Evidence map›Paper›PMID 30935393›Full record

SynthesisBMC medical education2019

What keeps medical students healthy and well? A systematic review of observational studies on protective factors for health and well-being during medical education.

Thomas Kötter, Stephan Fuchs, Marcus Heise, Henna Riemenschneider, Linda Sanftenberg, Christian Vajda, Karen Voigt

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Thomas KötterInstitute of Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany. thomas.koetter@uni-luebeck.de.ORCID http://orcid.org/0000-0002-2266-0531
Stephan FuchsInstitute of General Practice & Family Medicine, Martin-Luther University Halle-Wittenberg, Halle, Germany.
Marcus HeiseInstitute of General Practice & Family Medicine, Martin-Luther University Halle-Wittenberg, Halle, Germany.
Henna RiemenschneiderDepartment of General Practice, Carl Gustav Carus Faculty of Medicine, Dresden, Germany.
Linda SanftenbergInstitute of General Practice and Family Medicine, University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany.
Christian VajdaDepartment of Medical Psychology and Psychotherapy, Medical University of Graz, Graz, Austria.
Karen VoigtDepartment of General Practice, Carl Gustav Carus Faculty of Medicine, Dresden, Germany.

Funding

Deutsche Forschungsgemeinschaft FU 1073/2-1
6 · The paper itself

Abstract

backgroundDespite the growing evidence of a negative impact of medical school on students' health and well-being, little is known about protective factors for staying healthy and well during medical education. Therefore, a systematic review of peer-reviewed studies aiming to identify such predictors was conducted.

methodsMedline, Embase, and PsychInfo were systematically searched by using preselected MeSH terms to identify English- and German-language peer-reviewed articles (observational studies) examining predictors for medical students' health and well-being, published between January 2001 and April 2018. Two authors independently selected abstracts reporting predictors for medical students' health and well-being. Further, two authors extracted information from the identified studies, needed for methodological quality assessment of the studies, as well as for comprehensive description of identified predictors.

resultsFrom 5013 hits in the database search, six observational studies met the inclusion criteria and were included in the final analysis. These studies were of heterogeneous design and quality. They featured a wide variety of health and well-being related outcomes and of its predictors. Lower levels of perceived stress, as well as lower levels of neuroticism were found to predict better health-related outcomes.

conclusionsFurther research, by using harmonized tools for the assessment of outcomes, as well as predictors, is needed to determine what keeps students healthy and well during medical education. Identifying protective factors is an essential prerequisite for the design of evidence-based health-promoting interventions.

Indexed as

Occupational HealthProtective FactorsSchools, MedicalEducation, MedicalFaculty, MedicalHumansObservational Studies as TopicStudents, MedicalEducation, medicalHealth promotionLongitudinal studiesSchools, medicalStudents, medical

Identifiers

PMID30935393
PMCPMC6444449

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.