The tertiary student experience is not the same for all. Some students navigate the challenges of student life and flourish amidst stresses, whilst others experience considerable distress and disengage (Stallman, 2010;Larcombe et al., 2015). Much research has sought to identify what factors contribute to students' thriving at university and what constitutes a successful student. Medical students have long been thought of as 'successful' students with high academic attainments and abilities, however recent research suggests medical students experience higher rates of mental health distress and suicidal ideation compared to the broader student population (Rotenstein et al., 2016). In recognition of the challenges faced by medical students, in 2017 the Melbourne Medical School (MMS) developed a new proactive approach to student wellbeing through adopting a 'Health Promoting University' strategic model (Okanagan Charter, 2015).
The overarching strategic model entails a stage-based process of program endorsement, implementation and evaluation; of which the MMS is currently half way through (Stage 4). The framework has facilitated the development of proactive individual interventions and group based programs, all designed in close consultation with medical students, and seeking to broaden the scope of what constitutes a successful medical student. This innovative approach to medical student health and wellbeing demonstrates a schoolwide, prevention-based approach to promoting student wellbeing. The authors detail the design, beginning stages of delivery, and future plans and aspirations for this evidence-based model of student wellbeing.
Keywords Medical Students, Mental Health, WellbeingCommencing university: The big picture Commencing university has long been considered a stressful life transition for young adults, marked by complex changes in social, emotional and academic domains (Gerdes & Mallinckrodt, 1994). This transition represents more than just a discrete or acute life change, but rather a series of life stressors and adjustment difficulties manifesting over the course of university life (Lu, 1994). Some of the stressors associated with this transition include establishing greater levels of independence in the midst of increased levels of social instability, as well as changes in both the quantity and quality of social relationships (Larose & Boivin, 1998;Tanner, 2006). Furthermore the university context involves a range of unique stressors including: increased study load, academic pressures (i.e., pressure to achieve good grades and graduate), studying in a more self-directed manner, and learning in an environment that is largely unfamiliar (Chemers, Hu & Garcia, 2001;Jones & Frydenberg, 1998). Students are often also juggling the broader developmental tasks and responsibilities associated with their age period, such as establishing independence from primary care givers and consolidating a sense of self-identity (Havighurst, 1972;Mattanah, Lopez & Govern, 2011). Given these challenges, commencing u...