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

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  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 "stressor."
  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>