ArticleMedical education2020
Gender-specific effects of raising Year-1 standards on medical students' academic performance and stress levels.
Article in Medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 35 citations in OpenAlex.
- Effect of the Intake of a Traditional Mexican Beverage Fermented with Lactic Acid Bacteria on Academic Stress in Medical Students.Nutrients · 2021Trial
- Improving selection procedures in health professions education from the applicant perspective: an interview study.BMC medical education · 2024Article
- The association between how medical students were selected and their perceived stress levels in Year-1 of medical school.BMC medical education · 2023Article
- Article
- Shift to emergency remote preclinical medical education amidst the Covid-19 pandemic: A single-institution study.Anatomical sciences education · 2022Article
- Effects of raising the bar on medical student study progress: An intersectional approach.Medical education · 2021Article
- Perceived Stress among School Students in Distance Learning During the COVID-19 Pandemic in the Gaza Strip, Palestine.Augmented human research · 2021Article
- Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19.Psychology research and behavior management · 2021Article
- Supporting the balance between well-being and performance in medical education.Medical education · 2020Article
- Gender-specific effects of raising Year-1 standards on medical students' academic performance and stress levels.Medical education · 2020Article
- Psychological and other Correlates of Academic Performance in Medical Students at a Tertiary Care Hospital: A Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextMedical schools are challenged to create academic environments that stimulate students to improve their study progress without compromising their well-being.
objectivesThis prospective comparative cohort study investigated the effects of raising Year-1 standards on academic performance and on students' chronic psychological and biological stress levels.
methodsIn a Dutch medical school, students within the last Bachelor's degree cohort (n = 410) exposed to the 40/60 (67%) credit Year-1 standard (67%-credit cohort) were compared with students within the first cohort (n = 413) exposed to a 60/60 (100%) credit standard (100%-credit cohort). Main outcome measures were Year-1 pass rate (academic performance), mean score on the Perceived Stress Scale (PSS, psychological stress) and hair cortisol concentration (HCC, biological stress).
resultsYear-1 pass rates were significantly higher in the 100%-credit cohort (odds ratio [OR] 4.65). Interestingly, there was a significant interaction effect (OR 0.46), indicating that raising the standard was more effective for male than for female students. PSS scores (n = 234 [response rate [RR]: 57%] and n = 244 [RR: 59%] in the 67%- and 100%-credit cohorts, respectively) were also significantly higher in the 100%-credit cohort (F
conclusionsRaising the Year-1 performance standard increased academic performance, most notably in male students. However, it also increased levels of perceived stress, especially in female students. In particular, the combination of high levels of perceived stress and biological stress, as measured by long-term cortisol, was related to poor academic performance. The study suggests a relationship between raising performance standards and student well-being, with differential effects in male and female students.
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