Shorbagi Ali Ibrahim
Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Front Med (Lausanne). 2024 Oct 18;11:1488635. doi: 10.3389/fmed.2024.1488635. eCollection 2024.
Resilience is essential for medical students to navigate the challenges of their education and future careers. Defined as the ability to adapt well in the face of adversity, resilience can be learned and is critical for maintaining mental health. Medical educators play a pivotal role in fostering resilience by integrating it into both formal and informal curricula, including the hidden curriculum, which can significantly influence students' coping strategies. Research highlights the importance of resilience training in reducing depression and anxiety among students, underscoring its necessity as a core component of medical education. This essay presents the Systematic Assessment for Resilience (SAR) framework, which provides a comprehensive approach to promoting resilience through four key constructs: self-control, management, engagement, and growth. Practical strategies for each construct are discussed, including assessment mapping, time management, and the use of formative assessments to enhance students' preparedness and self-control. Engagement is fostered through collaborative assessments, open book exams, and regular formative feedback, while growth is encouraged via self-reflection and faculty development. Implementing the SAR framework has shown positive outcomes, with students reporting reduced anxiety and improved performance. However, further exploration and institutional support are needed to fully integrate these strategies into medical education. The SAR framework offers a feasible and effective method for cultivating resilience, contributing to students' mental well-being and equipping them to face future challenges in their medical careers. Continued refinement and broader institutional adoption will be crucial to sustaining the impact of resilience training in medical education.
适应力对于医学生应对学业挑战和未来职业发展至关重要。适应力被定义为在逆境中良好适应的能力，它是可以习得的，对保持心理健康至关重要。医学教育工作者在培养适应力方面发挥着关键作用，他们将适应力融入正式和非正式课程，包括隐性课程，而隐性课程会显著影响学生的应对策略。研究强调了适应力培训在减轻学生抑郁和焦虑方面的重要性，凸显了其作为医学教育核心组成部分的必要性。本文介绍了适应力系统评估（SAR）框架，该框架通过自我控制、管理、参与和成长这四个关键要素提供了一种全面促进适应力的方法。文中讨论了每个要素的实用策略，包括评估规划、时间管理以及利用形成性评估来增强学生的准备程度和自我控制能力。通过协作评估、开卷考试和定期形成性反馈来促进参与，同时通过自我反思和教师发展来鼓励成长。实施SAR框架已显示出积极成果，学生报告称焦虑减轻且表现有所改善。然而，要将这些策略完全融入医学教育，还需要进一步探索和机构支持。SAR框架为培养适应力提供了一种可行且有效的方法，有助于学生的心理健康，并使他们有能力应对未来医学职业生涯中的挑战。持续完善和更广泛的机构采用对于维持适应力培训在医学教育中的影响至关重要。
