ideation. Understanding of the factors that protect against burnout is needed to guide student wellness programmes. METHODS: A total of 1321 medical students attending five institutions were studied longitudinally (2006-2007). The surveys included standardised instruments to evaluate burnout, quality of life, fatigue and stress...
October 2010: Medical Education
Liselotte N Dyrbye, Matthew R Thomas, Tait D Shanafelt
The goal of medical education is to graduate knowledgeable, skillful, and professional physicians. The medical school curriculum has been developed to accomplish these ambitions; however, some aspects of training may have unintended negative effects on medical students' mental and emotional health that can undermine these values. Studies suggest that mental health worsens after students begin medical school and remains poor throughout training. On a personal level, this distress can contribute to substance abuse, broken relationships, suicide, and attrition from the profession...
December 2005: Mayo Clinic Proceedings
Katrina J Moffat, Alex McConnachie, Sue Ross, Jillian M Morrison
OBJECTIVE: To examine the prevalence of psychological morbidity, sources of stress and coping mechanisms in first year students in a problem-based learning undergraduate medical curriculum. DESIGN: Longitudinal cohort questionnaire survey. SETTING: Glasgow University Medical School. PARTICIPANTS: All first year students (n = 275) in the 1997-98 intake. MAIN OUTCOME MEASURES: Scores on the 12-item General Health Questionnaire (GHQ-12), sources of stress and coping strategies...
May 2004: Medical Education
2014-11-07 22:40:02
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