Understanding resilience in medical interns through ecological momentary assessments, predictive modelling, and topic
Laura E Meine1,2, Ella B A McPherson3,4, Jan B Schmutz5
1Experimental Psychopathology and Psychotherapy, Department of Psychology, University of Zurich, Zurich, Switzerland. laura.meine@uzh.ch.
Communications Medicine
|October 24, 2025
Summary
Medical interns face stress and burnout due to work dissatisfaction and team factors. Improving work-life balance and organizational support can enhance resilience and career motivation for doctors.
Area of Science:
- Medical Education
- Occupational Health
- Psychology
Background:
- Global healthcare systems face staff shortages, impacting care quality.
- Medical interns experience high stress and burnout, leading to early career attrition.
- Understanding resilience factors and intern perspectives is vital for retaining doctors.
Purpose of the Study:
- To identify factors influencing medical interns' resilience and well-being.
- To explore interns' perspectives on stress and coping strategies.
- To inform interventions for improving the medical internship experience.
Main Methods:
- Longitudinal study of 105 Swiss medical students during internships.
- Ecological momentary assessment for stress and affect.
- Multilevel regression and topic modeling for data analysis.
Main Results:
- Work dissatisfaction, social/team factors, and practical involvement predicted outcomes.
- Lower burnout and higher skills improvement correlated with career motivation.
- Interns reported negative affect, suggesting organizational improvements and work-life balance.
Conclusions:
- Quantitative and qualitative data offer insights into medical internship experiences.
- Findings can inform medical education to enhance future doctor well-being.
- Improving intern well-being ultimately benefits patient care.
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