The influence of excessive stress on medical students in the Czech Republic – national sample

Abstract

Purpose The Czech Republic has been dealing with a long-term shortage of doctors, which, according to demographic forecasts, will continue to worsen due to the retirement of stronger generations of doctors in contrast to the gradual aging of the population, which will require more health care over time. The country´s political set is trying to respond to this shortage and demographic forecasts by gradually increasing financial funding of medical faculties with the aim of increasing the number of graduates of the program in the field of general medicine. Methods Anonymous questionnaire survey was conducted among students and graduates of general medicine at all eight Czech medical faculties. A total of 3183 respondents participated in the survey. There were 2843 medical students, which represents approximately 28% of all medical students in the Czech Republic. The distribution of respondents within the study years was approximately even and approximately corresponded to the real distribution of students between individual faculties in country, which makes survey a national sample. The statistical processing was performed in the statistical software R. Apart from the basic comparison using percentage relative frequencies and Pearson´s chi-squared test, in this study we used Odds ratios (OR) with CI 0,95 from logistic regression model for a better interpretation of some outputs. Results The results show that the vast majority of Czech medical students experience excessive stress during their studies, which increases the risk of students´ somatic problems (OR = 4.89, CI 0.95 = (4.11;5.83), p < 0.001)., targeted alcohol use (OR = 2.29, CI 0.95 = (1.73;3.04), p < 0,001) and the use of anxiolytic or antidepressant medication to reduce it (OR = 2.99, CI 0.95 = (2.24;4.01), p < 0.001). Students experiencing higher levels of excessive stress are more likely to leave their studies based on their own decision (4.20 (CI 0.95 (3.39;5.19), p < 0.001) and not to enter clinical practice after graduation (OR = 2.62, CI 0.95 = (2.06;3.33), p < 0.001). Conclusions The survey shows the need for an open discussion at the highest level about the possibilities of reasonable reduction of unnecessary stress during medical studies. Medical students in the Czech Republic are exposed to excessive stress with all the consequences described above. All that remains is to state the existence of unnecessary components of stress, which represent an opportunity to reduce it, thereby achieving better conditions for studying, improvement in the staff situation in the Czech healthcare system and a reduction in inefficiently spent financial resources for the education of young doctors. Trial registration No registration.

High risk of burnout syndrome and associated factors in medical students: A cross-sectional analytical study

“…These results are similar to that of other international research according to which, on average, the burnout prevalence ranged from 21% to 71% [12,13,31]. Medical students experience a high level of burnout due to the increasing difficulty of the curriculum and program of studies that is placed upon students, followed by frequent contact with people with severe diseases and death, as well as routinely experiencing a discord between the rational and emotional [32,33]. The observed differences in the prevalence of burnout in medical students could be due to the differences in cultures, socio-economic status and studied population.…”

“…It is not clear if the sedative use leads to more burnout or whether those students who already do not perform well and feel a high level of stress decide for recreative use of medications and drugs as a source of commodity [14]. Since education regarding the misuse of drugs, alcohol and illicit substances, constitutes a part of the basic curriculum of faculties of medicine [33,53,54], this association should be investigated in future studies.…”