Main Educational Stressors and theirs Relationship with General Health of Medical Residents

Nahid Khajehmougahi, MHS Shooshtari

Abstract


135

Background: In the age of information and technology application, troublesome regulations and traditional  procedures for medical education may cause serious stresses and be a threat to the general health (GH) of the students of medicine.

Purpose: To determine the relationship between educational stressors and the general health of residents studying at the Ahwaz Jundishapour  University of Medical Sciences (Alums).

Method: In this cross sectional study, the study group was consisted  of  ll4 cooperative residents (69% of all residents in the hospital), who were being trained in a variety of different specialties.  The instruments used were the Educational Stressors Questionnaire, including 45 four-choice items and a General  Health Questionnaire. When the questionnaires were completed, the results were analyzed through Pierson Correlation Coefficient using the SPSS.

Results: The residents mentioned their educational stressors as follows: lack of an arranged curriculum, troublesome educational regulations, deficient educational instruments, and inadequate clinical instruction. of all the subjects, 43 ( 37.6%) appeared to have problems in GH,and significantly positive correlation (p<O.OJ) was observed between educational stressors with all of the following parameters: GH, somatic problems, anxiety, and social dysfunction.

Conclusion: As it appeared, educational stressors can be riskfacwrsfor the students' GH, which may be followed by reduced interest, low educational  performance, and failure to achieve competency in diagnostic procedures and treatment. The findings suggest basic changes in the current medical instructional techniques.

Keywords: educational stressor, general health, medical residents, medical  education


Keywords


educational stressor, general health, medical residents, medical education

Full Text:

PDF

72

References


l. Khanna JL, Khanna P. Stress as experienced by medical students. College Student J 1990 May; 131 (3):

Deluge RJ, Winters JJ. The impact of role ambiguity and conflict on resident assistants. J College Student Develop 1 990 May; 31 (3):230- 236

Zare SM. Psychology well-being of surgery residents before the 80-hour working week: a multi-institutional study. J American College Surg 2004 Apr; 198(4): 633-40

Radclife C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ 2003 Jan; 37(1): 32-38

Roghab MG, McKimmey J. Campus recreation and perceived academic stress. J College Student Develop 1993 Jan; 34 (1): 5- l0

Bossaghzadeh V, Majlesi M, Khajehmougahi N. The relationship between the causes of reducing interest in the field and educational functioning of medical students. Thesis to achieve GP degree; 2003

Stewart SM, Betson C. Medical students. Med Educ 1995 Mar; 29(2): 119-127

Mouret GML. Stress in a graduate medical degree. Med ustralia2002; 177(1suppl):s10- s11

Taylor AD, Sinclair A, Wall EM. Sources of stress in postgraduate medical training. J Med Educ 1987 May; 62(5): 425-428

Daly MG, Willcock SM. Examining stress and responses to stress in medical students and new medical graduates. Med J Australia 2002; 177 (lsuppl): sl4- s15

Stewart SM, Betson C, Lan TH, Marshall lB. Predicting stress in first year medical students: A longitudinal study. Med Educ 1997 May; 31(3): 163-168

Mosley TH, Perrin SG, Neral M. Stress, coping, and well being among third year medical students. Acad Med 1994 Sep; 69(9): 765-767

Toews JA, Lockyer JM, Dobson DJ. Stress among residents, medical students, and graduate science (Ms/PhD) students. Acad Med 1993 Oct; 68(1Osuppl): s46-s48

Bernstein J, Carmel S. Gender difference overtime in medical school stressor, anxiety and the sense of coherence. Sex Roles 1991 Mar; 24(56): 335-344

Guthrie EA, Black D, Shaw CM. Psychological stress in medical students: A comparison of two very different university courses. Stress Med 1997 Jul; 13(3): 179-184

Rosal MC, Ockene IS, Ockene JK. A longitudinal study of students' depression at one medical school. Acad Med 1997 Jun;72(6): 542- 546

DiMatteo RM. The psychology of health, illness, and medical care. 1991, Brooks/Cole Publishing Company, Pacific Grove, California.

Schreier AR, Abramovitch H. American medical students in Israel. Stress and Coping 1996 Nov; 30(6): 445-452

Henderson AS. An introduction to social psychology. Oxfords: Oxford University Press.

Goldberg D. Manual of the General Health Questionnaire. London: NFRR; 1978

Nourbala AA, Bagheriyazdi SA, Mohammad K. The validation of General Health Questionnaire in Iran. 2000, Tehran: Vice Presidency of Shahed Uni. Publication.

Sarason IG, Johnson JM. Assessing the impact of life change: Development of the events survey. J Consult Clinical Psycho!1974; 46: 932-941

McCue JD. The distress of internship: cause and prevention. NEJM 1985; 312(7): 449-452

Lurie N, Rank B, Parenti C. How do house officers spend their nights? A time study of internal medicine staff on call. NEJM 1989; 320(25): 1673-1677

Reuben DB, Noble S. House officer responses to impaired physicians. JAMA 1990; 263(7): 958-960

Linn LS, Yager J, Cope DW. Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty. JAMA 1985; 254(19): 2775-2782




DOI: https://doi.org/10.22037/jme.v7i1.844

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.