Understanding Academic Self-Concept and Performance in Medical Education

Harrell, Kelly; Rawls, Meagan; Stringer, J. K.; Edwards, Cherie; Santen, Sally A.; Biskobing, Diane M.

doi:10.1097/acm.0000000000005224

Academic Medicine

2023

DOI: 10.1097/acm.0000000000005224

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Understanding Academic Self-Concept and Performance in Medical Education

Kelly Harrell¹,

Meagan Rawls²,

J. K. Stringer³

et al.

Abstract: ProblemMedical students' academic self-concept (ASC) is an important factor in better understanding noncognitive mediators of performance in medical school. However, research is limited on ASC in medical students across multiple phases of undergraduate medical education curriculum. This pilot study explored the relationship between ASC and academic performance across different phases of a U.S. medical school curriculum, specifically at the end of the second (preclinical) and third (clinical) years.

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“…[29][30][31][32][33] Based on the grading system, students' goal orientation is performance-driven and low performance is avoided so that they can get good grades. 34 This creates a fixed mindset and a limited approach to learning. Growth mindset, where trainees are challenged to learn, and fail, and try again, leads to improved learning and performance.…”

mentioning

confidence: 99%

“…Second, we need to move from trainees aimed at proving performance toward a growth mindset and the creation of master adaptive learners 29–33 . Based on the grading system, students’ goal orientation is performance‐driven and low performance is avoided so that they can get good grades 34 . This creates a fixed mindset and a limited approach to learning.…”

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confidence: 99%

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Embracing our responsibility to ensure trainee competency

Santen

Hemphill

2023

AEM Education and Training

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mentioning

confidence: 99%

mentioning

confidence: 99%

Embracing our responsibility to ensure trainee competency

Santen

Hemphill

2023

AEM Education and Training

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Female Surgical Ergonomics in Otolaryngology: A National Survey Study

Morse,

Tai,

Harpel

et al. 2023

Otolaryngol.--head neck surg.

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ObjectiveTo assess the nature and impact surgical ergonomic challenges experienced by female otolaryngologists.Study DesignNational survey study.SettingFemale otolaryngology residents, fellows and attendings recruited via social media posting and email distribution.MethodsWe distributed a survey study to female otolaryngologists throughout the United States. The height and glove size of participants reporting difficulties with equipment and instruments were compared to those not reporting difficulties.ResultsNinety‐six female otolaryngologists participated in our study, comprised of 43% residents, 10% fellows, and 47% attendings. Ninety percent of participants reported difficulties using equipment and 77% of participants reported difficulty with instruments, the most common being nasal endoscopic instruments (28%). The vast majority of participants reported pain during and (or) after the operation (92%). Head and neck (53%) and rhinology (44%) were identified as particularly challenging specialities, but only 25% of participants reported that ergonomics affected their career plans. Participants felt that adjustable equipment (60%), a variety of sizes of instruments (43%), and more discussion around ergonomics (47%) would help. Respondents reported adjusting the operating room to accommodate their size took extra time (44%) and was a mental burden (39%). Participants reporting difficulties with operating room equipment were significantly shorter than those without difficulties (64 inches vs 67 inches, P = .037), and those reporting difficulties with instruments had a smaller median glove size (6 vs 6.5, P = .018).ConclusionSurgical ergonomics represent a challenge for female otolaryngologists, particularly those with smaller hands and shorter height. Partnering with industry, we must address the needs of an increasingly diverse workforce to ensure that all surgeons can operate effectively and comfortably.

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Burnout em estudantes universitários e relação com o autoconceito e desempenho académico

Lucas

2024

Rev Port Inv Comp Soc

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Contexto: Com a prevalência crescente do burnout académico em estudantes universitários, torna-se essencial aprofundar a compreensão deste fenómeno em contextos educativos exigentes, visando melhorar a sinalização e intervenção. Objetivo: Investigar os níveis de burnout em estudantes universitários e as suas relações com variáveis sociodemográficas e académicas e examinar o impacto do burnout e do autoconceito e no desempenho académico numa amostra portuguesa. Métodos: Participaram 1122 estudantes universitários portugueses, com idades entre os 17 e 65 anos (M = 23,59), maioritariamente do sexo feminino (n = 850; 75,8%). Aplicaram-se um Questionário Sociodemográfico-Académico, o Self-Description Questionnaire III e o Oldenburg Burnout Inventory – Student Version. Resultados: Predominaram baixos níveis de burnout. As estudantes reportaram níveis inferiores de burnout e desempenho académico superior comparativamente aos homens. Embora se tenha observado uma diminuição de burnout com o avanço nos anos académicos (r = -0,13; p< 0,01), verificou-se um aumento com a progressão da idade (r = 0,22; p < 0,01). Áreas mais exigentes como Matemática e Estatística mostraram maiores níveis de exaustão emocional. Um autoconceito positivo associou-se a menores níveis de burnout. A Exaustão Emocional (β = 0,10; p < 0,01) e o Distanciamento Emocional (β = 0,21; p < 0,001) e o Autoconceito Académico (β = -0,52; p < 0,001) revelaram-se preditores significativos do desempenho académico. Conclusões: O burnout e o autoconceito predizem o desempenho académico, sublinhando a necessidade de intervenções direcionadas que fortaleçam o autoconceito e mitiguem o burnout, de modo a promover um ambiente académico mais saudável.

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Understanding Academic Self-Concept and Performance in Medical Education

Cited by 3 publications

References 9 publications

Embracing our responsibility to ensure trainee competency

Embracing our responsibility to ensure trainee competency

Female Surgical Ergonomics in Otolaryngology: A National Survey Study

Burnout em estudantes universitários e relação com o autoconceito e desempenho académico

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