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Study Of Sources Of Stress In Medical Students ( First Year And 2nd Year ) At Fatima Jinnah Medical College, Lahore PAKIST...
Definition: Stress is the body's reaction to a change that requires a physical, mental or emotional adjustment or response...
Introduction <ul><li>While time spent at college is a fond memory and a happy experience for most, college life is not wit...
<ul><li>Problems, Students Face During College.  </li></ul><ul><li>Study Schedule  </li></ul><ul><li>Relationships with te...
<ul><li>In recent years there has been a growing appreciation of the issues of quality of life and stresses involved in me...
<ul><li>Different studies have demonstrated that there are significant changes in the health and habits/life-style of medi...
<ul><li>Preliminary data supports the view that, upon entering medical school, students' emotional status resembles that o...
<ul><ul><ul><li>AIMS AND OBJECTIVES </li></ul></ul></ul>
Aims and objectives <ul><li>Present study aims  </li></ul><ul><li>(1)To characterize the main sources of academic stress o...
<ul><ul><ul><li>METHODLOGY </li></ul></ul></ul>
Subjects <ul><li>Medical students (n = 400), session of first and 2 nd  year were surveyed.  </li></ul><ul><li>The questio...
<ul><li>RESULTS </li></ul>
CAUSES OF STRESS IN MEDICAL STUDENTS(DS+H Tough Schedule Burden of studies Strict marking Internal assessment Insulting be...
Stress in students living in hostels Hostel life Unhealthy food  Unhygienic conditions of washrooms Loneliness Strict ward...
Ways of relieving  (suggestion by students) <ul><ul><ul><ul><ul><li>Extracurricular activities  100% </li></ul></ul></ul><...
<ul><li>Majority of medical students (99%) perceived stress.  </li></ul><ul><li>Stress was found to be significantly more ...
<ul><li>CONCLUSIONS </li></ul>
Conclusion <ul><li>This study has demonstrated that a number of first and 2nd year medical students were at various levels...
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DR MUHAMMAD MUSTANSAR

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presentation of paper in international conference of medical education 2010 FJMC Lahore PAKISTAN

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DR MUHAMMAD MUSTANSAR

  1. 1. Study Of Sources Of Stress In Medical Students ( First Year And 2nd Year ) At Fatima Jinnah Medical College, Lahore PAKISTAN ( Survey Department of Biochemistry ) BY DR MUHAMMAD MUSTANSAR
  2. 2. Definition: Stress is the body's reaction to a change that requires a physical, mental or emotional adjustment or response. Stress can come from any situation or thought that makes you feel frustrated, angry, nervous, or anxious. Stress is caused by an existing stress-causing factor or &quot;stressor.&quot;
  3. 3. Introduction <ul><li>While time spent at college is a fond memory and a happy experience for most, college life is not without its rough patches and problems. </li></ul><ul><li>Each student’s problems are unique to their current circumstances. </li></ul>
  4. 4. <ul><li>Problems, Students Face During College. </li></ul><ul><li>Study Schedule </li></ul><ul><li>Relationships with teachers </li></ul><ul><li>Money </li></ul><ul><li>Homesickness </li></ul><ul><li>Depression </li></ul><ul><li>Sickness / Health Conditions </li></ul><ul><li>Friends / Roommates </li></ul>
  5. 5. <ul><li>In recent years there has been a growing appreciation of the issues of quality of life and stresses involved in medical training as this may affect their learning and academic performance. </li></ul><ul><li>The most common sources of stress were related to academic and psychosocial concerns. </li></ul><ul><li>The most important and severe sources of stress were staying in hostel, high parental expectations, vast syllabus, tests/exams, lack of time and facilities for entertainment. </li></ul>
  6. 6. <ul><li>Different studies have demonstrated that there are significant changes in the health and habits/life-style of medical students. </li></ul><ul><li>Year of course seems to have a significant influence on the variables studied, being the female students----- those who present higher levels of </li></ul><ul><li>academic stress, </li></ul><ul><li>stress responses (pressure/overload, physical distress, anxiety, anger/frustration, inefficiency, depression and loss of control), </li></ul><ul><li>Low levels of coping with confidence. </li></ul>
  7. 7. <ul><li>Preliminary data supports the view that, upon entering medical school, students' emotional status resembles that of the general population. </li></ul><ul><li>However, the rise in depression scores and their persistence over the time suggests that emotional distress during medical school is chronic and persistent rather than episodic. </li></ul><ul><li>Also, the women had more significant increase in depression scores than did the men. </li></ul>
  8. 8. <ul><ul><ul><li>AIMS AND OBJECTIVES </li></ul></ul></ul>
  9. 9. Aims and objectives <ul><li>Present study aims </li></ul><ul><li>(1)To characterize the main sources of academic stress of the Medical College. </li></ul><ul><li>(2) To investigate the variations in academic stress and psychosocial variables, due to gender, year of course and displacement from home and </li></ul><ul><li>(3)To assess the psychological health of undergraduates during their initial entry to the college, and to identify common sources of stress in their lives. </li></ul><ul><li>(4) To find out the ways of relieving from these stresses by students. </li></ul>
  10. 10. <ul><ul><ul><li>METHODLOGY </li></ul></ul></ul>
  11. 11. Subjects <ul><li>Medical students (n = 400), session of first and 2 nd year were surveyed. </li></ul><ul><li>The questionnaire was designed to elicit information about stress associated with academic activities, personal relationships, time pressures, and financial concerns. </li></ul><ul><li>Information was also obtained about hostel related problems in hostelite. </li></ul>
  12. 12. <ul><li>RESULTS </li></ul>
  13. 13. CAUSES OF STRESS IN MEDICAL STUDENTS(DS+H Tough Schedule Burden of studies Strict marking Internal assessment Insulting behavior of teachers Fear of failure Consecutive tests & vivas Attendance Lengthy course Difficulty in tutorials Need of PBL Under estimation of students 90% 75% 90% 70% 70% 70% 70% 80% 10% 70% 20% 10%
  14. 14. Stress in students living in hostels Hostel life Unhealthy food Unhygienic conditions of washrooms Loneliness Strict wardens and gate keepers Uncooperative room mates Pressures from family 95% 100% 90% 60% 35% 50% 20%
  15. 15. Ways of relieving (suggestion by students) <ul><ul><ul><ul><ul><li>Extracurricular activities 100% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Nutritious food 100% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>TV 70% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Friendly behavior of teachers 70% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Lenient marking 70% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Sports 40% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Attendance should be 50% 40% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Morning walk and exercise 50% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Regular prayers 40% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Avoid isolation 40% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Indoor games 10% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Shopping 10% </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Saturday off 10% </li></ul></ul></ul></ul></ul>
  16. 16. <ul><li>Majority of medical students (99%) perceived stress. </li></ul><ul><li>Stress was found to be significantly more in Second year MBBS students rather than First MBBS levels. </li></ul><ul><li>Stress was found to be related more with tough schedule, less gap between tests, attendance and strict marking in both groups of day scholars and hostilities. </li></ul><ul><li>However, among hostilities stress was more related to homesickness, unhealthy food of mess, hygiene problems etc. </li></ul><ul><li>Other academic factors that take part to increase the stress were burden of studies, internal assessments and teachers’ behavior etc. </li></ul>
  17. 17. <ul><li>CONCLUSIONS </li></ul>
  18. 18. Conclusion <ul><li>This study has demonstrated that a number of first and 2nd year medical students were at various levels of stress and/or depression. </li></ul><ul><li>Those students in the extreme stress or depression need serious attention. </li></ul><ul><li>This state of psychological and emotional distress in the subsequent years of medical training and during the professional years may lead to serious social consequences. </li></ul><ul><li>Medical colleges should undertake efforts to assist students' in coping with a substantial proportion of meaningful levels of stress, depressive symptoms and suicidal thoughts. </li></ul><ul><li>This study calls attention for the need of preventive intervention with medical students in order to prevent negative consequences of stress and improve their life-style by promoting individual and social resources. </li></ul><ul><li>There is also need to bring about academic changes in quality of teaching and evaluation system. </li></ul><ul><li>A prospective study is necessary to study the association of psychological morbidity with demographic variables, sources of stress and coping with strategies. </li></ul>

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