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首页> 外文期刊>BMC Medical Education >A qualitative analysis of the coping reservoir model of pre-clinical medical student well-being: human connection as making it ‘worth it’
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A qualitative analysis of the coping reservoir model of pre-clinical medical student well-being: human connection as making it ‘worth it’

机译：对临床前医学学生福祉的应对水库模型的定性分析：人类的联系，使其“值得”

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By all indications, well-being among physicians is poor, which manifests in various outcomes, including burnout, depression/anxiety, low life satisfaction, alcohol/substance misuse, suicide ideation, and suicide. Despite the vast literature on physician burnout, there is relatively little research on how pre-clinical experiences in medical school may be an antecedent to subsequent poor health among physicians. Here we focus on two neglected areas within the literature by focusing on the pre-clinical stage of medical school and the positive, as opposed to exclusively the negative, aspects of the medical school experience as it affects well-being. This study utilizes the metaphor of the Coping Reservoir Model as a theoretical and analytical framework for understanding medical student well-being by identify the ‘depleting’ and ‘replenishing’ inputs that are deposited into students’ coping reservoirs. We analyze 105 medical students’ reflective writings using a data analytic process consistent with an interpretive description approach, engaging in a hierarchical 3-step coding process to identify the main replenishing inputs deposited into students’ coping reservoirs. The main depleting inputs that we identify are consistent with those identified by The Coping Reservoir Model. In addressing our main research question regarding the replenishing inputs, results show the main positive factors are psycho-social resources, intellectual stimulation, and social support/relationships. Most importantly, relationships with patients shape all three of these positive factors and provide the main source of hope that the stress of medical school will get better. What allows students to frame their experiences with hope and optimism are the connections they form with each other and with patients. The prolonged stress of medical school is made “worth it” in hopes that it will “get better” with more meaningful patient interaction in the future. These results that emphasize the positive aspects of medical school are discussed in context of their theoretical contributions to The Coping Reservoir Model and the practical implications for medical education to improve medical student well-being by facilitating human connection.
机译：所有迹象，医生之间的福祉都是贫困的，这在各种结果中表现出来，包括倦怠，抑郁/焦虑，低生活满意度，酒精/物质滥用，自杀念头和自杀。尽管对医师倦怠有着广阔的文学，但对医学院的临床前经验有何看法可能是一种治疗，以后会在医生之间的健康状况不佳。在这里，我们专注于医学院前临床前阶段和积极的临床阶段，专注于文献中的两个被忽视的地区，而不是专门的医学院经验的负面影响，因为它影响了幸福的否定。本研究利用应对储层模型的隐喻作为理论和分析框架，以了解医学学生福祉，识别存放到学生应对水库的“耗资”和“补充”投入。我们使用与解释性描述方法一致的数据分析过程分析105个医学生的反射性写作，从事分层3步编码过程，以识别沉积在学生的应对储层中的主要补充输入。我们识别的主要耗尽输入与由应对储层模型识别的那些一致。在解决有关补充投入的主要研究问题时，结果表明主要的积极因素是心理社会资源，智力刺激和社会支持/关系。最重要的是，与患者的关系塑造了这三个积极因素，并提供了医学院压力会变得更好的主要来源。允许学生以希望和乐观主义框架的经历是他们彼此形成的联系和与患者相互作用。医学院的长期压力是“值得的”，希望将来会有“更好”，将来会在未来更有意义的患者互动。在应对水库模型的理论贡献的背景下讨论了强调医学院积极方面的结果以及通过促进人的联系来改善医学学生福祉的医学教育的实际影响。

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