Perceived Stress at Transition to Workplace: a Qualitative Interview Study Exploring Final-year Medical Students' Needs

Overview

Journal Adv Med Educ Pract

Publisher Dove Medical Press

Specialty Medical Education

Date 2016 Feb 3

PMID 26834503

Citations 13

Authors

Tobias R Moczko

Till J Bugaj

Wolfgang Herzog

Christoph Nikendei

Affiliations

Soon will be listed here.

Abstract

Objectives: This study was designed to explore final-year medical students' stressors and coping strategies at the transition to the clinical workplace.

Methods: In this qualitative study, semi-standardized interviews with eight final-year medical students (five male, three female; aged 25.9±1.4 years) were conducted during their internal medicine rotation. After verbatim transcription, a qualitative content analysis of students' impressions of stress provoking and easing factors during final-year education was performed.

Results: Students' statements regarding burdens and dealing with stress were classified into four main categories: A) perceived stressors and provoking factors, B) stress-induced consequences, C) personal and external resources for preventing and dealing with stress, and D) final-year students' suggestions for workplace improvement.

Conclusion: Final-year medical students perceived different types of stress during their transition to medical wards, and reported both negative consequences and coping resources concerning perceived stress. As supervision, feedback, and coping strategies played an important role in the students' perception of stress, final-year medical education curricula development should focus on these specifically.

Citing Articles

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References

IsHak W, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M . Burnout during residency training: a literature review. J Grad Med Educ. 2011; 1(2):236-42. PMC: 2931238. DOI: 10.4300/JGME-D-09-00054.1. View

Cook A, Arora V, Rasinski K, Curlin F, Yoon J . The prevalence of medical student mistreatment and its association with burnout. Acad Med. 2014; 89(5):749-54. PMC: 4401419. DOI: 10.1097/ACM.0000000000000204. View

Bosse H, Schultz J, Nickel M, Lutz T, Moltner A, Junger J . The effect of using standardized patients or peer role play on ratings of undergraduate communication training: a randomized controlled trial. Patient Educ Couns. 2011; 87(3):300-6. DOI: 10.1016/j.pec.2011.10.007. View

Krautter M, Junger J, Koehl-Hackert N, Nagelmann L, Nikendei C . [Evaluation of a structured, longitudinal training program for the preparation for the second state exam (M2) - a quantitative analysis]. Z Evid Fortbild Qual Gesundhwes. 2012; 106(2):110-5. DOI: 10.1016/j.zefq.2011.09.020. View

Siegrist J . Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996; 1(1):27-41. DOI: 10.1037//1076-8998.1.1.27. View

Scholz M, Neumann C, Steinmann C, Hammer C, Schroder A, Essel N . [Development and correlation of work-related behavior and experience patterns, burnout and quality of life in medical students from their freshmanship to the first state examination]. Psychother Psychosom Med Psychol. 2014; 65(3-4):93-8. DOI: 10.1055/s-0034-1375630. View

Benbassat J, Baumal R, Chan S, Nirel N . Sources of distress during medical training and clinical practice: Suggestions for reducing their impact. Med Teach. 2011; 33(6):486-90. DOI: 10.3109/0142159X.2010.531156. View

Voltmer E, Rosta J, Aasland O, Spahn C . Study-related health and behavior patterns of medical students: A longitudinal study. Med Teach. 2010; 32(10):e422-8. DOI: 10.3109/0142159X.2010.496008. View

Perron N, Sommer J, Louis-Simonet M, Nendaz M . Teaching communication skills: beyond wishful thinking. Swiss Med Wkly. 2015; 145:w14064. DOI: 10.4414/smw.2015.14064. View

10.

Nikendei C, Krautter M, Celebi N, Obertacke U, Junger J . Final year medical education in Germany. Z Evid Fortbild Qual Gesundhwes. 2012; 106(2):75-84. DOI: 10.1016/j.zefq.2012.01.002. View

11.

Small R, Soriano R, Chietero M, Quintana J, Parkas V, Koestler J . Easing the transition: medical students' perceptions of critical skills required for the clerkships. Educ Health (Abingdon). 2009; 21(3):192. View

12.

Raes P, Angstwurm M, Berberat P, Kadmon M, Rotgans J, Streitlein-Bohme I . Quality management of clinical-practical instruction for Practical Year medical students in Germany - proposal for a catalogue of criteria from the German Society of Medical Education. GMS Z Med Ausbild. 2014; 31(4):Doc49. PMC: 4259068. DOI: 10.3205/zma000941. View

13.

Goldie J, Dowie A, Goldie A, Cotton P, Morrison J . What makes a good clinical student and teacher? An exploratory study. BMC Med Educ. 2015; 15:40. PMC: 4358722. DOI: 10.1186/s12909-015-0314-5. View

14.

Wallace J, Lemaire J, Ghali W . Physician wellness: a missing quality indicator. Lancet. 2009; 374(9702):1714-21. DOI: 10.1016/S0140-6736(09)61424-0. View

15.

Lightman E, Kingdon S, Nelson M . A prolonged assistantship for final-year students. Clin Teach. 2015; 12(2):115-20. DOI: 10.1111/tct.12272. View

16.

Prins J, van der Heijden F, Hoekstra-Weebers J, Bakker A, van de Wiel H, Jacobs B . Burnout, engagement and resident physicians' self-reported errors. Psychol Health Med. 2010; 14(6):654-66. DOI: 10.1080/13548500903311554. View

17.

van Dijk I, Lucassen P, Speckens A . Mindfulness training for medical students in their clinical clerkships: two cross-sectional studies exploring interest and participation. BMC Med Educ. 2015; 15:24. PMC: 4348100. DOI: 10.1186/s12909-015-0302-9. View

18.

Hart J . The inverse care law. Lancet. 1971; 1(7696):405-12. DOI: 10.1016/s0140-6736(71)92410-x. View

19.

Dewa C, Loong D, Bonato S, Thanh N, Jacobs P . How does burnout affect physician productivity? A systematic literature review. BMC Health Serv Res. 2014; 14:325. PMC: 4119057. DOI: 10.1186/1472-6963-14-325. View

20.

Schrauth M, Weyrich P, Kraus B, Junger J, Zipfel S, Nikendei C . [Workplace learning for final-year medical students: a comprehensive analysis of student's expectancies and experiences]. Z Evid Fortbild Qual Gesundhwes. 2009; 103(3):169-74. DOI: 10.1016/j.zefq.2008.05.005. View