Document Detail

Beyond prevalence to process: the role of self and identity in medical student well-being.
MedLine Citation:
PMID:  24606619     Owner:  NLM     Status:  In-Data-Review    
CONTEXT: Problematic stress levels among medical students have been well established. This stress can lead to depression, suicidal ideation, substance abuse, burnout and cynicism, having a negative effect on students and their patients.
METHODS: We propose to move towards examining the processes underlying well-being in some medical students and vulnerability in others. We draw upon social psychological literature to propose that self-complexity, medical student identity and associated norms all have the capacity to influence medical students' well-being in both positive and negative ways.
RESULTS: We identify two key dilemmas facing medical students with regard to the social psychological factors investigated. First, a diverse set of interests and a high level of self-complexity is thought to buffer against the effects of stress and might also be beneficial for medical practitioners, but the intensive nature of medical education makes it difficult for students to pursue outside interests, leading to a strongly focused identity. Second, a strong group identity is associated with high levels of social support and improved well-being, but unhealthy group norms may have a greater influence on individuals who have a strong group identity, encouraging them to engage in behaviours that place their well-being at risk. A model is proposed outlining how these potentially contradictory social psychological processes may combine to impact upon medical students' well-being.
CONCLUSIONS: There is great scope for investigating the role of self-complexity, identity and norms in the medical education context, with room to investigate each of these factors alone and in combination. We highlight how our proposed model can inform medical educators as to the students who may be most vulnerable to the effects of stress and the potential interventions from which they may benefit. We conclude that social psychological factors make a valuable contribution to understanding the complex issue of well-being in medical education.
Kenneth I Mavor; Kathleen G McNeill; Katrina Anderson; Annelise Kerr; Erin O'Reilly; Michael J Platow
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical education     Volume:  48     ISSN:  1365-2923     ISO Abbreviation:  Med Educ     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-03-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605655     Medline TA:  Med Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  351-60     Citation Subset:  IM    
Copyright Information:
© 2014 John Wiley & Sons Ltd.
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