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Uvod/Cilj. U cilju smanjenja rizika od pojave sindroma sagorevanja (SS) kod zdravstvenih radnika, važno je identifikovati faktore koji doprinose njegovom razvoju još tokom njihovog školovanja. Cilj rada bio je da se predloži model za utvrđivanje povezanosti između različitih strategija za suočavanje sa stresom, koje koriste učenici srednje medicinske škole i studenti medicine, sa SS. Metode. Studijom je obuhvaćeno ukupno 164 učenika Srednje medicinske škole (80,5% ženskog i 19,5% muškog pola) i 344 studenta Medicinskog fakulteta Univerziteta u Beogradu, Srbija (76,9% ženskog i 23,1% muškog pola). Model za ispitivanje veze između strategija za suočavanje sa stresom (merene skalom "Brief COPE") i SS merenog skalom The Copenhagen Burnout Inventory-student version (CBI-S) testiran je upotrebom modeliranja strukturnih jednačina. Rezultati. Pri suočavanju sa stresom, učenici Srednje medicinske škole koristili su Prihvatanje, Ventiliranje, Bihevioralno neangažovanje i Planiranje, koje su im povećavali SS, a nisu koristili nijednu strategiju za pomaganje u smanjenju SS. Kod suočavanja sa stresom, studenti Medicinskog fakulteta koristili su Planiranje, Prihvatanje, Humor, Ventiliranje, Bihevioralno neangažovanje, Samookrivljavanje i Konzumiranje psihoaktivnih supstanci, što im je povećavalo SS, a Pozitivnu reinterpretaciju (redefinisanje) koristili su kako bi smanjili SS. Zaključak. Rezultati istraživanja pokazali su jasan nedostatak upotrebe adaptivnih strategija suočavanja sa stresom kod obe grupe ispitanika. Pravilno obrazovanje bi pomoglo da se nefunkcionalni način reagovanja na stres zameni konstruktivnim., Background/Aim. To reduce the risk of burnout development in medical professionals, it is important to identify the contributing factors as early as in their schooling years. The aim of this study was to propose a model for determining the relationship between the coping strategies used by medical high school and medical faculty students and burnout. Methods. The cross-sectional study included 164 students of Medical High School (80.5% female and 19.5% male) and 344 students of the Faculty of Medicine University of Belgrade, Serbia (76.9% female and 23.1% male). The model exploring the relationship between coping strategies (measured by the Brief COPE scale) and burnout [measured by the Copenhagen Burnout Inventory-student version (CBI-S) scale] was tested using structural equation modelling (SEM) analysis. Results. When copied with stress, Medical High School students used Acceptance, Venting, Behavioural Disengagement, and Planning, which increased their burnout, but they did not use any strategies to help them reduce burnout. When copied with stress, Faculty of Medicine students used Planning, Acceptance, Humour, Venting, Behavioural Disengagement, Self-Blame, and Substance Use, which increased their burnout, and Positive Reframing, which helped them reduce burnout. Conclusion. The results of this research showed an evident lack of using adaptive coping strategies with both groups of respondents. Proper education could help them replace these dysfunctional coping strategies with constructive ones.

Razvoj teorija motivacije je relativno nova pojava jer potiče iz dvadesetog veka. Motivacija za učenje istraživana je u okviru različitih teorija motivacije.U ovom istraživanju motivacija za učenjeje definisana kao želja za učenjem koja kod studenta postoji kada započinje studije medicine. Strategije učenja određuju pristup postizanju ciljeva učenja. Neke od tehnika upravljanja vremenom, čitanja, pravljenja beležaka i pisanja zadataka predstavljaju teorijski pristup strategijama učenja u ovom istraživanju. Cilj ove studije bio je da se ispita odnos motivacije, strategije učenja i akademskog postignuća kod studenata medicine. Instrument tipa da-nedizajniran je za prikupljanje podataka. Intenzitet motivacije određen je subjektivnom procenom studenata na dva nivoa. Broj stavki za potkategoriju koja se odnosi na strategije učenja je 17 (Cronbachova alfa: 0,60). Ocena o intenzitetu motivacije i strategijama učenja izračunata je na osnovu ukupnih bodova za svaku stavku. Akademski uspeh izračunat je u vidu proseka ocena. Studija je sprovedena na uzorku od 224 studenta (169 devojaka, 55 mladića) sa Medicinskog fakulteta Univerziteta Sv. Kiril i Metodije u Skoplju, Republika Severna Makedonija. Ispitanici su na pitanja odgovarali elektronskim putem (u februaru 2020. godine). Istraživanje je bilo anonimno i dobrovoljno. Oko 60% studenata motivisano je za studije medicinskih nauka. Gotovo svi ispitanici primenjuju strategije učenja na srednjem nivou (69,64%). Otkrili smo umerenu povezanost motivacije i akademskog postignuća učenika (r = ,35), strategije učenja i akademskog postignuća učenika (r = ,33), motivacije i strategija učenja učenika (r = ,32). Rezultati ovog istraživanja ukazuju na to da je potrebno uvesti procedure u nastavnu praksu na studijama medicine, kako bi se razvio veći stepen motivacije za učenje kod studenata i efikasnije strategije učenja., The development of theories of motivation is a fairly recent phenomenon dating back only to the twentieth century. Motivation to learn has been explored within different theories of motivation. In this research motivation to learn is defined as “desire to learn which a student takes with themselves to the studies of medicine”. Learning strategies determine the approach for achieving learning objectives. Some of the techniques for managing time, reading, making notes, and writing assignments are theoretical approach to learning strategies in this research. The objective of this study was to examine relationship between motivation, learning strategy and academic achievement among medical students. A “yes-no” type instrument was designed for data collection. The intensity of motivation is determined by a subjective assessment of students at two levels. The number of items for subscale for learning strategies is 17 (Cronbach’s alpha, 0.60). The score on motivation intensity and learning strategies is calculated by total points for each item. Academic performance was calculated in the form of grade point average. The study was conducted on a sample of 224 students (169 females, 55 male) from the Faculty of Medicine at Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia. Respondents answered the questions electronically in February, 2020. The survey was anonymous and voluntary. About 60% of students are motivated to study medical sciences. Almost all respondents practice effective learning at the middle-level (69.64%). We found moderate correlation between motivation and students’ academic achievement (r=.35), learning strategies and academic achievement (r=.33), and motivation and learning strategies (r=.32). The results of this research indicate the need for introducing procedures in teaching practice of medical studies in order to develop a greater degree of students’ motivation to learn and more effective learning strategies.

Introduction/Objective Knowledge and practical skills in medical waste (MW) management are of equal importance for medical and dental doctors. The first comparative study on the knowledge and skills in the field of MW management among Belgrade students was conducted with the goal of examining whether students of medicine and dentistry are equally familiar with this extremely important field. Methods a cross-sectional study included 558 students of the sixth year of studies (430 medical and 128 dental students) who completed an anonymous semi-structured questionnaire to determine attitudes and knowledge on MW management. Results the majority of medical and dental students had no training in MW management (79.5% and 74.6%, respectively). Dental students use protective equipment more frequently than medical students (94.5% vs. 42%, p lt 0.001). However, full vaccinal protection against hepatitis B is better among medical students compared to dental students (57.7% vs. 39.1%, p lt 0.001). Complete knowledge on postexposal prophylaxis is better among medical students compared to dental students (44.5% vs. 13.3%, p lt 0.001). However, dental students are more disciplined in reporting injuries (63.1% vs. 52.4%, p = 0.038). The students' knowledge on primary separation of infectious waste (93% vs. 77.8%, p lt 0.001) and used needles (80.3% vs. 70.4%, p = 0.007) is better among dental students compared to medical students' correct answers. Conclusion Dental students show better knowledge on MW management and are more disciplined in using personal infection protection compared to medical students. The students support continued training on MW management and investigations on this topic., Uvod/Cilj Znanje i praktične veštine upravljanja medicinskim otpadom su od posebnog značaja za doktore medicine i stomatologije. Komparativna studija o znanju i veštinama iz oblasti upravljanja medicinskim otpadom sprovedena je među beogradskim studentima prvi put, u cilju ispitivanja da li ovom izuzetno važnom oblašću studenti medicine i stomatologije vladaju podjednako dobro. Metode Ova studija preseka obuhvatila je 558 studenata šeste godine studija na Beogradskom univerzitetu (430 studenata medicine i 128 studenata stomatologije), koji su popunili anonimni upitnik o znanju i stavovima o upravljanju medicinskim otpadom. Rezultati Većina studenata stomatologije i medicine nisu imali nikakvu posebnu obuku iz upravljanja medicinskim otpadom (79,5% i 74,6%). Studenti stomatologije su češće koristili zaštitnu opremu (94,5% prema 42%, p lt 0,001). Vakcinalna zaštita od hepatitisa B je kompletnija među studentima medicine u odnosu na studente stomatologije (57,7% prema 39,1%, p lt 0,001). Znanje o profilaksi posle izloženosti bolja je među studentima medicine (44,5% prema 13,3%, p lt 0,001). Međutim, studenti stomatologije su ažurniji u pogledu prijavljivanja povreda na radnom mestu (63,1% prema 52,4%, p = 0,038). Znanje studenata o primarnoj separaciji infektivnog otpada i korišćenih igala je bolje među budućim stomatolozima (tačni odgovori 93% nasuprot 77,8%; p lt 0,001 i 80,3% prema 70,4%; p = 0,007). Zaključak Studenti stomatologije imaju bolje znanje o upravljanju medicinskim otpadom i disciplinovaniji su u pogledu korišćenja zaštitne opreme na radu u odnosu na studente medicine. Studenti podržavaju kontinuiranu edukaciju o upravljanju medicinskim otpadom i dalja istraživanja o ovoj temi.

Introduction/Objective Knowledge and practical skills in medical waste (MW) management are of equal importance for medical and dental doctors. The first comparative study on the knowledge and skills in the field of MW management among Belgrade students was conducted with the goal of examining whether students of medicine and dentistry are equally familiar with this extremely important field. Methods a cross-sectional study included 558 students of the sixth year of studies (430 medical and 128 dental students) who completed an anonymous semi-structured questionnaire to determine attitudes and knowledge on MW management. Results the majority of medical and dental students had no training in MW management (79.5% and 74.6%, respectively). Dental students use protective equipment more frequently than medical students (94.5% vs. 42%, p lt 0.001). However, full vaccinal protection against hepatitis B is better among medical students compared to dental students (57.7% vs. 39.1%, p lt 0.001). Complete knowledge on postexposal prophylaxis is better among medical students compared to dental students (44.5% vs. 13.3%, p lt 0.001). However, dental students are more disciplined in reporting injuries (63.1% vs. 52.4%, p = 0.038). The students' knowledge on primary separation of infectious waste (93% vs. 77.8%, p lt 0.001) and used needles (80.3% vs. 70.4%, p = 0.007) is better among dental students compared to medical students' correct answers. Conclusion Dental students show better knowledge on MW management and are more disciplined in using personal infection protection compared to medical students. The students support continued training on MW management and investigations on this topic., Uvod/Cilj Znanje i praktične veštine upravljanja medicinskim otpadom su od posebnog značaja za doktore medicine i stomatologije. Komparativna studija o znanju i veštinama iz oblasti upravljanja medicinskim otpadom sprovedena je među beogradskim studentima prvi put, u cilju ispitivanja da li ovom izuzetno važnom oblašću studenti medicine i stomatologije vladaju podjednako dobro. Metode Ova studija preseka obuhvatila je 558 studenata šeste godine studija na Beogradskom univerzitetu (430 studenata medicine i 128 studenata stomatologije), koji su popunili anonimni upitnik o znanju i stavovima o upravljanju medicinskim otpadom. Rezultati Većina studenata stomatologije i medicine nisu imali nikakvu posebnu obuku iz upravljanja medicinskim otpadom (79,5% i 74,6%). Studenti stomatologije su češće koristili zaštitnu opremu (94,5% prema 42%, p lt 0,001). Vakcinalna zaštita od hepatitisa B je kompletnija među studentima medicine u odnosu na studente stomatologije (57,7% prema 39,1%, p lt 0,001). Znanje o profilaksi posle izloženosti bolja je među studentima medicine (44,5% prema 13,3%, p lt 0,001). Međutim, studenti stomatologije su ažurniji u pogledu prijavljivanja povreda na radnom mestu (63,1% prema 52,4%, p = 0,038). Znanje studenata o primarnoj separaciji infektivnog otpada i korišćenih igala je bolje među budućim stomatolozima (tačni odgovori 93% nasuprot 77,8%; p lt 0,001 i 80,3% prema 70,4%; p = 0,007). Zaključak Studenti stomatologije imaju bolje znanje o upravljanju medicinskim otpadom i disciplinovaniji su u pogledu korišćenja zaštitne opreme na radu u odnosu na studente medicine. Studenti podržavaju kontinuiranu edukaciju o upravljanju medicinskim otpadom i dalja istraživanja o ovoj temi.

Cilj: Mnogobrojni negativni faktori okruženja i psihosocijalni stresori, kao što su konstantni pritisak za uspehom, preopterećenost akademskim obavezama i nedostatak slobodnog vremena, a u današnje vreme i teška socijalno ekonomska situacija, doprinose nastanku sve češćih poremećaja psihofizičkog zdravlja univerzitetskih studenata, te je zdravlje ove populacije postalo fokus istraživanja poslednjih godina. Glavni ciljevi rada sastoje se u ispitivanju specifičnosti zdravstvenog stanja studenata Medicinskog fakulteta, Ekonomskog fakulteta i Fakulteta veterinarske medicine Univerziteta u Beogradu iz podataka sistematskih pregleda Zavoda za zdravstvenu zaštitu studenata Beograd sa posebnim osvrtom na mentalno zdravlje i analiza njihovog uspeha na studijama. Cilj rada je i procena uticaja socio-ekoloških faktora na psihofizičko zdravlje studenata tri ispitivana fakulteta, sa prospektivnim praćenjem uticaja ovih faktora kod studenata medicine. Kao cilj je navedena i analiza stanja psihičkog distresa, analiza rezultata pojave sindroma izgaranja (emocionalne iscrpljenosti, depersonalizacije i umanjenog samopostignuća) za studente sva tri ispitivana fakulteta, kao i analiza prevalencije faktora rizika za nastanak akademskog distresa i sindroma izgaranja na predkliničkim i kliničkim godinama studija Medicinskog fakulteta u Beogradu. Metodologija: Ovo istraživanje je dizajnirano kao kombinacija dve studije – studije preseka, koja predstavlja istraživanje prevalencije akademskog distresa i sindroma izgaranja kod studenata ispitivana tri fakulteta u Beogradu i prospektivne studije, kojom su obuhvaćeni studenti I i III godine Medicinskog fakulteta i tokom naredne II i IV godina studija sa ciljem da se ispitaju promene u rezultatima pojave akademskog distresa i sindroma izgaranja na predkliničkim i kliničkim godinama studija..., Objective: Numerous negative environmental factors and psychosocial stressors, such as constant pressure to succeed, excessive academic obligations and lack of free time, and in the present time the difficult socioeconomic situation, contribute to the emergence of increasingly frequent mental and physical health disorders in university students, making the health of this population the focus of the recent research. The main objectives of this work include the analysis of the specifics of the health status of students of the School of Medicine, Faculty of Economics and the Faculty of Veterinary Medicine, University of Belgrade based on the data of physical examinations conducted at the Institute for Student Health Care Belgrade, with special emphasis on their mental health and academic achievement. The aim is to estimate the impact of socio-environmental factors on psychological and physical health of students of these three faculties, with the prospective monitoring of the impact these factors have on medical students. Another goal is the analysis of the mental distress, the analysis of the results of the occurrence of burnout syndrome (emotional exhaustion, depersonalization and reduced personal accomplishment) for students of all three faculties, as well as the analysis of the prevalence of risk factors for academic distress and burnout syndrome in preclinical and clinical years of studies at the School of Medicine in Belgrade. Methodology: This study was designed as a combination of two studies - cross section, which is a survey on the prevalence of academic distress and burnout syndrome among students studied at three universities in Belgrade and prospective studies, which included students first and third year of the School of Medicine, and over the next two and four years of study in order to examine the changes in the results of the occurrence of academic distress and burnout syndrome in preclinical and clinical years of study...

Background/Aim. Previous studies on medical students' subjective perception of health and health-related quality of life (HRQoL) showed inconclusive results. Moreover, there are no published studies to compare HRQoL of medical students to non-medical university students. The aim of the study was to assess subjective perception of health-related quality of life (HRQoL) in medical students' sample, to compare it with non-medical university stu-dents and to ascertain predictors of better perception of HRQoL in medical students. Methods. Scores of all domains on the Mental and Physical Component Summary subscales and total score of the Short Form Health Survey (SF-36), used for assessment of HRQoL in samples of 561 medical and 332 non-medical university students were assessed and compared. In addition, linear regression to identify predictors of better perception of mental and physical components of HRQoL and overall HRQoL in the sample of medical students was used. The dependant variables were subscores and total score with the SF- 36, and independent variables were certain sociodemographic and academic characteristics of the students. Results. Medical students had statistically significantly higher scores on the Mental Component Summary and total SF-36 score compared to non-medical students. Linear regression analysis demonstrated that higher scores of Physical Component Summary were associated with age, male sex and the year of studies. The Mental Component Summary were associated with age, male sex, the year of studies and marital status. The total SF-36 score was associated with age, male sex and the year of studies. Conclusion. Medical students perceive their health much better than other university students do, but female, older and second grade medical students have worse perception of their HRQoL. Those points should be potential target areas for specific prevention and treatment in order to achieve better HRQoL., Uvod/Cilj. Dosadašnje studije subjektivne percepcije zdravlja i kvaliteta života povezanog sa zdravstvenim stanjem (HRQoL) studenata medicine pokazale su kontradiktorne rezultate. Štaviše, ne postoje objavljene studije koje su poredile HRQoL studenata medicine i studenata ne- medicinskih fakulteta. Cilj ove studije bio je da se proceni subjektivna percepcija HRQoL na uzorku studenata medicine, da se uporedi sa percepcijom HRQoL studenata ne- medicinskih fakulteta i da se utvrde prediktori bolje percepcije HRQoL kod studenata medicine. Metode. Uzorak za istraživanje obuhvatio je 561 studenta medicine i 332 studenta ne-medicinskih fakulteta Univerziteta u Beogradu. Istraživanje je obavljeno uz pomoć Short Form Health Survey (SF-36) upitnika koji procenjuje mentalnu i fizičku komponentu, kao i ukupan skor subjektivne procene kvaliteta života vezanog za zdravstveno stanje. Upoređeni su skorovi sa zbirne skale i supskala dve grupe studenata. Pored toga, korišćena je i linearna regresija da bi se procenili prediktori boljeg sagledavanja ukupnog skora i mentalne i fizičke komponente HRQoL na uzorku studenata medicine. Zavisne varijable bile su supskorovi i ukupan skor sa SF- 36 upitnika, a nezavisne varijable sociodemografske i akademske karakteristike ispitanika. Rezultati. Studenti medicine imali su statistički značajno više skorove na supskali mentalnog zdravlja i na ukupnom skoru SF-36 upitnika u odnosu na studente ne-medicinskih fakulteta. Linearna regresija pokazala je da su viši skorovi fizičke komponente povezani sa godinama starosti, muškim polom i godinom studija; viši skorovi mentalne komponente povezani sa godinama starosti, muškim polom, godinom studija i bračnim statusom. Ukupan SF-36 skor povezan je sa godinama starosti, muškim polom i godinom studija. Zaključak. Studenti medicine gledaju na svoje zdravstveno stanje mnogo bolje nego studenti ne-medicinskih fakulteta. Ipak, devojke, stariji studenti i studenti druge godine medicine imaju lošiju percepciju svo