Institute of Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Division of Teaching and Learning, Lübeck Medical School, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
BMC Med Educ. 2017 Dec 16;17(1):256. doi: 10.1186/s12909-017-1091-0.
Medical students are exposed to high amounts of stress. Stress and poor academic performance can become part of a vicious circle. In order to counteract this circularity, it seems important to better understand the relationship between stress and performance during medical education. The most widespread stress questionnaire designed for use in Medical School is the "Perceived Medical School Stress Instrument" (PMSS). It addresses a wide range of stressors, including workload, competition, social isolation and financial worries. Our aim was to examine the relation between the perceived Medical School stress of undergraduate medical students and academic performance.
We measured Medical School stress using the PMSS at two different time points (at the end of freshman year and at the end of sophomore year) and matched stress scores together with age and gender to the first medical examination (M1) grade of the students (n = 456).
PMSS scores from 2 and 14 months before M1 proved to be significant predictors for medical students' M1 grade. Age and gender also predict academic performance, making older female students with high stress scores a potential risk group for entering the vicious circle of stress and poor academic performance.
PMSS sum scores 2 and 14 months before the M1 exam seem to have an independent predictive validity for medical students' M1 grade. More research is needed to identify potential confounders.
医学生面临着大量的压力。压力和学业成绩不佳可能会形成一个恶性循环。为了打破这种循环，了解医学教育期间压力与成绩之间的关系似乎很重要。专为医学院设计的使用最广泛的压力问卷是“感知医学院压力量表”（PMSS）。它涵盖了广泛的压力源，包括工作量、竞争、社交孤立和经济担忧。我们的目的是研究本科生医学生感知的医学院压力与学业成绩之间的关系。
我们在两个不同的时间点（大一年级结束时和大二年级结束时）使用 PMSS 测量医学院压力，并将压力分数与年龄和性别与学生的第一次医学考试（M1）成绩相匹配（n=456）。
M1 前 2 个月和 14 个月的 PMSS 分数被证明是医学生 M1 成绩的显著预测因素。年龄和性别也预测了学业成绩，使年龄较大的女性学生压力分数较高成为进入压力和学业成绩不佳恶性循环的潜在风险群体。
M1 考试前 2 个月和 14 个月的 PMSS 总分似乎对医学生的 M1 成绩具有独立的预测有效性。需要进一步研究以确定潜在的混杂因素。
