Browsing by Subject "Medical Students"

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    Academic climate and psychopathological symptomatology in Spanish medical students
    (BMC, 2023-11-07) Garcia Estañ López, Joaquín María; Esquerda, Montse; Ruiz Rosales, Albert; García Abajo, J. Miguel; Millán, Jesús; Fisiología
    Introduction: Medical Education studies suggest that medical students experience depression, anxiety and psy‑chopathological symptomatology in a proportion higher than in the rest of the population. In the present study, we aimed to conduct a nationwide analysis to describe student’s perceptions of Educational Climate in Spanish medical schools, and its relationship with psychopathological symptomatology. Methods . The study was carried out in 2022 in all 44 medical schools in Spain, and analyses the academic climate, and psychopathological symptomatology among medical students (n=4374). To measure these variables, we used the Dundee Ready Education Environment Measure (DREEM) for academic climate, and the SA-45 (Symptom Assess‑ ment-45 Questionnaire was used to assess psychopathological symptomatology. Results: The mean DREEM global score was low, 95.8 (SD 22.6). Worse perception of the academic climate has been found in females (t -2.21, p 0.027), in students of the clinical academic years (t 16.9, p<0.001), and public medical schools ( t 15.6, p<0.001). The SA45 general index score was high (p90) in 25.6% of participants. In respect of gender, female students presented higher levels of SA45 general index score, depression, interpersonal sensitivity, somatization, anxiety, obsession-com‑ pulsion, and phobic anxiety symptoms. Higher DREEM global and subscale scores corresponded to a higher SA-45 global index score and higher SA-45 sub‑ scale scores. Conclusions: Our study suggests a correlation between a poor perception of academic climate, increased depres‑ sion, anxiety, and other psychopathological symptoms, with a pattern that varies between diferent faculties. The perception of academic climate varied between medical schools, as did the psychopathological symptoms scores. Our fnding suggests the prevalence of these variables in medical students is, at least in part, attributable to factors directly related to the learning atmosphere.
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    Efecto de las intervenciones en gestión emocional en estudiantes de medicina: una revisión de alcance
    (Universidad de Murcia. Servicio de Publicaciones, 2025) Díaz Morales, Anai; Chabour Barra, Constanza; Kinzel Maluje, Daniela; Herrera Alcaíno, Álvaro; Sin departamento asociado
    Introducción: Los estudiantes de medicina enfrentan altos niveles de estrés y burnout durante su formación, lo cual afecta su bienestar psicológico y desempeño académico. Las intervenciones en gestión emocional han sido propuestas como estrategias para mitigar estos efectos adversos. Métodos: Se realizó una revisión sistemática de la literatura conforme a lineamientos PRISMA. Se incluyeron estudios publicados entre 2019 y 2024 que evaluaron intervenciones dirigidas a mejorar la gestión o regulación emocional y la resiliencia en estudiantes de medicina. Se extrajeron datos de participantes, tipo de intervención y resultados (estrés, burnout, bienestar), y dada la heterogeneidad metodológica se efectuó una síntesis narrativa de los hallazgos. Resultados: Se incluyeron 24 estudios que implementaron intervenciones diversas, tales como programas de mindfulness/meditación, entrenamiento en resiliencia y psicología positiva, mentoría y grupos de apoyo entre pares, actividades artístico-reflexivas y módulos de autocuidado integrados al currículo. Aproximadamente 70% de los estudios reportó reducciones significativas del estrés percibido y ~50% mejoras en resiliencia o bienestar emocional. Cerca del 40% evidenció disminución del burnout. Algunas intervenciones también aumentaron la empatía y la autoeficacia en los participantes, aunque un estudio no halló efecto significativo. La heterogeneidad de diseños limitó la comparabilidad y pocos trabajos evaluaron efectos a largo plazo. Conclusiones: Las intervenciones de manejo emocional demostraron ser efectivas para disminuir el estrés y mejorar el bienestar de los estudiantes de medicina a corto plazo. Se recomienda integrar sistemáticamente estas estrategias en los planes de estudio, adaptándolas al contexto local. Además, se requieren estudios multicéntricos con asignación aleatorizada y seguimiento prolongado para confirmar beneficios sostenidos y optimizar su implementación.
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    Enfoques de aprendizaje y experiencias en prácticas clínicasde estudiantes de Medicina durante la pandemia de Covid-19y hasta la finalización de la emergencia sanitaria: un estudiode método mixto.
    (Universidad de Murcia, Servicio de Publicaciones, 2025-12-05) Sánchez-Capacho, Nohora; Camargo Villalba, Gloria Eugenia; Castellanos Vega, Rocío del Pilar; Cortés Romero, Natalia; Bernal-García, Martha; Sin departamento asociado
    Introduction: The medical training process during the Covid-19 pandemic resulted in a variety ofexperiences and uncertainties in undergraduate clinical learning. Objective: To analyze the learningapproaches and clinical practice experiences of medical students from the beginning of the Covid-19pandemic until the end of the health emergency. Method: A mixed-methods study, structured inthree phases. The first quantitative phase involved 159 medical students in their final year of clinicalrotations (CPE-R-2F) and administered the Revised Study Process Questionnaire. The secondqualitative phase used semi-structured interviews with 10 open-ended questions, conducted in fourfocus groups and four individual interviews. Univariate and bivariate analyses, as well as correlationof variables, were performed. Methodological analysis included grounded theory andphenomenographic methods. The third phase employed a mixed-methods approach. Results: 97.9%of the participants adopted a deep learning approach. Qualitatively, 143 initial categorical units ofmeaning were identified, with dimensions of variation on clinical learning experiences, whichconsolidated into 25 categories and 68 inductive subcategories. Sequential triangulation found highvaluations for the conception "learning is a process of interpretation with the objective ofunderstanding reality" associated with deep learning, and low valuations for the conceptions"learning is memorization" and "learning is the quantitative acquisition of knowledge" associatedwith surface learning. Conclusion: The types of learning approaches are influenced by academicactivity in the context of the COVID-19 pandemic, which, as a crisis situation, also promoted theadaptation of motivations and strategies specific to each type. The variation on clinical learningexperiences explains the impact, which affirms the positive management of students' intrinsicmotivation to learn and the critical reflection of institutions and teachers that involves evaluating theevidence of the problem experienced in order to guide future actions for change.