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Student well-being and the learning environment.

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Medical student well-being is linked to resilience and the learning environment during clinical clerkships. Stress was associated with performance, highlighting complex relationships in medical education.

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Area of Science:

  • Medical Education
  • Student Well-being
  • Clinical Psychology

Background:

  • Medical student well-being is a critical issue in medical education.
  • It is linked to burnout and resilience.
  • Understanding the clinical learning environment's impact is crucial for interventions.

Purpose of the Study:

  • Determine factors affecting medical student well-being and perceived stress during clinical clerkships.
  • Describe associations with the learning environment, resilience, and performance.

Main Methods:

  • Retrospective study of third-year medical students.
  • Surveys included: Medical School Learning Environment Scale, Brief Resilience Scale, Perceived Stress Scale, WHO Well-Being Index.
  • Analysis included Pearson correlations and linear regression, with USMLE Step 1 scores and clerkship performance data.

Main Results:

  • Well-being positively correlated with learning environment (r=0.43) and resilience (r=0.35).
  • Stress negatively correlated with learning environment (r=-0.34) and resilience (r=-0.53).
  • Stress showed a weak positive correlation with clerkship performance (r=0.17), while well-being did not correlate with performance.

Conclusions:

  • Student well-being and stress are associated with resilience and the learning environment.
  • No relationship was found between well-being and performance.
  • A modest positive relationship exists between stress and performance, illustrating complex interdependencies.