Indian Journal of Private Psychiatry

Register      Login

VOLUME 18 , ISSUE 2 ( July-December, 2024 ) > List of Articles

Original Article

Stress among Medical Undergraduates after the Introduction of CBME Curriculum by NMC of a Medical College in Assam: A Cross-sectional Study

Soumitra Ghosh, Barasha Saharia, Karuna Hazarika

Keywords : Competency-based medical education, Medical student stressor questionnaire, National medical commission, Stress, Undergraduate medical students

Citation Information : Ghosh S, Saharia B, Hazarika K. Stress among Medical Undergraduates after the Introduction of CBME Curriculum by NMC of a Medical College in Assam: A Cross-sectional Study. Ind J Priv Psychiatry 2024; 18 (2):65-69.

DOI: 10.5005/jp-journals-10067-0180

License: CC BY-NC 4.0

Published Online: 26-07-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Stress is an inevitable phenomenon. Medical college environment is a stressful environment due to its exhaustive academic and extracurricular activities. A competency-based medical education (CBME) curriculum was introduced in 2019. Aim: This online study was undertaken at Tezpur Medical College to explore stress among medical students from the CBME curriculum. Materials and methods: The Medical Student Stressor Questionnaire (MSSQ) tool was applied and divided into six domains. Results: A total of 400 students responded to the online study. Out of these, 185 were female and 215 were male. The students comprised a heterogeneous group from different batches ranging from 1st to 7th semesters with the 7th semester comprising the highest (29.5%) and the 1st semester as the lowest (19%). Academic-related stressors (ARS) have been associated with the highest stress (2.19 ± 0.85) and drive and desire-related stressor have the lowest stress (1.33 ± 0.94). The mean scores for males were lower than for females and were statistically significant. Both the overall score and ARS domain scores differ across semesters significantly. Comparable findings have been revealed in this study with studies from pre-CBME curriculum era. Conclusion: Stress management strategies and the provision of a congenial environment in the medical college may help to reduce stress.


HTML PDF Share
  1. What is stress? Texas: The American Institute of Stress. Available from: https://www.stress.org/what-is-stress.
  2. Stress. Geneva: The World Health Organization. Available from: www.who.int/news-room/questions-and-answers/item/stress.
  3. Selye H. A syndrome produced by diverse nocuous agents. Nature 1936;138:32. DOI: 10.1038/138032a0.
  4. Rahe RH, Arthur RJ. Life change and illness studies: Past history and future directions. J Human Stress 1978;4(1):3–15. DOI: 10.1080/0097840X.1978.9934972.
  5. Folkman S. Stress: Appraisal and Coping. In: Gellman MD, Turner JR (Eds). Encyclopedia of Behavioral Medicine, 1st edition. New York: Springer; 2013. pp. 1913–1915.
  6. Philip S, Molodynski A, Barklie L, et al. Psychological well-being and burnout amongst medical students in India: A report from a nationally accessible survey. Middle East Curr Psychiatry 2021;28:54. DOI: 10.1186/s43045-021-00129-1.
  7. Chowdhury R, Mukherjee A, Mitra K, et al. Perceived psychological stress among undergraduate medical students: Role of academic factors. Indian J Public Health 2017;61(1):5557. DOI: 10.4103/0019-557X.200253.
  8. Fares J, Al Tabosh H, Saadeddin Z, et al. Stress, burnout and coping strategies in preclinical medical students. N Am J Med Sci 2016;8(2):75–81. DOI: 10.4103/1947-2714.177299.
  9. Satpathy P, Siddiqui N, Parida D, et al. Prevalence of stress, stressors, and coping strategies among medical undergraduate students in a medical college of Mumbai. J Edu Health Promot 2021;10:318. DOI: 10.4103/jehp.jehp_1395_20.
  10. Perappadan BS. Many medical students under stress: Study. The Hindu. 2023. Available from: https://www.thehindu.com/news/national/india-lost-119-medical-students-to-alleged-suicide-over-five-years/article66691853.ece.
  11. Medical Council of India. Curriculum Implementation Support Program (CISP I): First year Report, 1st edition. New Delhi: Medical Council of India; 2019. pp. 8–9. Available from: CISP-I-First-year-Report-2019_11.09.2020.pdf (nmc.org.in).
  12. Yusoff MS, Abdul Rahim AF, Yaacob MJ. Prevalence and sources of stress among Universiti Sains Malaysia medical students. Malays J Med Sci 2010;17(1):30–37. PMID: 22135523.
  13. Yusoff MSB, Rahim AFA. The Medical Student Stressor Questionnaire (MSSQ) manual, 1st edition. Malaysia: KKMED Publications; 2010. pp. 9–13.
  14. Melaku L, Mossie A, Negash A. Stress among medical students and its association with substance use and academic performance. Journal of Biomedical Education 2015;2015(4):1–9. DOI: 10.1155/2015/149509.
  15. Sanmitha DG, Bhatt RK. Relationship between perceived stress, optimism, and burnout among medical, dental, and ayurvedic students. International Journal of Indian Psychology 2021;9(2):727–736. DOI: 10.25215.0902.077.
  16. Asfaw H, Fekadu G, Tariku M, et al. Anxiety and stress among undergraduate medical students of Haramaya University, Eastern Ethiopia. Neuropsychiatric Disease and Treatment 2021;17:139–146. DOI: 10.2147/NDT.S290879.
  17. Gupta S, Choudhury S, Das M, et al. Factors causing stress among students of a Medical College in Kolkata, India. Educ Health 2015;28(1):92–95. DOI: 10.4103/1357-6283.161924.
  18. Battula M, Arunashekar P, John A, et al. Stress level among the final year medical students at an urban medical college: A cross-sectional study. Biomedicine 2021;41:70–74. DOI: 10.51248/.v41i1.536.
  19. Sreeramareddy CT, Shankar PR, Binu V, et al. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ 2007;7(1):26. DOI: 10.1186/1472-6920-7-26.
  20. Brahmbhatt KR, Nadeera VP, Prasanna KS, et al. Perceived stress and sources of stress among medical undergraduates in a private medical college in Mangalore, India. Int J Biomed Adv Res 2013;4(2):128136. DOI: 10.7439/ijbar.v4i2.299.
  21. Shankar PR, Balasubramanium R, Ramireddy R, et al. Stress and coping strategies among premedical and undergraduate basic science medical students in a Caribbean medical school. Educ Med J 2014;6(4):4856. DOI: 10.5959/eimj.v6i4.287.
  22. Anuradha R, Dutta R, Raja JD, et al. Stress and stressors among medical undergraduate students: A cross-sectional study in a private medical college in Tamil Nadu. Indian J Community Med 2017;42(4):222225. DOI: 10.4103/ijcm.IJCM_287_16.
  23. Soliman M. Perception of stress and coping strategies by medical students at King Saud University, Riyadh, Saudi Arabia. J Taibah Univ Med Sci 2014;9(1):3035. DOI: 10.1016/j.jtumed.2013.09.006.
  24. Panchu P, Bahuleyan B, Vijayan V. An analysis of the factors leading to stress in Indian medical students. Int J Clin Exp Physiol 2017;4(1): 48–50. DOI: 10.4103/ijcep.ijcep_58_16.
  25. Mamatha B, Pramod NJ, Rakshitha MN, et al. A cross sectional study of sources and severity of stress in first year undergraduates in a medical college of Shivamogga. International Journal of Clinical Biochemistry and Research 2020;7(3):395–399. DOI: 10.18231/j.ijcbr.2020.084.
  26. Goel A, Sethi Y, Moinuddin A, et al. Competency-based medical education (CBME) curriculum and its effect on prevalence of anxiety, depression and stress amongst medical undergraduates. J Edu Health Promot 2022;11:380. DOI: 10.4103/jehp.jehp_564_22.
  27. Eysenbach G. Improving the quality of web surveys: The checklist for reporting results of internet E-Surveys (CHERRIES). J Med Internet Res 2004;6(3):e34. DOI: 10.2196/jmir.6.3.e34.
  28. Eysenbach G. Correction: Improving the Quality of Web Surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) J Med Internet Res 2012;14(1):e8. DOI: 10.2196/jmir.2042.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.