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Medical students’ resilience: a protective role on stress and quality of life in clerkship
- Source :
- BMC Medical Education, Vol 19, Iss 1, Pp 1-9 (2019), BMC Medical Education
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- BackgroundResilience refers to the ability to be flexible and adaptive in response to challenges. Medical students in clerkship who are transitioning from medical studies to clinical practice face a variety of workplace demands that can lead to negative learning experiences and poor quality of life. This study explored whether medical students’ resilience plays a protective role against the stresses incurred during workplace training and on their professional quality of life during clerkships.MethodsThis was a 1-year prospective web-based questionnaire study comprising one cohort of medical students in their fifth year who were working as clerks as part of their 6-year medical education programme at one medical school in Taiwan between September 2017 and July 2018. Web-based, validated, structured, self-administered questionnaires were used to measure the students’ resilience at the beginning of the clerkship and their perceived training stress (i.e. physical and psychological demands) and professional quality of life (i.e. burnout and compassion satisfaction) at each specialty rotation. Ninety-three medical students who responded to our specialty rotation surveys at least three times in the clerkship were included and hierarchical regressions were performed.ResultsThis study verified the negative effects of medical students’ perceived training stress on burnout and compassion satisfaction. However, although the buffering (protective) effects of resilience were observed for physical demands (one key risk factor related to medical students’ professional quality of life), this was not the case for psychological demands (another key risk factor). In addition, through the changes in R square (∆R2) values of the hierarchical regression building, our study found that medical students’ perceived training stresses played a critical role on explaining their burnout but their resilience on their compassion satisfaction.ConclusionsMedical students’ resilience demonstrated a buffering effect on the negative relationship between physical demands and professional quality of life during clerkships. Moreover, different mechanisms (predictive paths) leading to medical students’ professional quality of life such as burnout and compassion satisfaction warrant additional studies.
- Subjects :
- Adult
Male
Students, Medical
020205 medical informatics
media_common.quotation_subject
education
Specialty
lcsh:Medicine
Compassion
02 engineering and technology
Burnout
Education
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Surveys and Questionnaires
0202 electrical engineering, electronic engineering, information engineering
Humans
Compassion satisfaction
Clerkship
Prospective Studies
030212 general & internal medicine
Burnout, Professional
media_common
lcsh:LC8-6691
Medical education
Workplace stress
Resilience
lcsh:Special aspects of education
lcsh:R
Multilevel model
Clinical Clerkship
General Medicine
Resilience, Psychological
Medical students
Physical demands
Negative relationship
Cohort
Quality of Life
Female
Psychological resilience
Psychology
Psychological demands
Research Article
Subjects
Details
- ISSN :
- 14726920
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- BMC Medical Education
- Accession number :
- edsair.doi.dedup.....4683960621636e6e947623e0e4282d6c