DOI QR코드

DOI QR Code

A phenomenological study on the emotional changes of medical students according to the phase of medical education

의학교육 시기에 따른 의과대학생들의 정서 변화에 대한 현상학적 연구

  • Lee, Won Kyoung (Department of Theology, Graduate School, Yonsei University) ;
  • Park, Kyung Hye (Department of Medical Education, Yonsei University Wonju College of Medicine)
  • 이원경 (연세대학교 대학원 신학과) ;
  • 박경혜 (연세대학교 원주의과대학 의학교육학과)
  • Received : 2020.12.01
  • Accepted : 2020.12.08
  • Published : 2020.12.31

Abstract

The study aimed to understand medical students' experiences of emotional changes, including their method of adapting to experiences, and the effect of the experiences in shaping their identities. We interviewed 12 medical students who were finishing their 1-year clinical internship in 2016. Data on their opinions and reasons for emotional changes during their school life were obtained. The descriptive phenomenological approach was applied to analyze the interviews. Their stress came from disappointment in themselves, competitive environment, observing a change in their personalities, meeting their parents' expectations, and interpersonal relations. The interviewees adjusted to the medical study by exercising self-control in their studies and daily lives, by practicing self-acceptance and observing their state of mind, and by breaking free from the competition-driven environment and obsession with grades. In addition, they cultivated endurance and found external support. Finally, they achieved self-efficacy and were comfortable in their identity as medical students. They still had to address the stress from working relationships and the difficulty in balancing studies and life. The medical students' self-evaluation and compulsive tendencies increased during the medical course due to the burden of studies. They evolved by learning self-control and introspection and seeking ways to adapt. Understanding this growth process of medical students will improve student support in medical schools.

Keywords

References

  1. Kim JH, Jang EY, Kim DH, Choi JH, Park YC. Mental health of medical school students and the effects of their strategy for enhancing self-esteem. Korean J Med Educ 2011;23:295-304. https://doi.org/10.3946/kjme.2011.23.4.295
  2. Tempski P, Bellodi PL, Paro HBMS, Enns SC, Martins MA, Schraiber LB. What do medical students think about their quality of life? A qualitative study. BMC Med Educ 2012;12:106. https://doi.org/10.1186/1472-6920-12-106
  3. Kim NC, Kim SH, Lim HK, Kim JH, Jung H, Park JC, et al. Comparison of stress and life satisfaction between non-medical and medical college students. Psychosom Med 2015;23:47-56.
  4. Ko JK, Yoon TY, Park JH. The effects of coping style on subjective well-being among medical students. Korean J Med Educ 2007;19:225-33. https://doi.org/10.3946/kjme.2007.19.3.225
  5. Kjeldstadli K, Tyssen R, Finset A, Hem E, Gude T, Gronvold NT, et al. Life satisfaction and resilience in medical school-a six-year longitudinal, nationwide and comparative study. BMC Med Educ 2006;6:48. https://doi.org/10.1186/1472-6920-6-48
  6. Lee KH, Ko YK, Kang KH, Lee HK, Kang JK, Hur YR. Mental health and coping strategies among medical students. Korean J Med Educ 2012;24:55-63. https://doi.org/10.3946/kjme.2012.24.1.55
  7. Park J, Chung S, An H, Park S, Lee C, Kim SY, et al. A structural model of stress, motivation, and academic performance in medical students. Psychiatry Investig 2012;9:143-9. https://doi.org/10.4306/pi.2012.9.2.143
  8. Lee JY, Moon KJ, Heo JY. The relationship between suicidal ideation and MMPI-2 profile among college students. Journal of Human Understanding and Counseling 2012;33:53-69.
  9. Sawamura R, Moriwaki S, Chihara S. Six-year longitudinal changes in mental health and personality factors among medical students. Bull Osaka Med Coll 2015;61:35-40.
  10. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King SM, editors. Existential-phenomenological alternative for psychology. New York, NY: Oxford University Press; 1978. p. 48-71.
  11. Shin KR, Cho MO, Ynag J. Qualitative research methodology. Seoul: Ewha Womans University Press; 2004.
  12. Lincoln YS, Guva E. Naturalistic inquiry. London, UK: Sage; 1985.
  13. Niemi PM, Vainiomaki PT. Medical students' distress-quality, continuity and gender differences during a six-year medical programme. Med Teach 2006;28:136-41. https://doi.org/10.1080/01421590600607088
  14. Arulampalam W, Naylor RA, Smith JP. Dropping out of medical school in the UK: explaining the changes over ten years. Med Educ 2007;41:385-94. https://doi.org/10.1111/j.1365-2929.2007.02710.x
  15. Kim MJ, Park KH, Yoo HH, Park IB, Yim J. Development and validation of the medical student stress scale in Korea. Korean J Med Educ 2014;26:197-208. https://doi.org/10.3946/kjme.2014.26.3.197
  16. Wu L, Farquhar J, Ma J, Vidyarthi AR. Understanding Singaporean medical students' stress and coping. Singapore Med J 2018;59:172-6. https://doi.org/10.11622/smedj.2018044
  17. Houpy JC, Lee WW, Woodruff JN, Pincavage AT. Medical student resilience and stressful clinical events during clinical training. Med Educ Online 2017;22:1320187. https://doi.org/10.1080/10872981.2017.1320187
  18. Singh S, Prakash J, Das RC, Srivastava K. A cross-sectional assessment of stress, coping, and burnout in the final-year medical undergraduate students. Ind Psychiatry J 2016;25:179-83. https://doi.org/10.4103/ipj.ipj_68_16
  19. van Dijk I, Lucassen PLBJ, van Weel C, Speckens AEM. A cross-sectional examination of psychological distress, positive mental health and their predictors in medical students in their clinical clerkships. BMC Med Educ 2017;17:219. https://doi.org/10.1186/s12909-017-1035-8
  20. Ryue SH, Lee HB. Korean medical students' cognitive, emotional, and social characteristics. Korean J Med Educ 2012;24:103-15. https://doi.org/10.3946/kjme.2012.24.2.103
  21. Elliot AJ, McGregor HA. A 2 X 2 achievement goal framework. J Pers Soc Psychol 2001;80:501-19. https://doi.org/10.1037//0022-3514.80.3.501
  22. Babenko O, Mosewich A, Abraham J, Lai H. Contributions of psychological needs, self-compassion, leisure-time exercise, and achievement goals to academic engagement and exhaustion in Canadian medical students. J Educ Eval Health Prof 2018;15:2. https://doi.org/10.3352/jeehp.2018.15.2