Abstract
Abstract
Background
Medical students face significant psychological stress, impacting their academic performance and well-being. The Systematic Assessment for Resilience (SAR) framework is designed to enhance resilience and mitigate stress among medical students, addressing the need for interventions within the assessment system in medical education. The aim of this study was to evaluate the implementation of SAR framework on medical students’ resilience, anxiety, depression, burnout, and academic stress.
Methods
This study employed a quasi-experimental design with pre- and post-testing. It involved the training of course coordinators in implementing the SAR framework and its integration into the daily learning activities. Fourth-year medical students were assessed before and after the intervention using standardized measures of resilience, anxiety, depression, burnout, and academic stress. Data were analyzed using quantitative methods and thematic analysis for qualitative feedback.
Results
Post-intervention, students demonstrated a significant increase in resilience scores (p < 0.001) and a notable decrease in measures of anxiety, depression, and academic stress (p < 0.001). The burnout types were also statistically different (p < 0.001) except client-related burnout (p > 0.05). Qualitative feedback of the course coordinators highlighted an improved learning environment, increased coping strategies, and a more supportive academic culture.
Conclusion
The SAR framework significantly contributes to enhancing medical students’ resilience and reducing psychological distress. Its implementation suggests a promising approach to fostering a supportive educational environment that not only addresses the psychological challenges faced by medical students but also enhances their academic performance and overall well-being. Further research is warranted to explore the long-term impacts of SAR across different medical education contexts.
Funder
Ministry of Higher Education, Malaysia
Publisher
Springer Science and Business Media LLC
Reference80 articles.
1. Slavin SJ, Schindler DL, Chibnall JT. Acad Med. 2014;89(4). https://doi.org/10.1097/ACM.0000000000000166. Medical Student Mental Health 3.0: Improving Student Wellness Through Curricular Changes.
2. Banks J, Smyth E. Your whole life depends on it’: academic stress and high-stakes testing in Ireland. J Youth Stud. 2015;18(5):598–616. https://doi.org/10.1080/13676261.2014.992317.
3. Huey CWT, Palaganas JC. What are the factors affecting resilience in health professionals? A synthesis of systematic reviews. Med Teach. 2020;42(5):550–60. https://doi.org/10.1080/0142159X.2020.1714020.
4. Yusoff MSB. Promoting resilience and minimizing burnout. In: Marcus A, Henning CU, Krägeloh R, Dryer F, Moir R, Hill B AG, editors. Wellbeing in Higher Education: cultivating a healthy lifestyle among Faculty and Students. New York: Routledge; 2018. pp. 82–105.
5. Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students: current insights. Adv Med Educ Pract. 2018;9:323–33. https://doi.org/10.2147/AMEP.S137384.