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Stress and burnout among medical students is a well-recognized concern. A student’s ability to employ resilience strategies to self-regulate behaviour is critical to the student’s future career as a physician.
We retrospectively reviewed a sampling of year 1, 2 and 5 portfolio essays focused on the Personal Development competency and performance milestones, written by 49 students from three different classes in a 5-year programme devoted to training physician investigators. Two medical educators used a framework established by Jensen and colleagues (2008) to identify the nature and prevalence of various resilience strategies (valuing the physician role, self-awareness, personal arena, professional arena, professional support and personal support) medical students reported in portfolio essays.
All students documented at least one strategy in their essays each year. In all years, the most commonly documented strategies were in the personal arena (95.7% of year 1, 98% of year 2 and 87.8% of year 5 portfolios). The least frequently documented strategy in all years was professional support (42.8% of year 1, 38.8% of year 2, and 28.6% of year 5 portfolios). Year 5 portfolios discussed personal support strategies (79.6%) more frequently than year 1 (53.1%) and year 2 (59.2%) portfolios.
The results suggest that medical students can identify stressors and articulate resilience strategies that can be employed to potentially address them.
Drybye LN, Thomas MR, Shanefelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian students. Acad Med. 2006;81:354–73. CrossRef
Hojat M, Glaser K, Xu G, Veloski JJ, Christian EB. Gender comparisons of medical students’ psychosocial profiles. Med Educ. 1999;33:342–9. CrossRef
Shapiro SL, Shapiro DE, Schwartz GER. Stress management in medical education: a review of the literature. Acad Med. 2000;75:748–59. CrossRef
Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80:1613–22. CrossRef
IsHak WW, Lederer S, Mandili C, et al. Burnout during residency training: a literature review. J Grad Med Educ. 2009;1:236–42. CrossRef
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377–85. CrossRef
Shanafelt TD, Hasan O, Drybye LN, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 2015;90:1600–13. CrossRef
Askin WJ. Coaching for physicians. Building more resilient doctors. Can Fam Physician. 2008;54:1399–400.
Jensen PM, Trollope-Kumar K, Waters H, Everson J. Building physician resilience. Can Fam Physician. 2008;54:722–9.
Dannefer EF, Henson L. The portfolio approach to competency-based assessment at the Cleveland Clinic Lerner College of Medicine. Acad Med. 2007;82:493–502. CrossRef
Challis M. AMEE medical education guide No. 19: personal learning plans. Med Teach. 2000;22:225–35. CrossRef
Hseih H‑F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88. CrossRef
Dannefer EF, Bierer SB, Gladding SP. Evidence within a portfolio-based assessment program: what do medical students select to document their performance? Med Teach. 2012;34:215–20. CrossRef
York-Barr J, Sommers WA, Gheri GS, Montie J. Reflective practice to improve schools: an action guide for educators. Thousand Oaks: Corwin Press; 2001.
Zimmerman BJ, Schunk DH. Self-regulated learning and performance. In: Zimmerman DH, Zimmerman BJ, editors. Handbook of self-regulation of learning and performance. New York: Routledge; 2011. pp. 1–14.
Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;5:68–78. CrossRef
- Medical student resilience strategies: A content analysis of medical students’ portfolios
Richard A. Prayson
S. Beth Bierer
Elaine F. Dannefer
- Bohn Stafleu van Loghum