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Adrenocortical response during examination.

A Baseer, S M Rab

    Clinical Endocrinology
    |March 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Oral examinations are stressful, significantly increasing plasma cortisol, unlike written exams. This stress response in doctors during oral exams is comparable to intense physical activities.

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    Area of Science:

    • Medical Education
    • Physiology
    • Psychoneuroendocrinology

    Background:

    • Examinations are a common part of medical training.
    • The physiological stress response to different examination formats is not well understood.
    • Understanding examination stress is crucial for evaluating candidate well-being and performance.

    Purpose of the Study:

    • To investigate and compare the physiological stress responses to written versus oral postgraduate medical examinations.
    • To quantify changes in plasma cortisol, blood sugar, and alpha-amino nitrogen levels during examinations.

    Main Methods:

    • Twenty-two doctors undergoing a postgraduate examination were recruited.
    • Plasma cortisol levels were measured before, during, and after written and oral examination components.

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  • Blood sugar and alpha-amino nitrogen levels were also monitored during the oral examination.

    • Main Results:

    • Written examinations did not induce a significant rise in plasma cortisol.
    • Oral examinations caused a significant increase in plasma cortisol.
    • Oral exams were associated with a pre-examination rise in blood sugar and a fall in alpha-amino nitrogen.

    Conclusions:

    • Written examinations do not represent a significant physiological stressor.
    • Oral examinations induce a substantial stress response in doctors, comparable to physically demanding activities like rowing or flying.
    • The physiological impact of oral examinations warrants consideration in medical training and assessment protocols.