Stress, Burnout and Coping Strategies in Preclinical Medical Students.

Jawad Fares, Hayat Al Tabosh, Zein Saadeddin, Christopher El Mouhayyar, Hussam Aridi
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Abstract

It is acknowledged that physicians do not seek the same expert aid for themselves as they would offer their patients. In their preclinical years, medical students appear to espouse comparable behavior. To many, medicine is described as a never-ending path that places the student under heavy stress and burnout from the beginning, leaving him/her vulnerable and with insufficient coping methods. Hence, the objective of this study is to 1) explore the prevalence of stress and burnout among preclinical medical students, and 2) propose solutions to decrease stress and burnout and improve medical education in the preclinical years. A detailed scholarly research strategy using Google Scholar, Scopus, Embase, MEDLINE and PubMed was implemented to highlight key themes that are relevant to preclinical medical students' stress and burnout. Stress varied among different samples of medical students and ranged between 20.9% and 90%. Conversely, burnout ranged between 27% and 75%. Methods that help in reducing the incidence of stress and burnout by promoting strategies that focus on personal engagement, extracurricular activities, positive reinterpretation and expression of emotion, student-led mentorship programs, evaluation systems, career counseling and life coaching should be adopted.

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临床前医学生的压力、倦怠和应对策略。
众所周知,医生为自己寻求的专家援助与为病人提供的援助并不相同。在临床前几年,医学生似乎也有类似的行为。在许多人看来,医学是一条永无止境的道路,学生从一开始就承受着巨大的压力和倦怠感,使他们变得脆弱且缺乏应对方法。因此,本研究的目的是:1)探讨临床前医学生压力和职业倦怠的普遍程度;2)提出减少压力和职业倦怠、改善临床前医学教育的解决方案。我们利用谷歌学术、Scopus、Embase、MEDLINE 和 PubMed 实施了详细的学术研究策略,以突出与临床前医学生压力和职业倦怠相关的关键主题。压力在不同的医学生样本中各不相同,介于 20.9% 和 90% 之间。相反,职业倦怠则介于 27% 与 75% 之间。应采用有助于降低压力和职业倦怠发生率的方法,推广侧重于个人参与、课外活动、积极的情感再解释和表达、学生主导的导师计划、评估系统、职业咨询和生活指导的策略。
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