Well-Being in First Year Medical Students

Zanardelli, Gina; Sim, Wonjin; Roman, Brenda

doi:10.1007/s40596-014-0189-5

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…In both of our samples, substance use could predict neither depression screening scores nor stress. While Erschens et al [ 36 ] emphasize that substance use increases the risk of burnout and Zanardelli and colleagues [ 32 ] reported that substance use was associated with lower well-being, Pickard et al [ 16 ] found no correlation between substance use and anxiety and depression. He interpreted this as being positive because the students were not using drugs as a coping strategy.…”

Section: Discussionmentioning

confidence: 99%

“…Wild et al [ 13 ] showed the effectiveness of an elective “relaxation techniques” course where students learned autogenic training and progressive muscle relaxation to conquer their stress. Medical schools should also offer easily accessible counseling for students in need of psychological care or support [ 32 ]. Additionally, universities should feel obliged to assess their curricula for especially stressful parts and try to implement necessary changes.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this fact and due to mixed results in literature, as well as for the manifold health benefits of regular sleep and exercising habits, they recommend interventions to improve healthy sleeping and exercising habits. A study by Zanardelli and colleagues [32] examined functional coping strategies, but failed to show any association with well-being. They assumed that functional coping strategies only maintain a baseline level of functioning, but may not improve the levels of perceived well-being.…”

Section: Substancementioning

confidence: 99%

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How to Cope with the Challenges of Medical Education? Stress, Depression, and Coping in Undergraduate Medical Students

Steiner-Hofbauer

Holzinger

2020

Acad Psychiatry

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Objectives Up to 90% of medical students experience stress. Studies have observed a relationship between stress and depression. Coping strategies to deal with stress and depression are of great interest. This study aimed to evaluate the prevalence of stress and depression and the efficacy of coping strategies in undergraduate medical students. Methods This survey was conducted with 589 second-year and sixth-year students in 2017 at the Medical University of Vienna. The questionnaire included a stress and coping questionnaire, depression screening, substance use questionnaire, and questionnaire concerning leisure time activities. Results The coping strategies were included in a regression model to assess their predictive value for stress and depression screening scores. The most common stressor was performance pressure overload (92.1%). Overall, 52.4% of the participating students reached critical scores in the depression screening. Positive thinking and active coping were associated with lower stress scores. Positive thinking also was a protective factor against depressive symptoms. Less than 2% of all students reached high-risk values for substance use. Conclusion Accessible counseling for students in need of psychological care should be provided. Different interventions of positive psychology showed a positive impact on depression screening scores.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Substancementioning

confidence: 99%

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How to Cope with the Challenges of Medical Education? Stress, Depression, and Coping in Undergraduate Medical Students

Steiner-Hofbauer

Holzinger

2020

Acad Psychiatry

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“…In a single-site study, Al-Mateen et al [13] found that out of 64 third-year medical students, the majority experienced mental health concerns and psychological distress and developed symptoms from vicarious traumatization while in their psychiatry or surgery clerkships. In a study of 105 first-year medical students by Zanardelli et al [14], attributes such as gender appeared to shape attitudes toward counseling, and such attitudes were associated with well-being. In a study of 133 psychiatry residents who were in personal psychotherapy, Kovach et al [15] found that most reported their motivation to be improved self-awareness and self-reflection.…”

mentioning

confidence: 99%

“…In this issue of Academic Psychiatry, several papers examine health, well-being, and self-care of medical students and residents [13][14][15][16][17][18][19][20][21][22][23][24][25][26]. The set includes ten data-based reports.…”

mentioning

confidence: 99%

Caring for Patients Takes Time: Dr. Peabody Says So!

et al. 2014

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The good physician knows his patient through and through, and his knowledge is bought dearly. Time, sympathy, and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction in the practice of medicine.One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient.Francis W. Peabody [1].The emotional exhaustion of present-day physicians and physicians-in-training is well described and of genuine concern. It is assumed, however, that the origin of exhaustion, cynicism, compassion fatigue, and burnout is patient care or "service" burden. The Accreditation Council for Graduate Medical Education cautions program directors to limit the number of hours in which resident physicians engage in patient care responsibilities. The guidelines imply that caring for patients is intrinsically burdensome-the notion of service is represented as onerous-as mere labor, not as an act of professionalism in which our efforts are dedicated to the wellbeing of others and a greater good. The guidelines were introduced, quite correctly, when tragic mistakes in patient care and the exploitative practices of some residency programs were recognized. Nevertheless, Dr. Peabody's remarks in 1927 [1], nearly a century ago, remind us that our aim should not be to limit contact with patients but to provide excellent patient care and to foster great clinical skills in our trainees. Moreover, what if, as Dr. Peabody suggests, by limiting the contact that we have with our patients, we have damaged the deepest source of satisfaction in our work as physicians?Taken one step further, what if the ever-expanding administrative responsibilities associated with clinical care are diminishing time spent with patients as well as contributing to the emotional exhaustion, depersonalization, and lack of sense of personal achievement of physicians? The time allocated to maintenance of documentation in the electronic medical record, interactions with insurers, and fulfillment of regulatory requirements, among other activities, has grown dramatically over the past decades. A recent RAND study [2] found that physicians experienced many obstacles to providing high-quality care and that these barriers were a major source of dissatisfaction as a professional. Physicians in that study described how the pressure to provide greater quantity of service for a greater number of patients and to engage in extensive administrative activities effectively decreased the time and attention they could spend with each patient, which in turn detracted from the quality of care in some cases. Moreover, limiting hours and contact with patients can set up problems-more mistakes may be precipitated by, for example, multiple hand offs that occur with "shift work" and not really knowing and caring for patients longitudinally, even through a critical episode of illness. A personal sense of fulfillment and integrity is likely compromised when a

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Wellbeing Considerations for Medical Students

Hasty

Lau

2020

Success in Academic Surgery

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Well-Being in First Year Medical Students

Cited by 6 publications

References 33 publications

How to Cope with the Challenges of Medical Education? Stress, Depression, and Coping in Undergraduate Medical Students

How to Cope with the Challenges of Medical Education? Stress, Depression, and Coping in Undergraduate Medical Students

Caring for Patients Takes Time: Dr. Peabody Says So!

Wellbeing Considerations for Medical Students

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