Predicting future performance in medical students. A longitudinal study examining the effects of resilience on low and higher performing students

Burgis-Kasthala, Sarath; Elmitt, Nicholas; Smyth, Lillian; Moore, Malcolm A

doi:10.1080/0142159x.2019.1626978

Cited by 13 publications

(13 citation statements)

References 52 publications

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“…It reported that high grit and resilience were associated with a higher level of academic performance. Conversely, the present results are inconsistent with earlier studies on medical or nursing students 19 , 20 , 21 ) . Burgis-Kasthala et al 20 ) have suggested the need to interrogate definitions and conceptualize resilience in terms of their relationship with self-efficacy and social capital.…”

Section: Discussioncontrasting

confidence: 99%

“…Resilience is defined as the ability of an individual to bounce back or recover from stress 18 ) . Although several studies have examined the association between resilience and academic performance among medical science students, the results were inconsistent 19 , 20 , 21 , 22 ) . For example, Beauvais et al 19 ) reported that the association between resilience and academic performance was not observed in undergraduate nursing students but was observed in graduate nursing students.…”

Section: Introductionmentioning

confidence: 99%

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The association between resilience and academic performance among nursing students: a cross-sectional study in Japan

et al. 2021

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Objective: Medical science students, especially nursing students, are more likely to experience academic stress; therefore, resilience helps them focus on their lessons attentively. However, the results of a few existing studies regarding how resilience impacts the academic performance of medical science students are incongruent. This study aimed to investigate whether resilience impacts the academic performance of Japanese nursing students. Methods: We conducted a cross-sectional, self-administered questionnaire survey from September to November 2020. A total of 229 undergraduate nursing students participated in this study; here, resilience was measured using the Bidimensional Resilience Scale, which includes innate factors (optimism, control, sociability, and vitality) and acquired factors (problem-solving, self-understanding, and understanding others). Academic performance was measured using the functional grade point average (f-GPA). Covariates were demographics, pre-entry academic performance levels, medical history, time spent walking, psychological distress, subjective economic status, and part-time jobs. Multivariate regression analyses were performed. Results: Among the 229 participants, the f-GPA mean (standard deviation) was 2.93 (0.46). Only vitality was significantly associated with a higher f-GPA after multiple imputations (β = 0.06; 95% confidence interval = 0.03-0.09; P<0.01). The Poisson regression analysis of 212 participants with all data indicated that vitality was associated with the fourth quartile f-GPA (prevalence ratio, 1.05; 95% confidence interval, 1.03-1.08; P<0.01). Conclusion:There was a significant association between the vitality of resilience components and academic performance among Japanese nursing students. This study suggests that an approach that develops resilience is necessary for the academic success of nursing students.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association between resilience and academic performance among nursing students: a cross-sectional study in Japan

et al. 2021

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“…To enhance resilience, the American Psychological Association 32 recommends several strategies such as building relationships (for example, joining support groups or community/civic/volunteer groups or organizations); focusing on physical and emotional wellness through physical activity, good nutrition, adequate rest, practicing mindfulness, and "embracing healthy thoughts" (eg, being hopeful, accepting change) rather than dwelling on the negative; and finding a purpose or goal-setting (for example, performing charitable or volunteer work, or embracing "opportunities for selfdiscovery"). However, other studies such as Burgis-Kasthala et al 33 , Elizondo-Omaña et al 8 , and Taylor and Reyes 7 did not find a significant relationship between resilience and academic outcomes among health professions students. Consistent with these latter studies (though it should be noted, none of the prior studies in other health professions students were conducted in the context of a math or calculations course), the findings of the current study indicate academic resilience was not significantly associated with final pass/fail outcome in Pharmacy Math or with Pharmacy Math final numerical grade in either the total sample or the subgroup that was failing Pharmacy Math at mid-term.…”

Section: Discussionmentioning

confidence: 84%

Resilience and First-Year Pharmacy Students’ Academic Performance in a Pharmacy Math Course

Chisholm-Burns

Berg‐Poppe

Spivey

et al. 2021

American Journal of Pharmaceutical Education

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Objective. Studies examining the relationship between pharmacy students' resilience and academic performance are lacking. Therefore, the purpose of this study was to examine the relationship between academic resilience and academic success (defined as achieving a passing grade in a Pharmacy Math course) in pharmacy students. Methods. A cross-sectional survey utilizing the Academic Pharmacy Resilience Scale (APRS-16) was conducted in two cohorts of first-year pharmacy (P1) students (n=374) during first-year fall orientation in 2019 and 2020. The following data were also collected from student records: demographics, pre-pharmacy grade point average (GPA), Pharmacy Math outcome (passing/failing course), and Pharmacy Math final numerical grade. Correlational, multiple logistic regression, and multiple linear regression analysis were conducted. Results. Response rate was 98.1%, and approximately 95% of participants passed Pharmacy Math. No statistically significant correlations were found between Pharmacy Math final pass/fail outcome or Pharmacy Math final numerical grade and APRS-16 overall and subscale scores. In multiple logistic regression, neither pre-pharmacy GPA nor APRS overall scale or subscale scores were significantly associated with final Pharmacy Math outcome (passing/failing). In multiple linear regression, pre-pharmacy GPA was significantly associated with Pharmacy Math final numerical grade, but APRS-16 overall score and subscale scores were not. Conclusion. First-year pharmacy students' performance in Pharmacy Math was not influenced by academic resilience. Future studies should assess whether academic resilience may affect performance in other courses as well as performance in the Doctor of Pharmacy curriculum.

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“…Resilience is viewed as a flexible and adaptive act performed in response to challenges or an aggregate concept of multiple qualities, both of which indicate an ability to survive and address the likely consequences of handling pressure or adversity [3]. Although medical students’ resilience has not been found to be related to their academic course performance [4], the role of resilience has been shown to be positively associated with the well-being of medical students. For instance, previous cross-sectional questionnaire studies have revealed associations between medical students’ resilience and their lower levels of psychological distress [4], better life satisfaction [5, 6], happiness [5], higher quality of life [7], fewer anxiety symptoms [8], and increased subjective well-being [9, 10].…”

Section: Introductionmentioning

confidence: 99%

“…Although medical students’ resilience has not been found to be related to their academic course performance [4], the role of resilience has been shown to be positively associated with the well-being of medical students. For instance, previous cross-sectional questionnaire studies have revealed associations between medical students’ resilience and their lower levels of psychological distress [4], better life satisfaction [5, 6], happiness [5], higher quality of life [7], fewer anxiety symptoms [8], and increased subjective well-being [9, 10]. However, one study in Canada revealed that medical students had higher perceived stress, poorer coping skills, and lower resilience than age- and gender-matched peers in the general population [11].…”

Section: Introductionmentioning

confidence: 99%

Medical students’ resilience: a protective role on stress and quality of life in clerkship

Lin

et al. 2019

BMC Med Educ

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BackgroundResilience refers to the ability to be flexible and adaptive in response to challenges. Medical students in clerkship who are transitioning from medical studies to clinical practice face a variety of workplace demands that can lead to negative learning experiences and poor quality of life. This study explored whether medical students’ resilience plays a protective role against the stresses incurred during workplace training and on their professional quality of life during clerkships.MethodsThis was a 1-year prospective web-based questionnaire study comprising one cohort of medical students in their fifth year who were working as clerks as part of their 6-year medical education programme at one medical school in Taiwan between September 2017 and July 2018. Web-based, validated, structured, self-administered questionnaires were used to measure the students’ resilience at the beginning of the clerkship and their perceived training stress (i.e. physical and psychological demands) and professional quality of life (i.e. burnout and compassion satisfaction) at each specialty rotation. Ninety-three medical students who responded to our specialty rotation surveys at least three times in the clerkship were included and hierarchical regressions were performed.ResultsThis study verified the negative effects of medical students’ perceived training stress on burnout and compassion satisfaction. However, although the buffering (protective) effects of resilience were observed for physical demands (one key risk factor related to medical students’ professional quality of life), this was not the case for psychological demands (another key risk factor). In addition, through the changes in R square (∆R2) values of the hierarchical regression building, our study found that medical students’ perceived training stresses played a critical role on explaining their burnout but their resilience on their compassion satisfaction.ConclusionsMedical students’ resilience demonstrated a buffering effect on the negative relationship between physical demands and professional quality of life during clerkships. Moreover, different mechanisms (predictive paths) leading to medical students’ professional quality of life such as burnout and compassion satisfaction warrant additional studies.

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Predicting future performance in medical students. A longitudinal study examining the effects of resilience on low and higher performing students

Cited by 13 publications

References 52 publications

The association between resilience and academic performance among nursing students: a cross-sectional study in Japan

The association between resilience and academic performance among nursing students: a cross-sectional study in Japan

Resilience and First-Year Pharmacy Students’ Academic Performance in a Pharmacy Math Course

Medical students’ resilience: a protective role on stress and quality of life in clerkship

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