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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
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Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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A student-led MD-PhD program wellness initiative.

Anne M Skelton1, Hannah M Shadowen1, Thomas E Siff1

  • 1MD-PhD Candidates, Medical Scientist Training Program, Virginia Commonwealth University, Richmond, VA, USA.

Medical Education Online
|December 10, 2025
PubMed
Summary
This summary is machine-generated.

Physician-scientist trainees face unique stressors. A student-led Wellness Initiative at VCU

Keywords:
Wellbeingbiomedical researchgraduate educationmental healthmindfulnessphysician-scientiststraining

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Area of Science:

  • Medical Education
  • Physician-Scientist Training
  • Student Wellness

Background:

  • MD-PhD students encounter stressors common to medical and graduate students, plus unique dual-degree challenges.
  • These future physician-scientists require tailored support to manage academic and personal pressures.
  • The Medical Scientist Training Program (MSTP) environment necessitates a focus on holistic well-being.

Purpose of the Study:

  • To describe the development and implementation of a student-led Wellness Initiative for MD-PhD trainees.
  • To outline the aims and components of a program designed to enhance trainee well-being.
  • To present a model for addressing the specific wellness needs of physician-scientist trainees.

Main Methods:

  • A student-led, administration-supported Wellness Initiative was created within an MSTP.
  • The initiative incorporates monthly programming, peer mentorship, annual wellness goals, and a resource guide.
  • Data collection and student involvement tracking were used to assess impact.

Main Results:

  • Student involvement in the initiative has steadily increased since its 2019 inception.
  • Program data suggests a positive impact on student well-being and MSTP culture.
  • Leadership support and student innovation contribute to the initiative's success.

Conclusions:

  • The VCU MSTP Wellness Initiative provides a successful framework for supporting physician-scientist trainees.
  • Comprehensive, tailored wellness programs are crucial for addressing the unique challenges of dual-degree training.
  • This initiative serves as a model for other institutions seeking to improve trainee well-being.