Dilemmas and frustrations of medical students

a cross-sectional study

Authors

  • Daniel Haber Feijó Universidade do Estado do Pará
  • Carolina Ribeiro Mainardi Universidade do Estado do Pará
  • André Lopes Valente Universidade do Estado do Pará
  • Vitor Nagai Yamaki Universidade do Estado do Pará
  • Renan Kleber Costa Teixeira Universidade do Estado do Pará
  • José Antônio Cordero da Silva Universidade do Estado do Pará

DOI:

https://doi.org/10.4322/prmj.2017.026

Keywords:

students, medical, anxiety, stress, empathy

Abstract

Introduction: The graduation period in the medical school is fundamental to the future scientific, psychological and ethical formation. The student goes through many changes that can have catastrophic consequences if no proper conduction of the student is performed by the professors Therefore, we sought to identify the dilemmas and frustrations of the medical students. Method: It was performed a cross-sectional study. We interviewed 100 students enrolled in the course of Medicine from the Pará State University, at the Belem Unit, distributed equally between the first 4 years of graduation, using a self-administered questionnaire to assess the dillemas and frustration of the medical students. Results: 95% had some level of frustration with the medical school. The most common complaints were discouragement with course, disappointment (76%), lack of orientation by professors (97%) and overload (97%). In relation to drug consumption, we found an increasing consumption of alcohol and tobacco throughout the course. Discussion: The frustration with the medical course was evident in this research, independently of factors such as gender, age, drug use or disease, starting early in the course periods. Discouragement with the college has been associated with the development of cynicism, pessimism and professional burnout. Conclusion: The students demonstrated frustration with the course mainly because of the lack of orientation by the professors and overwhelming academic activities.

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Author Biographies

Daniel Haber Feijó, Universidade do Estado do Pará

Mestrando em cirurgia e pesquisa experimental pela Universidade do Estado do Pará.

Carolina Ribeiro Mainardi, Universidade do Estado do Pará

Graduanda do curso de medicina da Universidade do Estado do Pará.

André Lopes Valente, Universidade do Estado do Pará

Graduando do curso de medicina da Universidade do Estado do Pará.

Vitor Nagai Yamaki, Universidade do Estado do Pará

Médico formado pela Universidade do Estado do Pará.

Renan Kleber Costa Teixeira, Universidade do Estado do Pará

Mestre em cirurgia e pesquisa experimental pela Universidade do Estado do Pará.

José Antônio Cordero da Silva, Universidade do Estado do Pará

Doutor em bioética e ética em ciências da saúde pela Faculdade de Medicina da Universidade do Porto; professor do Departamento de Saúde Comunitária pela Universidade do Estado do Pará.

References

Costa JRB, Romano VF, Costa RR, Gomes AP, Alves LA, Siqueira-Batista R. A transformação curricular e a escolha da especialidade médica. Rev Bras Educ Med. 2014;38(1):47-58. http://dx.doi.org/10.1590/S0100-55022014000100007 .

Trindade LMDF, Vieira MJ. Medicine students and coping strategies in patient care. Rev Bras Educ Med. 2013;37(2):167-77. http://dx.doi.org/10.1590/S0100-55022013000200003 .

Al-Dubai SA, Al-Naggar RA, Alshagga MA, Rampal KG. Stress and coping strategies of students in a medical faculty in malaysia. Malays J Med Sci. 2011;18(3):57-64. PMid:22135602.

Niemi PM, Vainiomäki PT. Medical students’ academic distress, coping, and achievement strategies during the preclinical years. Teach Learn Med. 1999;11(3):125-134. http://dx.doi.org/10.1207/S15328015TL110302 .

Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80(12):1613-22. http://dx.doi.org/10.4065/80.12.1613 . PMid:16342655.

Yusoff MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. Prevalence and associated factors of stress, anxiety and depression among prospective medical students. Asian J Psychiatr. 2013;6(2):128-33. http://dx.doi.org/10.1016/j.ajp.2012.09.012 . PMid:23466109.

Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456- 68. http://dx.doi.org/10.1111/medu.12962 . PMid:26995484.

Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and canadian medical students. Acad Med. 2006;81(4):354-73. http://dx.doi.org/10.1097/00001888-200604000-00009 . PMid:16565188.

Tyssen R, Vaglum P, Grønvold NT, Ekeberg Ø. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord. 2001;64(1):69-79. http://dx.doi.org/10.1016/S0165-0327(00)00205-6 . PMid:11292521.

Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med. 2015;11(1):69-74. http://dx.doi.org/10.5664/jcsm.4370 . PMid:25515274.

Finger G, Silva ER, Falavigna A. Use of methylphenidate among medical students: a systematic review. Rev Assoc Med Bras. 2013;59(3):285-9. http://dx.doi.org/10.1016/j.ramb.2012.10.007 . PMid:23680277.

Tyssen R, Vaglum P, Grønvold NT, Ekeberg Ø. Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal study. Med Educ. 2001;35(2):110-20. http://dx.doi.org/10.1046/j.1365-2923.2001.00770.x . PMid:11169082.

Costa EF, Santana YS, Santos AT, Martins LA, Melo EV, Andrade TM. Sintomas depressivos entre internos de medicina em uma universidade pública brasileira. Rev Assoc Med Bras. 2012;58(1):53-9. http://dx.doi.org/10.1016/S0104-4230(12)70155-0 . PMid:22392317.

Costa EFO, Rocha MMV, Santos ATRA, Melo EV, Martins LAN, Andrade TM. Common mental disorders and associated factors among final-year healthcare students. Rev Assoc Med Bras. 2014;60(6):525-30. http://dx.doi.org/10.1590/1806-9282.60.06.009 . PMid:25650851.

Niemi PM, Vainiomäki PT. Medical students’ distress--quality, continuity and gender differences during a six-year medical programme. Med Teach. 2006;28(2):136-41. http://dx.doi.org/10.1080/01421590600607088 . PMid:16707294.

Quintana AM, Rodrigues AT, Arpini DM, Bassi LA, Cecim PS, Santos MS. A angústia na formação do estudante de medicina. Rev Bras Educ Med. 2008;3(2):7-14. http://dx.doi.org/10.1590/S0100-55022008000100002 .

Oliveira RZ, Gonçalves MB, Bellini LM. Acadêmicos de medicina e suas concepções sobre “ser Médico”. Rev Bras Educ Med. 2011;35(3):311-8. http://dx.doi.org/10.1590/S0100-55022011000300003 .

Benevides-Pereira A, Gonçalves MB. Transtornos emocionais e a formação em Medicina: um estudo longitudinal. Rev Bras Educ Med. 2009;33(1):10-23. http://dx.doi.org/10.1590/S0100-55022009000100003 .

Binienda J, Schwartz K, Gaspar D. Training in end-of-life care through interaction with dying patients. Acad Med. 2001;76(5):517. http://dx.doi.org/10.1097/00001888-200105000-00049 . PMid:11346556

Petroianu A, Reis DC, Cunha BD, Souza DM. Prevalência do consumo de álcool, tabaco e entorpecentes por estudantes de medicina da universidade federal de minas gerais. Rev Assoc Med Bras. 2010;56(5):568-71. http://dx.doi.org/10.1590/S0104-42302010000500019 . PMid:21152830. 21. Pedrosa AAS, Camacho LAB, Passos SRL, Oliveira RVC. Consumo de álcool entre estudantes universitários. Cad Saude Publica. 2011;27(8):1611-

http://dx.doi.org/10.1590/S0102-311X2011000800016 . PMid:21877009.

Newbury-Birch D, Walshaw D, Kamali F. Drink and drugs: from medical students to doctors. Drug Alcohol Depend. 2001;64(3):265-70. http://dx.doi.org/10.1016/S0376-8716(01)00128-4 . PMid:11672941.

Grant BF, Dawson DA. Age of onset of drug use and its association with DSM-IV drug abuse and dependence: Results from the national longitudinal alcohol epidemiologic survey. J Subst Abuse. 1998;10(2):163-73. http://dx.doi.org/10.1016/S0899-3289(99)80131-X . PMid:9854701.

Baldwin DC Jr, Hughes PH, Conard SE, Storr CL, Sheehan DV. Substance use among senior medical students: a survey of 23 medical schools. JAMA. 1991;265(16):2074-8. http://dx.doi.org/10.1001/jama.1991.03460160052028 . PMid:2013926.

Tempski P, Bellodi PL, Paro HB, Enns SC, Martins MA, Schraiber LB. What do medical students think about their quality of life? A qualitative study. BMC Med Educ. 2012;12(1):106. http://dx.doi.org/10.1186/1472-6920-12-106 . PMid:23126332.

Manzar B, Manzar N. To determine the level of satisfaction among medical students of a public sector medical university regarding their academic activities. BMC Res Notes. 2011;4(1):380. http://dx.doi.org/10.1186/1756-0500-4-380 . PMid:21974939.

Rosenberg DA, Silver HK. Medical student abuse: an unnecessary and preventable cause of stress. JAMA. 1984;251(6):739-42. http://dx.doi.org/10.1001/jama.1984.03340300031023 . PMid:6694276. 2

Macedo PNAG, Nardotto LL, Dieckmann LHJ, Ferreira YD, Macedo BAG, Santos MAP, et al. Factors associated with depressive symptoms in a sample of Brazilian medical students. Rev Bras Educ Med. 2009;33(4):595-604. http://dx.doi.org/10.1590/S0100-55022009000400010 .

O’Neill LD, Wallstedt B, Eika B, Hartvigsen J. Factors associated with dropout in medical education: a literature review. Med Educ. 2011;45(5):440-54. http://dx.doi.org/10.1111/j.1365-2923.2010.03898.x . PMid:21426375.

Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996-1009. http://dx.doi.org/10.1097/ACM.0b013e318221e615 . PMid:21670661.

Brasil. Senado Federal. Lei nº 9394/96 de 20 de dezembro de 1996. Estabelece as diretrizes e bases da educação nacional. Diário Oficial da República Federativa do Brasil, Brasília, DF; 20 dez 1996. p. 27833.

Published

2017-10-28

How to Cite

Feijó, D. H., Mainardi, C. R., Valente, A. L., Yamaki, V. N., Teixeira, R. K. C., & Silva, J. A. C. da. (2017). Dilemmas and frustrations of medical students: a cross-sectional study. Pará Research Medical Journal, 1(3), 1–6. https://doi.org/10.4322/prmj.2017.026

Issue

Section

Research Article