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Stress among medical students during clinical courses: a longitudinal study using contextual activity sampling system
Tomas Bexelius1, Hanna Lachmann2, Hans Järnbert-Pettersson3
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Medical students experience stress linked to specific professional roles. Activities like "Scholar" increased stress, while "Health Advocate" reduced it, highlighting areas for educational improvement.
Area of Science:
- Medical Education
- Psychology
- Sociology
Background:
- Medical education involves complex professional roles impacting student well-being.
- Understanding student stress is crucial for effective learning environments.
Purpose of the Study:
- To investigate medical students' stress levels and emotions.
- To analyze the relationship between stress and CanMEDS roles using Contextual Activity Sampling System (CASS).
Main Methods:
- Longitudinal cohort study of 74 medical students.
- Utilized Contextual Activity Sampling System (CASS) with mobile technology for data collection.
- Employed linear mixed-model regression to analyze stress associations with learning activities and demographics.
Main Results:
- Mean stress level was 3.6, peaking during scientific project terms.
- Activities related to 'Communicator,' 'Collaborator,' 'Scholar,' 'Manager,' and 'Professional' roles increased stress.
- 'Health Advocate' role was associated with reduced stress; no demographic links to stress were found.
Conclusions:
- Specific learning activities within CanMEDS roles are associated with medical student stress.
- Contextual Activity Sampling System (CASS) is effective for observing learning experiences and identifying stress-related activities.
- Findings can inform educational development to mitigate student stress.
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