Preliminary Study Using Medical Student Stressor Questionnaire in Faculty of Medicine Pelita Harapan University

Citation : Marlina Mona, Preliminary Study Using Medical Student Stressor Questionnaire in Faculty of Medicine Pelita Harapan University. Medicinus. 2019 October; 7(7):205–208


Introduction
As a lecturer, one of our job is delivering a good content and material in our expertise. Sometimes we are too busy to find the best methods in teaching, so the student could achieve all the competencies needed. However, the student success is not only because of the lecture capability in teaching. There are many aspects that could influence the student achievement. One of the contribution aspect is the student capability in stress management. 1,2 Stress is a changing situations that makes a tension and will affect a person both in physically and or mentally. The impact of stress could be positive and negative. The positive site could encouragie someone to be better, but if the stress prolong and the person could not manage the stress will leads to anxiety, depression, sleeping disorders, decreased attention, reduced concentration, conflicts, cynicism, academic dishonesty and even leads to burnout. Burnout is a disorder consists of 3 symptoms. The symptoms are emotional exhaustion, depersonalization, and low accomplishment.
All the negative symptoms could make the student have low achievement and even ended in commited suicide. 1,3,4,5,6 Medical school is one of the stressful study programs among others. Including in Faculty of Medicine Pelita Harapan University (UPH). In UPH learning goes through 2 phases. First is bachelor program/academic/preclinical stage for 7 semesters and second phase is professional/clinical phase for 4 semester. The characteristic of student year one is dr. Mona Marlina, M.Pd.Ked U n i v e r s i t y o f P e l i t a H a r a p a n | 206 around age 17 to 18 years old and graduates students from 12th grade high school.
Lots of stressful things facing by the medical student. The stress factor divided into academic and non-academic factors. Academic stressors such as excessive material to learn, tight schedule, teachinglearning methods, lots of examination, grading method, bad score and remedial process, some competencies that must be achieved, and so on. Non-academic stressors such as conflict with peer group and other personnel in the faculty, peer group expectation, not interested in medical school cause parents/family member wishes, family/social relation factor, and other factors. 5,7 Aim of the study was to know the stressors domains that are facing by the student and the level stress in all stressors domain.  5 The stressors domain and all the items can be seen in Table 1.

Discussion
Although various studies provide different picture of the stressors domain but in the end, all the stressors will impat the academic domain. Highest stressors domain in UPH is dominated by IRS. This might be influenced by the process of adaptation that occurred during the early stages of education. In the other hands the academic stressors was not the highest domain because the learning material faced by the student when the research conducted not entered the medical core learning material yet. 5,8,9 Previous research also mention, the first year was the highest burden for the medical student, because the student needs to adapt from high school to new environtment. Other research mention last year of study was the hardest, cause the learning environtment was changing into doctor-patient interaction, work with otprofessions, and also thingking about career plan in the future. UPH don't have this data yet. 10,11 What we need to be considered is not only the highest stressors domain, but we must seek deeper the cause of high stress in all stressors domain. Cause low ability to adapt from various stressor domain in the first year will lead to poor academic achievement and will increase the dropout rates. Not only that, it will harm the student physicaly and or mentaly. Good stress management will help student to coped the stressors. 1,2 This preliminary study give us the picture of what facing by the UPH medical student in the first year. We need to seek deeper with further study to help student achieve all the competencies. Next step of research will focus on bigger population, follow each step of every level of study, and bring along the qualitative research with students and education managers to find the cause of stress and solution.

Conclusion
Medical student in the frst year needs to learn stress management, so they could cope the stressor and have a healthy live.

Acknowledgement
Highly gratitude to Faculty of Medicine Pelita Harapan University and all the participant in batch 2016.

Note
This research has been displayed in the proceeding book and presented in the short communications session at the Asia Pasific Medical Education Conference (APMEC) on January 11, 2020 in Singapore.