Saturday, January 4, 2025

UDLCO : Journal club with author on capacity building mental well being and medical professionalism in medical students

Summary


The conversation revolves around a study on medical students' experiences with professionalism, mental well-being, and coping strategies. The study used qualitative phenomenological methods and focus group discussions to gather insights. The discussants praise the study, ask questions about methodology, and highlight the importance of addressing mental well-being issues in medical education.

Key Words
1. Medical students
2. Mental well-being
3. Professionalism
4. Coping strategies
5. Qualitative research
6. Focus group discussions
7. Medical education


Conversational Transcripts:

03/01, 14:49] +97 Congratulations 🎉🎈 very nice study

[03/01, 15:10] +96: Really insightful dear colleague!



[03/01, 20:34] rb: The sampling diversity is intriguing!

To quote:

"Sampling represented diverse backgrounds (with 27 females, 18 fifth-year students, and 30 Malays)."


[03/01, 20:41] rb: Liked this diagram very much 👇



[03/01, 20:53] +96: Thank you. This statement from Abstract is well elaborated in the subsequent section. e.g Characteristics of participants in the FGD:
Purposeful sampling was used to select the 40 partici-
pants, who were medical students from various years,
comprising both males and females from diverse racial
backgrounds (see Table 5). Most participants were female
(67.5%), fifth-year students (45%), and Malay (75%). The
homogeneity of the participants, who were all undergrad-
uate medical students, was relevant to the study’s focus.


[03/01, 22:16]rb: Thanks

Reading further I came across these two apparently disparate paragraphs that needs your help to bring together:

"The FGDs were conducted synchronously online using Zoom©. Participants were required to keep their web cameras on during the sessions, allowing the moderator (principal author) to observe nonverbal cues such as facial expressions, eye contact, and body language."

"Text Interpretation (Step 1): The authors read and re-read the texts."

Query:

How was the synchronous zoom session data converted to text?

How were the non verbal cues factored into the interpretation?


[03/01, 23:02] +96: Thank you. Although in the wake of responding to and or satisfying reviewers’  queries we ought to omit a few details (pertinent for readers), but i still believe and affirm that reading in full the paper in general and the section of  ‘Data analysis and robustness’ in particular will clear it. As an inductive coding approach was adopted for data
analysis, allowing codes to emerge directly from the
data without a predefined framework.  Best wishes.


[03/01, 23:30] +96: Voice to text transcripts conversion manual- non verbal.   Cues were looked for (if any) nothing there/ insignificant.


[04/01, 10:15]rb: Nice having a journal club with the author. 
👏👏

Look forward to do this more often. Wishing you more such papers 👍

Perplexity inputs:

The study "Unveiling the interplay of medical professionalism, mental well-being and coping in medical students" explores how medical students' experiences with professionalism, coping strategies, and mental well-being interact. Using qualitative phenomenological methods, the researchers conducted focus group discussions with 40 students to gather insights into their challenges and coping mechanisms.Critical Appraisal:
  • Study Design: The qualitative approach is appropriate for capturing nuanced experiences but may lack generalizability due to the small sample size and purposive sampling.
  • Results: The findings highlight significant themes around mental well-being issues and coping strategies, indicating a complex relationship between these factors and professionalism. However, the reliance on self-reported data may introduce bias.
  • Conclusion: The study effectively underscores the need for targeted interventions in medical education to enhance student support systems. Future research should address limitations by including larger, more diverse samples to validate findings
The study identified two main themes regarding mental well-being (MWB) among medical students:
  1. Mental Well-Being Issues: This theme highlights persistent mental health challenges faced by students, including stress and anxiety related to their educational environment.
  2. Happiness: This theme illustrates factors that contribute to sustaining well-being, such as social support and positive experiences within their training.
These findings emphasize the complex interplay between coping strategies, professionalism, and MWB, suggesting a need for targeted interventions to support students effectively

The study recommends several interventions to support medical students, focusing on enhancing mental well-being and professionalism. Key recommendations include:
  1. Targeted Support Programs: Develop programs that address mental health challenges and provide coping strategy training, emphasizing resilience and stress management.
  2. Peer Support Systems: Establish peer mentoring initiatives to foster social support, encouraging students to share experiences and coping mechanisms.
  3. Mindfulness and Well-Being Workshops: Implement workshops that teach mindfulness practices and self-care strategies to promote positive coping.
  4. Curriculum Integration: Integrate discussions on mental well-being and professionalism into the medical curriculum to raise awareness and normalize seeking help.
These interventions aim to create a supportive educational environment that nurtures both the mental health and professional development of medical students.


Thematic Analysis
*Codes*
1. Study methodology
2. Mental well-being issues
3. Professionalism
4. Coping strategies
5. Medical education
6. Research limitations
7. Interventions for support

*Themes*
1. _Study Methodology_: The conversation touches on the study's methodology, including the use of qualitative phenomenological methods and focus group discussions.
2. _Mental Well-being Issues_: The discussants highlight the importance of addressing mental well-being issues in medical education.
3. _Professionalism and Coping Strategies_: The conversation explores the complex interplay between professionalism, coping strategies, and mental well-being.
4. _Medical Education_: The discussants emphasize the need for targeted interventions to support medical students' mental well-being and professional development.
5. _Research Limitations_: The conversation notes the study's limitations, including the small sample size and reliance on self-reported data.

Learning Points
1. _Importance of Addressing Mental Well-being_: Medical education should prioritize addressing mental well-being issues to support students' professional development.
2. _Need for Targeted Interventions_: Targeted interventions, such as peer support systems and mindfulness workshops, can help support medical students' mental well-being.
3. _Complex Interplay between Professionalism and Mental Well-being_: The relationship between professionalism, coping strategies, and mental well-being is complex and requires further research.
4. _Limitations of Qualitative Research_: Qualitative research, while providing rich insights, may have limitations, such as small sample sizes and reliance on self-reported data.